You can email me at JimmyVengenci@gmail.com - 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)