FDA approves flibanserin for hypoactive sexual desire disorder in postmenopausal women

Other > flibanserin


gabapentin enacarbil and flibanserin both increase sedation.

Condition Reason
Alcohol Use Increased sedation & hypotension
CYP3A4 Inhibitors Elevated flibanserin levels
Liver impairment Reduced metabolism & clearance
Hypotension Risk of further blood pressure drop

gemfibrozilgemfibrozil will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. gemfibrozil will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism.

Results In As Little As 4 Weeks

dexlansoprazole will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk for sedation increased if flibanserin is coadministration with other CNS depressants.dexmedetomidine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk for sedation increased if flibanserin is coadministration with other CNS depressants.diazepam will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. diazepam buccaldiazepam buccal and flibanserin both increase sedation. diazepam buccal and flibanserin both increase sedation.

What are some other side effects of this drug?

diazepam intranasaldiazepam intranasal and flibanserin both increase sedation. diazepam intranasal and flibanserin both increase sedation. diclofenacdiclofenac will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. diclofenac will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. dihydroergotamine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

generalized hypoactive sexual desire disorder, acquired

disulfiramdisulfiram will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. disulfiram will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. docetaxeldocetaxel will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. docetaxel will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. doxorubicindoxorubicin will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. ginkgo bilobaginkgo biloba will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

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ginkgo biloba will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. flibanserin will increase the level or effect of glecaprevir/pibrentasvir by P-glycoprotein (MDR1) efflux transporter.

Find out if treatment is right for you.

fluvastatin will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fluvoxaminefluvoxamine will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. May increase risk of hypotension, syncope, and CNS depression fosphenytoinfosphenytoin will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fosphenytoin will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. gabapentin enacarbilgabapentin enacarbil and flibanserin both increase sedation. glyburideglyburide will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. glyburide will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

Country Approval Status Year
United States Approved 2015
Canada Approved 2016
European Union Pending/Under review N/A
Australia Not approved N/A

hydralazinehydralazine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. hydralazine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

Feature Flibanserin Bremelanotide Vyleesi
Approved for HSDD Yes No Yes
Administration Route Oral Injectable Injectable
Usage Frequency Daily As needed As needed
Main Side Effects Dizziness, nausea Nausea, flushing Nausea, reactions at injection site

ifosfamideifosfamide will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

  • Flibanserin acts as an agonist on dopamine receptors and antagonist on certain serotonin receptors.
  • The medication can take several weeks to show benefits.
  • It is not approved for use in postmenopausal women.
  • Flibanserin was initially developed as an antidepressant.
  • It has a pharmacokinetic profile with a half-life of around 13 hours.
  • Dose adjustments are necessary for patients with liver impairment.
  • The drug can cause hypotension, especially with alcohol or CYP3A4 inhibitors.
  • Patients are monitored for side effects such as sleepiness and low blood pressure.
  • Flibanserin's efficacy is moderate and varies among women.

ifosfamide will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. irbesartanirbesartan will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

The Big Pink Fight for the Little Pink Pill

Coadministration with drugs that increase serotoninergic effects may increase the risk of serotonin syndrome. Risk for sedation increased if flibanserin is coadministration with other CNS depressants.fentanyl will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fentanyl intranasalfentanyl intranasal and flibanserin both increase sedation. fentanyl intranasal and libido booster women flibanserin both increase sedation. fentanyl transdermalfentanyl transdermal and flibanserin both increase sedation.

Missed Dose

fentanyl transdermal and flibanserin both increase sedation. fentanyl transmucosalfentanyl transmucosal and flibanserin both increase sedation. fentanyl transmucosal and flibanserin both increase sedation. fexinidazolefexinidazole will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. fexinidazole will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism.

Brand Names: US

fluconazolefluconazole will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. fluconazole will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. fluoxetinefluoxetine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fluoxetine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fluvastatinfluvastatin will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. irbesartan will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

Take-Home Points

doxorubicin will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. doxorubicin liposomal will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. duvelisibduvelisib will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration with duvelisib increases AUC of a sensitive CYP3A4 substrate which may increase the risk of toxicities of these drugs. Consider reducing the dose of the sensitive CYP3A4 substrate and monitor for signs of toxicities of the coadministered sensitive CYP3A substrate.flibanserin will increase the level or effect of duvelisib by P-glycoprotein (MDR1) efflux transporter.

Patient resources

duvelisib will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Consider reducing the dose of the sensitive CYP3A4 substrate and monitor for signs of toxicities of the coadministered sensitive CYP3A substrate. efavirenzefavirenz will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. elagolixelagolix will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism.

Consumer Information Use and Disclaimer

Caution with sensitive CYP2C19 substrates.elagolix decreases levels of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Consider increasing CYP3A substrate dose if needed. elagolix will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. enzalutamideenzalutamide will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. enzalutamide will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. isoniazidisoniazid will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism. isoniazid will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism.

Are there OTHER USES for this medicine?

ergotamineergotamine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. ergotamine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. ethinylestradiolethinylestradiol will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. ethinylestradiol will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. etoposideetoposide will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

What is Addyi used for?

etoposide will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. etravirineetravirine will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. etravirine will decrease the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. fedratinibfedratinib will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Adjust dose of drugs that are CYP3A4 substrates as necessary.fedratinib will increase the level or effect of flibanserin by affecting hepatic enzyme CYP2C19 metabolism.

hepatic dosing

Adjust dose of drugs that are CYP2C19 substrates as necessary. fedratinib will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Adjust dose of drugs that are CYP3A4 substrates as necessary. felodipinefelodipine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. felodipine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. isradipineisradipine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. isradipine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

  • The prescribing guidelines emphasize cautious use in women on other psychotropic drugs.
  • Flibanserin's approval was driven by a need for female-specific sexual health medications.
  • Its mechanism involves serotonergic pathways impacting sexual response.
  • The drug is typically part of a broader therapy including counseling or therapy.
  • Studies indicate a small but statistically significant benefit for some women.
  • It is important to rule out other medical or psychological causes before use.
  • Flibanserin is contraindicated with certain medications, such as CYP3A4 inhibitors.
  • Side effect management includes monitoring blood pressure and mental status.
  • The medication's role is to improve quality of life by addressing sexual desire challenges.

istradefyllineistradefylline will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Istradefylline 40 mg/day increased peak levels and AUC of CYP3A4 substrates in clinical trials.