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Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.

Ask the Experts about Opportunistic Infections

 

Neuropathy/ Need help with Sexual Dysfunction
Jul 7, 2001

Just wondering if you have any other pointers. I am currently taking 1200mgs of neurontin/3 time/day, 150mg of trileptal/3 time/day, 10mg oxycontin/at night, .5 mg of klonipin, 3 time/day, and still having sever pain in legs and hands. Pain is from hips down and just hands. But one of side effects is no sexual arrousal of any kind capable? Help?

Response from Dr. Feinberg

You are on several medications for neuropathy and are probably on additional medications for other aspects of your HIV care, so it is difficult to pinpoint which drug(s) may be the problem. But before you ascribe your sexual dysfunction to one of your neuropathy drugs, please ask your doctor to check your testosterone level. Low levels are fairly common among HIV+s and can readily be treated with replacement hormone therapy. The important thing to be aware of is that testosterone levels have to be interpreted in light of one's age-- what is normal for a 50 year old would not be normal for a 25 year old, and the range of values that are still considered to be "normal" is large.



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