Flibanserin Medications
Flibanserin is a medication used to treat hypoactive sexual desire disorder in premenopausal women by affecting serotonin activity in the brain.
What to Know About Flibanserin
Flibanserin is a centrally acting agent approved to address low sexual desire in premenopausal women. Belonging to the class of multimodal serotonin-dopamine modulators, it targets specific brain receptors to restore a more balanced neurotransmitter environment. The drug’s most recognized brand, Addyi, is available in tablet form and also as a generic product marketed worldwide. Although the U.S. Food and Drug Administration (FDA) approved flibanserin in 2015 for hypoactive sexual desire disorder (HSDD), many other jurisdictions-including Singapore-have not granted marketing authorization. Off-label investigations have explored its potential in other female sexual dysfunctions, yet these uses remain outside official labeling. Understanding flibanserin’s pharmacology, therapeutic benefits, and safety considerations helps patients make informed decisions when seeking to buy flibanserin online through reputable channels.
What is Flibanserin?
Flibanserin is classified as a multimodal serotonin-dopamine agonist-antagonist. It acts primarily as a serotonin 5-HT₁A receptor agonist, a dopamine D₂ receptor agonist, and a serotonin 5-HT₂A receptor antagonist. The U.S. FDA granted approval in August 2015 after reviewing data that demonstrated a modest increase in satisfying sexual events for women with HSDD. The European Medicines Agency (EMA) declined approval, citing concerns about efficacy magnitude and safety. In Singapore, the Health Sciences Authority (HSA) has not listed flibanserin as an approved medicine, meaning it cannot be dispensed through standard pharmacy channels. The core molecular activity involves enhancing dopaminergic tone while reducing serotonergic inhibition in the prefrontal cortex, a region implicated in sexual motivation. Flibanserin is marketed under the brand name Addyi and is also available as a generic tablet of 100 mg, both of which can be sourced from our online pharmacy.
How Flibanserin Works
Mechanism of Action
Flibanserin binds to 5-HT₁A receptors as an agonist, stimulating serotonin release that paradoxically down-regulates inhibitory pathways linked to sexual arousal. Simultaneously, it activates D₂ receptors, boosting dopamine signaling that promotes desire. Antagonism at 5-HT₂A receptors further reduces serotonergic suppression. This triple-target profile rebalances the neurochemical circuitry governing sexual interest.
Therapeutic Effects
By increasing dopamine and decreasing excessive serotonin, flibanserin raises the frequency of satisfying sexual events (FSEs). Clinical trials reported an average gain of about one additional FSE per week compared with placebo, reflecting a measurable but modest improvement in sexual desire. The drug does not produce a direct vasodilatory effect; its benefit derives from central neural modulation rather than peripheral physiological changes.
Onset and Duration
Efficacy emerges after several weeks of consistent nightly dosing. The pivotal phase-III trials indicated a statistically significant separation from placebo at week 8, with continued improvement through week 24. Flibanserin’s half-life is approximately 11 hours, supporting once-daily administration. Steady-state concentrations are typically reached after 3-4 days of regular use.
Approved Uses and Applications
Approved Indications
The FDA authorizes flibanserin for the treatment of hypoactive sexual desire disorder in premenopausal adult women, defined as a persistent lack of sexual desire that causes personal distress. The indication excludes postmenopausal women, men, and individuals with underlying medical conditions that could account for low libido.
Off-Label Uses
Limited data have examined flibanserin for generalized female sexual dysfunction and as an adjunct in cases of antidepressant-induced loss of desire. These investigations remain experimental, and the drug is not officially approved for such purposes by any regulatory agency.
Clinical Efficacy
A pooled analysis of three randomized, double-blind, placebo-controlled trials published in The New England Journal of Medicine demonstrated a mean increase of .9 FSEs per month (p < .001). The response rate-defined as a ≥1-point improvement on the Female Sexual Function Index desire domain-was around 57 % for flibanserin versus 38 % for placebo. While the absolute benefit is modest, subgroup analysis suggested greater gains among women with more severe baseline distress.
Buying Flibanserin from Our Online Pharmacy
Why Choose Our Service
Accessing flibanserin can be challenging in regions where it lacks local approval. Our online pharmacy bridges that gap, offering a discreet, secure platform for qualified adults to obtain the medication without unnecessary hurdles. Privacy protection and expert customer support are built into every order.
Brand Names and Generic Options
The most recognizable brand is Addyi (100 mg tablets). Generic versions, manufactured under stringent Good Manufacturing Practice (GMP) standards, provide the same active ingredient at a lower cost. Both options are stocked in our pharmacy service, allowing you to select the formulation that best fits your budget.
Quality & Safety
We partner with licensed international pharmacies that operate under verified regulatory frameworks and adhere to WHO quality guidelines. Every batch undergoes third-party testing for potency, purity, and absence of contaminants before shipment.
Pricing & Access
Generic flibanserin tablets typically cost 30 % less than the branded product. In addition, we offer a lifetime 10 % discount on all reorders, helping long-term users maintain therapy without financial strain.
Discreet Delivery
Orders are processed within 24 hours and dispatched via express shipping (≈7 days) or standard delivery (≈3 weeks). Packages arrive in unmarked, tamper-evident envelopes, ensuring confidentiality from door to doorstep via our online service.
Dosing, Formulations & Administration
Available Formulations
Flibanserin is supplied as oral tablets containing 100 mg of the active ingredient. Tablet strength is fixed; no alternate doses are marketed.
Typical Dosing Ranges
For HSDD, clinicians usually initiate therapy with one 100 mg tablet taken each night at bedtime. Dose adjustments are uncommon; escalation beyond the approved nightly dose is not recommended. Some practitioners may pause treatment temporarily if adverse effects arise, resuming at the same dose after resolution.
Administration Guidelines
The tablet should be taken with a full glass of water after an evening meal, as food enhances absorption and reduces the risk of hypotension or syncope. Alcohol consumption should be avoided within a few hours of dosing because combined use can increase the likelihood of severe low-blood-pressure episodes. Patients must be counseled to follow these instructions precisely, and a healthcare provider should determine the final regimen based on individual health status.
Safety Profile & Considerations
Common Side Effects
- Dizziness (observed in ~13 % of trial participants)
- Somnolence (≈12 %)
- Nausea (≈10 %)
- Dry mouth (≈9 %)
- Fatigue (≈8 %)
These effects are generally mild to moderate and tend to lessen after the first two weeks of therapy.
Serious Adverse Events
Rare but serious events include hypotension, syncope, and severe depression or suicidal ideation. Immediate medical evaluation is warranted if a patient experiences fainting, a sudden drop in blood pressure, or worsening mood.
Contraindications
Flibanserin should not be used in individuals with uncontrolled hypertension, hepatic impairment, or a known hypersensitivity to the drug. Concurrent use with potent alcohol intake is also contraindicated due to the heightened risk of severe hypotension.
Drug Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin) can raise flibanserin plasma levels, increasing side-effect risk.
- CYP2C19 inhibitors (e.g., fluvoxamine) similarly elevate exposure.
- Central nervous system depressants may augment somnolence. Patients should disclose all prescription medications, over-the-counter products, and herbal supplements to their clinician.
Special Populations
- Pregnancy & Breastfeeding: Safety has not been established; the drug is contraindicated.
- Older Adults: Age-related hepatic changes may necessitate dose reduction; close monitoring is advised.
- Renal or Hepatic Impairment: Moderate to severe impairment requires caution; dose adjustment may be needed under medical supervision.
Frequently Asked Questions
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How does flibanserin differ from bupropion for low sexual desire? Flibanserin targets serotonin and dopamine receptors in the brain, while bupropion primarily inhibits norepinephrine and dopamine reuptake. Their mechanisms and FDA indications are distinct; flibanserin is approved specifically for HSDD in premenopausal women.
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How long before flibanserin produces noticeable effects for HSDD? Clinical data show a statistically significant improvement after eight weeks of nightly dosing, with continued gains up to six months.
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What should I do if I experience persistent dizziness while taking flibanserin? Stay seated or lie down until the sensation resolves, avoid sudden standing, and contact a healthcare professional promptly to assess the need for dose adjustment or discontinuation.
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Can I take flibanserin with my morning coffee? The medication is recommended to be taken at bedtime after an evening meal; timing it with morning coffee would not align with the advised administration schedule and could increase daytime sedation.
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Is it safe to drink alcohol while on flibanserin? No. Alcohol can precipitate severe hypotension and syncope when combined with flibanserin. Avoid alcohol for several hours before and after each dose.
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What are the differences between the brand Addyi and generic flibanserin? Both contain the same 100 mg active ingredient and share identical efficacy and safety profiles. The generic version offers a cost advantage without compromising quality.
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Are there any dietary restrictions while using flibanserin? No specific foods are prohibited, but taking the tablet with a substantial evening meal improves absorption and reduces side-effects.
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What information should I provide my doctor when discussing flibanserin?
- Complete list of current medications, including over-the-counter and supplements
- History of cardiovascular disease, hypertension, or liver dysfunction
- Any recent alcohol consumption patterns
- Specific concerns about sexual desire and treatment goals
Disclaimer
The information provided about flibanserin is for general knowledge only. It does not replace professional medical consultation or the official prescribing information for medications containing this ingredient. All treatment decisions, including dosing, formulation selection, and monitoring, should be made under the supervision of a qualified healthcare provider who can assess individual medical history, current medications, and specific health needs. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to medications containing flibanserin for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication containing flibanserin.
External Resources about Flibanserin
- Flibanserin Monograph for Professionals - Drugs.com
- Flibanserin: Uses, Interactions, Mechanism of Action | DrugBank Online
- Flibanserin (oral route) - Side effects & dosage - Mayo Clinic
- Flibanserin hydrochloride (propan-2-ol) hydrate (BIMT-17 hydrochloride (propan-2-ol) hydrate) | Serotonin Modulator | MedChemExpress
- Flibanserin Overview - Active Ingredient - RxReasoner

