Opioid use in chronic pain may lead to erectile dysfunction

US researchers looked at prescriptions for opioid painkillers and ED medications among 11,300 men with back pain enrolled in a health plan.

They found more than 19% of men who took opioids 120mg/day for four to six months were more likely to receive ED drugs or testosterone replacement than men not taking the painkillers (7%).

Patients should be counselled about this but clinicians could also consider that treating sexual dysfunction and hypogonadism may reduce pain and the need for

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