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Addyi® Tablets for Hypoactive Sexual Desire Disorder
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What Addyi Is and How It Works
Addyi® contains flibanserin, a non-hormonal prescription medicine for acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal adults. It is taken daily to help increase sexual desire and reduce the distress related to low desire. This page explains how it works, who it may suit, and how to use it safely, with US delivery from Canada and options for those without insurance.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
Flibanserin acts on serotonin, dopamine, and norepinephrine pathways in the brain. By modulating these neurotransmitters, the treatment may help rebalance signals tied to sexual desire. It is not designed for use around sexual activity and is taken at bedtime to lower the risk of dizziness, sleepiness, and low blood pressure. For background on the condition itself, see our overview of Sexual Desire Disorder.
Who It’s For
This medicine is indicated for premenopausal adults with acquired, generalized HSDD, where low desire is not due to relationship issues, a medical or psychiatric condition, other medicines, or substance use. The Addyi pill is not for postmenopausal adults, men, or children. It is not a treatment for pain, dryness, or arousal disorders.
People who are pregnant or breastfeeding should discuss risks and benefits with a healthcare professional. If partners are exploring erectile concerns, see our guide to What Is Tadalafil, and for broader women’s health support, browse Womens Health.
Dosage and Usage
The usual schedule is one tablet at bedtime. Taking it at night helps reduce the risk of dizziness, sleepiness, and low blood pressure. Swallow the tablet whole with water. Do not take it with alcohol.
If you do not feel an improvement in desire or a reduction in distress after eight weeks, your prescriber may advise stopping. Do not drive or operate machinery for at least six hours after taking a dose. If you are unsure about your schedule, follow the official label or your prescriber’s instructions.
Avoid grapefruit or grapefruit juice, as it can increase levels of the medicine. If you use other therapies that cause sleepiness, talk with your prescriber about timing and safety.
Strengths and Forms
This therapy is supplied as a flibanserin 100 mg tablet in standard retail packaging. Availability can vary by market. Your prescription will specify the strength and quantity to dispense.
Missed Dose and Timing
If you miss a dose, skip it and take the next one at bedtime the following day. Do not take extra tablets to make up for a missed dose. Taking more than prescribed increases the chance of dizziness and fainting.
Storage and Travel Basics
Store tablets at room temperature in a dry place away from direct light. Keep the blister or bottle closed and out of reach of children. Do not store in a bathroom. If traveling, keep the original labeled container in your carry-on. Bring your prescription details for security checks. For long trips across time zones, continue taking your dose at local bedtime. If your itinerary is complex, ask your clinician how best to align the schedule.
Benefits
This daily therapy may increase sexual desire and lower the stress associated with low desire in appropriate candidates. It is non-hormonal, so it may be considered when estrogen therapy is not suitable. Taking it at night can fit predictable routines. Because flibanserin tablets are taken daily, you do not need to plan doses around intimacy.
Side Effects and Safety
- Dizziness or lightheadedness, especially after starting
- Sleepiness or fatigue
- Nausea or stomach upset
- Trouble sleeping
- Dry mouth
- Feeling faint
Serious reactions can include very low blood pressure and fainting, which are more likely with alcohol, certain antibiotics or antifungals, or liver disease. Stop the medicine and seek urgent care if you faint, cannot stay awake, or feel severely dizzy when standing. Mood changes can occur; contact your prescriber if you notice worsening depression or anxiety.
Drug Interactions and Cautions
Alcohol is contraindicated due to risks of severe low blood pressure and fainting. Avoid strong or moderate CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, and some HIV protease inhibitors. Avoid CYP3A4 inducers like rifampin and carbamazepine, which can reduce effectiveness. Grapefruit and grapefruit juice may raise concentrations and should be avoided.
Use caution with other central nervous system depressants, including sedatives or sleep aids. The medicine is contraindicated in hepatic impairment. If you take antidepressants or other therapies that can affect sexual function, a medication review may help; see our overview on Fluoxetine Side Effects. Never start, stop, or change doses without professional guidance.
What to Expect Over Time
Many people evaluate benefit over several weeks of nightly dosing. If distress related to low desire does not improve by about eight weeks, your prescriber may decide to discontinue. Side effects like dizziness or sleepiness often appear early and may lessen with continued use. Keeping a brief symptom and wellness log can help you and your clinician track how you feel over time and make informed decisions.
Compare With Alternatives
Another FDA-approved option for HSDD is bremelanotide injection (on-demand use), which is administered differently and has its own safety profile. We also offer therapies for related issues that can contribute to discomfort, such as vaginal dryness in menopause. For example, Imvexxy Estradiol supports vaginal health when estrogen is appropriate. For context about sexual medicine in partners, see What Happens If and Generic Viagra. We also discuss contraception considerations in Nuvaring Benefits.
Pricing and Access
Canadian pharmacy options can help you compare Addyi tablet price and evaluate potential savings versus typical cash-pay rates. We provide clear pricing and secure checkout so you can plan refills confidently. With our cross-border model, orders Ships from Canada to US with tracking.
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Availability and Substitutions
Supply can vary by manufacturer and pack size. If stock is limited, your prescriber may recommend a therapeutic alternative suited to your history and goals. When comparing flibanserin price across regions, focus on the strength, quantity, and any dispensing fees included. We will not substitute without your prescriber’s approval.
Patient Suitability and Cost-Saving Tips
You may be a candidate if you are a premenopausal adult with acquired, generalized HSDD and your clinician has ruled out other causes. You should avoid this medicine if you have liver problems, drink alcohol, or take certain CYP3A4 inhibitors. Always review your full medication list with your prescriber.
To manage costs long term, consider multi-month fills if appropriate, which can reduce per-fill fees. Set refill reminders so you do not run out unexpectedly. Keep tablets in one location at home and add a calendar note for nightly dosing. If your situation changes, schedule a check-in so your treatment plan stays aligned with your goals.
Questions to Ask Your Clinician
- Is my low desire consistent with HSDD based on the clinical definition?
- How will we assess benefit after several weeks of nightly use?
- Which medicines, supplements, or foods should I avoid with this therapy?
- What signs of low blood pressure or fainting should prompt urgent care?
- Could counseling or medication adjustments help alongside this treatment?
- How should I manage travel or shift-work so I can dose at bedtime?
Authoritative Sources
FDA DailyMed Prescribing InformationHealth Canada Drug Product DatabaseManufacturer Website
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How does this medicine work for HSDD?
Flibanserin acts on brain pathways that use serotonin, dopamine, and norepinephrine. These neurotransmitters influence sexual desire and reward. By shifting the balance of these signals, the therapy may help increase sexual desire and reduce associated distress in premenopausal adults with HSDD. It is taken at bedtime to help lower the chance of dizziness and sleepiness. It is not a hormone and does not need to be timed around sexual activity. Always follow your clinician’s guidance.
Can I drink alcohol while taking it?
No. Alcohol is contraindicated with flibanserin because it can cause severe low blood pressure and fainting. The risk is higher when doses are taken with or near alcohol intake. You should avoid alcohol entirely while using this medicine. If you accidentally drank alcohol, skip the dose that evening and contact your prescriber for advice. Seek urgent help if you feel faint, cannot stay awake, or have severe dizziness.
How long should I try it before reassessing?
Clinicians often reassess at about eight weeks. If distress related to low desire has not improved by then, your prescriber may recommend stopping. Some people notice changes earlier, while others may need the full trial period to judge benefits and tolerability. Keep notes on symptoms, side effects, and general wellbeing so you can discuss a clear picture during your follow-up visit. Do not change your plan without guidance.
What are common side effects?
The most reported effects include dizziness, sleepiness, nausea, fatigue, dry mouth, and trouble sleeping. These are more likely early in treatment and when standing up quickly. More serious reactions, such as very low blood pressure and fainting, are uncommon but can occur, especially with alcohol or interacting medicines. Report persistent or severe symptoms to your clinician. Seek urgent care if you faint or feel unable to stay awake.
Who should not take flibanserin?
It is not indicated for men, postmenopausal adults, or children. Do not use it if you have liver disease, drink alcohol, or take certain CYP3A4 inhibitors (such as ketoconazole or clarithromycin). Use caution with medicines that cause sleepiness. Discuss pregnancy and breastfeeding status with your clinician before starting. Provide a full list of prescription drugs, over-the-counter products, and supplements for an interaction check.
What if I miss a dose?
Skip the missed dose and take the next one at your usual bedtime the following day. Do not double up to make up for a missed tablet. Taking extra increases the chance of dizziness or fainting. If you often forget doses, set a nightly reminder on your phone or use a pill organizer. Speak with your prescriber if you are missing doses regularly, as the schedule may need review.
Can it be used with antidepressants or birth control?
Some antidepressants and other therapies can affect sexual desire or cause sleepiness. While not all are direct interactions, you should review your full list with a prescriber. Strong or moderate CYP3A4 inhibitors are not compatible. Hormonal contraception is not a substitute for HSDD treatment but can be used separately if appropriate. Ask about timing and any specific precautions to stay safe and avoid additive drowsiness.

