Please Welcome Adam24!

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Screaming Eagle
Veteran Member

Date Joined Sep 2009
Total Posts : 5005
   Posted 10/15/2011 8:13 AM (GMT -6)   
Welcome to Healing Well Chronic Pain Forum! wink I think you will be best served, and to get a better response to your post, so I took the liberty of moving your Post that was on an older thread and started a new one for you! The members are most caring and compassionate, and we believe we have the best Chronic Pain support on the web. Please feel free to visit often! Enjoy! Also Please check out the "Chronic Pain 101" at the top of our home page! It has a lot of information that will be of interest to you as well.
  SE wink    
     Adam24 wrote:  
To confirm what has I think been said in another thread.
Is Tapentadol less likely to affect adversely libido than other drugs?
 I have had real problems in this department and I believe I am suffering from PSSD after 20 years on SSRIs.
I have  severe sexual dysfunction but now need a pain killer which wont damage my libido any more but will help the 'Widespread Chronic pain'/Fibromyalgia' I have suffered from for 30years.

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Post Edited (Screaming Eagle) : 10/15/2011 7:21:56 AM (GMT-6)

Betsey Ross
Veteran Member

Date Joined Mar 2011
Total Posts : 1056
   Posted 10/15/2011 8:44 AM (GMT -6)   
Adam......Welcome to our family.

I never took the medication you speak of but I heard that other narcotics have side effects that you spoke of.

I am sure that other members will pop in and welcome you. Keep us updated on your condition.

I am looking forward to knowing you better.
crushed lower knee and vertical fx of tibia/external fixator placed/plates and screws and tried to place big pieces of cartiledge under knee cap/tremendous pain in affected leg continously without improving/allergic to metal in left leg/leg isnt straight/ metal removed in July//then total knee replacement/straighten out leg/more phsyxical therapy/take oxycontin,flexeril,cymbalta,vicadin for BT

Screaming Eagle
Veteran Member

Date Joined Sep 2009
Total Posts : 5005
   Posted 10/15/2011 9:18 AM (GMT -6)   
       Hello Adam!
               I believe the med in question is called "Nucynta" as well, and one of our members did a lengthy article on this topic. I will see if I can send "grainofsalt" an email and see if he will reply to you here.
    Untill then, I happened to find one of his older replies on it, and have posted a link here for you to cherck it out. I will post more as I find them. You can also do your own search by clicking on the search button, in the upper righthand corner of this page, and type in the subject you are looking for.
     This topic has been discussed extensively, so there should be plenty of post on it, when you do your search.
        Enjoy the forum!...and Take Care!
      It looks like "grainofsalt does not have an email address listed, but hopefully he will see this post.
Also, this link is all I could find on this med for the type of question you asked on it. Sorry! Maybe one of the other members will chime in here!
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

Post Edited (Screaming Eagle) : 10/15/2011 8:49:47 AM (GMT-6)

Regular Member

Date Joined Aug 2010
Total Posts : 215
   Posted 10/16/2011 1:16 AM (GMT -6)   
You can email me at - I was in a band years ago and that was my nick name because I had a fascination with 1930s mobster history :)

To answer your question, it has some effect on libido at the 75mg dose for me, although not to the extent that more powerful opioids do. It seems to have a minor effect on errectile effects, which are noticable but able to be overcome without too much issue. It also seems to have some effect on desire, but not to the degree that some SSRIs and stronger opioids do.
In answer, YES, its likely to less adversely affect your libido, but its still seems to carry some libido affects so expect some if you are prescribed it. Because everyone's biochemstry is different, it could affect you more or less than me.

Nucynta 75mgs apx= 25mgs of oral morphine, due to the NE reuptake effects of nucynta helping to increase the overall anaglesia. The NE effects could be part of what helps it have less of a libido killing effect.
One thing I forgot to mention in former posts. I can personally attest that neasea happens less frequently with this medication, though it does still happen, especially at break through pain doses. Stomach irritation is minimal. Constipation is less than with traditional opioids but still does occur. One thing I want to remind everyone of is that it is a schedule II narcotic so its still partially opioid based....however IMO its less addicitive, less tolarance building, and less instrusive than some of the stronger opioids.
If anyone has any questions at all, please feel free to ask me on here or email me. I'm not an expert or a medical professional, just someone that has researched my medication extensively and took time to journal some of its effects and side effects. ;)
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.

Post Edited (grainofsalt) : 10/16/2011 12:30:24 AM (GMT-6)

New Member

Date Joined Oct 2011
Total Posts : 2
   Posted 10/17/2011 4:48 AM (GMT -6)   
Thanks for your replies which I will digest.
Does anyone know of even better drugs in this department?
Libido is the side effect I really hate.
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