Does Xanax Cause Erectile Dysfunction?

Xanax and Erectile Dysfunction

Xanax (generic name: alprazolam) is a prescription medication used to treat anxiety and panic disorders. It is classified as a benzodiazepine, which is a type of medication that works by increasing the activity of a neurotransmitter called GABA in the brain.

While Xanax is generally effective at relieving anxiety symptoms, it can also cause a range of side effects, including drowsiness, dizziness, and impaired memory and concentration. One side effect that has been reported with the use of Xanax is erectile dysfunction (ED).

ED is defined as the inability to achieve or maintain an erection sufficient for sexual intercourse. It is a common condition that can affect men of all ages and is often caused by physical or psychological factors, such as heart disease, high blood pressure, diabetes, depression, and stress.

How Does Xanax Cause ED?

The link between Xanax and ED is not fully understood, but it is believed that the medication may interfere with the normal functioning of the brain and nervous system, which can affect sexual function.

Benzodiazepines like Xanax work by enhancing the action of GABA, which is a neurotransmitter that plays a role in the regulation of sexual behavior. When GABA activity is increased, it can lead to a decrease in sexual desire and performance.

One study with alprazolam found the following: 47% saw a decrease in libido, 44% had erection difficulties, and 16% experienced anorgasmia (delayed orgasm or inability to ejaculate). In a studies review, 43% of patients taking clonazepam were found to experience significant sexual dysfunction, particularly problems achieving and/or maintaining an erection. (1)

In another study, individuals with symptoms of panic disorder experienced orgasm dysfunction, decreased sex drive, and erectile dysfunction when taking Xanax. (2) Findings from a health survey conducted in 2013 also found an association of increased ED symptoms with long-term benzodiazepine use among men between the ages of 30-79. (3)

It is important to note that these studies are limited and more research is needed to fully understand the relationship between Xanax and ED. Additionally, the risk of ED with Xanax may vary from person to person and may be influenced by other factors such as age, overall health, and the dose of the medication.

Treatment Options

If you are experiencing erectile dysfunction (ED) while taking Xanax (alprazolam), it is important to speak with your healthcare provider. They will be able to determine the cause of your ED and recommend the most appropriate treatment.

Possible treatment options for Xanax-related ED may include:

  1. Adjusting the dose of Xanax: Your healthcare provider may adjust the dose of Xanax in an effort to alleviate your ED symptoms. This may involve lowering the dose or switching to a different formulation of the medication.
  2. Switching to a different medication: If adjusting the dose of Xanax is not effective, your healthcare provider may suggest switching to a different medication. There are several other medications that are used to treat anxiety and panic disorders, and some of these may have a lower risk of causing ED.
  3. Treating any underlying medical conditions: If your ED is being caused by an underlying medical condition, such as diabetes or heart disease, treating this condition may help improve your ED symptoms.
  4. Using ED medications: There are several medications that are used to treat ED, including phosphodiesterase inhibitors (such as sildenafil and tadalafil). These medications may be effective in helping you achieve and maintain an erection, but they come with risks and side effects.
  5. Psychotherapy: In some cases, ED may be caused or exacerbated by psychological factors, such as depression, anxiety, or stress. If this is the case, psychotherapy or counseling may be helpful in treating your ED.
  6. Natural ED Supplements: Over the counter ED supplements are a natural, safe and effective way to treat erectile dysfunction. Made with a combination of clinically researched herbal extracts, amino acids, and other nutrients, these supplements are a great place to start if you’re experiencing the symptoms of ED. They are reasonably priced and do not have the same risks and side effects that are associated with prescription drugs. Popular brands include VigRX Plus, Erectin, Viasil and MaleExtra.

It is important to note that treatment for Xanax-related ED will depend on the individual circumstances and may involve a combination of the above approaches. Be sure to speak with your healthcare provider to determine the most appropriate treatment for your specific situation.

Related: The Top 5 Best OTC Pills For Erectile Dysfunction


If you are taking Xanax and are experiencing ED, it is important to speak with your healthcare provider. They can help you determine the cause of your ED and determine the best course of treatment. It may be possible to adjust the dose of Xanax or switch to a different medication to help alleviate your ED symptoms.

In summary, while there is a potential link between Xanax and ED, more research is needed to fully understand this relationship. If you are taking Xanax and are experiencing ED, it is important to speak with your healthcare provider to determine the cause and find the most appropriate treatment.