Thinking about Addyi? Here’s the straight story. Addyi (generic name flibanserin) is a prescription pill approved for premenopausal women struggling with hypoactive sexual desire disorder (HSDD). It’s not a hormone and it doesn’t act like Viagra. Instead, it targets brain chemistry tied to desire. If you’re weighing options, this page gives the key facts you need to talk with your doctor.
Addyi affects neurotransmitters—mainly serotonin, dopamine, and norepinephrine—to help boost sexual desire. Clinical trials showed a modest increase in satisfying sexual events for some women. It’s approved only for premenopausal women with acquired, generalized HSDD—not for postmenopausal women, men, or people whose low desire is due to relationship problems, medical conditions, or other medications. Your doctor will screen to see if your low desire fits the diagnosis.
The usual dose is 100 mg taken once nightly at bedtime. Because Addyi can cause drowsiness and dizziness, taking it at night reduces daytime impairment. Improvements may start after a few weeks, but many people need 4–8 weeks to notice a change. If there’s no benefit after a trial period your doctor recommends, stopping the drug is reasonable.
Expect realistic results. Addyi helps some women but not everyone. Think of it as one tool—counseling, relationship work, and lifestyle changes often matter more than a pill alone.
Watch out for these side effects: dizziness, sleepiness, nausea, fatigue, low blood pressure, and fainting. Report any severe reactions or sudden changes in mood to your healthcare provider right away.
Major safety points: do not drink alcohol while using Addyi. Mixing alcohol with Addyi can cause severe low blood pressure and fainting. Also avoid strong CYP3A4 inhibitors (certain antibiotics, antifungals, and some HIV meds)—they can raise flibanserin levels and increase risk. People with liver problems should not take Addyi or should use it only under close supervision.
Cost and access: Addyi is prescription-only. It can be costly without insurance, but the manufacturer sometimes offers savings programs. If cost is a barrier, ask your provider about patient assistance, coupons, or generic options if available.
Where to buy safely: use a licensed pharmacy and never buy prescription drugs from sites that don’t require a prescription. If you order online, confirm the pharmacy is legitimate and based in your country.
Alternatives and next steps: talk therapies, couples counseling, and behavioral strategies often help. Another FDA option for HSDD is bremelanotide (Vyleesi), an injectable given before anticipated sexual activity. Your doctor can compare benefits, risks, and convenience to find what fits your life.
If you think Addyi might help, bring a clear history of symptoms, a list of current meds, and questions about alcohol and liver health to your appointment. That makes the conversation quick and useful.
In 2015, the FDA approved Flibanserin (Addyi) for treating female sexual interest/arousal disorder (FSIAD) in premenopausal women. This guide delves into how Addyi, described as 'female Viagra', works, its benefits, side effects, and the need for more inclusive research. Bremelanotide (Vyleesi), another FSIAD medication, is also discussed alongside the off-label use of Viagra in women.