Rediscover your desire with Addyi. Get an online prescription

Yes, Addyi is a prescription medication, and you cannot buy it over the counter in the US or Canada. You will have to consult a doctor to determine if you are eligible for a prescription. You can skip the wait and reach out to our virtual doctors to get a diagnosis and an online prescription within minutes.

Flibanserin belongs to the class of medications called selective serotonin receptor agonists. It is available under the brand name Addyi and in the dosage form of tablets. It influences sexual desire by balancing nor-epinephrine and dopamine in the brain. Addyi is the only drug used to treat HSDD that the FDA approves. 

Addyi is prescribed to treat Hypoactive Sexual Desire Disorder (HSDD). HSDD is a low sexual desire that causes personal distress. It results in a chronic lack of interest in sex that is not due to another medical condition.

It takes a few weeks for Addyi to work, and full effects may take up to two months. Addyi is not an on-demand drug. You won’t feel a surge in sexual desire the day you start it. In the clinical studies, some women reported noticing positive changes by about 4 weeks into treatment. For others, it was closer to 6–8 weeks before significant improvements were felt.  If there’s no improvement after 8 weeks, it’s recommended to stop the Addyi prescription.

Both alcohol and Addyi are central nervous system depressants. Drinking them together can cause dangerously low blood pressure and fainting episodes. The FDA had a strict REMS (Risk Evaluation and Mitigation Strategy) program. According to this, if you plan to drink in the evening, you should skip your Addyi dose that night.

Addyi does not reduce the effectiveness of birth control pills, but contraceptives can increase the risk of developing Flibanserin. Studies showed oral contraceptive users had about a 1.4-fold increase in Addyi exposure, which can potentially increase the side effects. It’s not a contraindication, but do let your Addy doctor know if you are on birth control prescription.

Addyi costs vary. In the U.S., it ranges from $20 to $1,000/month, depending on discounts and insurance. In Canada, it’s typically CAD $300–$400/month and not covered by most plans. At Your Doctors Online, we provide the prescription for Addyi, not the medication itself. After your consultation, you can fill the prescription at a pharmacy of your choice.

Refills are easy with Your Doctors Online, with a few important considerations. When we first prescribe Addyi, we often start with a limited supply (for example, 4 or 8 weeks’ worth) to monitor how you respond. If the medication is effective and you’re tolerating it well, getting a refill is usually a straightforward process. Here is how you can get it:

• Open Your Doctors Online app
• Request a refill online
• Get consultation and receive your refill at your nearby pharmacy

 If you’ve been taking Addyi for a couple of months and don’t notice any improvement in your libido or sexual satisfaction, then unfortunately, you may be among those for whom Addyi is not effective.  The recommendation (and our practice) is to stop the medication if there’s no improvement by 8 weeks. Depending on your symptoms, you may be prescribed bremelanotide (Vyleesi) as an alternative medication. 

Addyi’s road to approval was controversial. The medication was initially rejected by the FDA twice due to concerns about modest efficacy and safety risks. However, it was approved in 2015, and now the FDA and Health Canada have legally approved it for online prescribing. It’s important to get the Flibanserin prescription from a licensed doctor through a legit telehealth clinic such as Your Doctors Online. 

When a woman takes Addyi (Flibanserin) as prescribed, it works gradually over several weeks to help increase sexual desire by adjusting brain chemicals such as serotonin, dopamine, and norepinephrine. Most women who benefit begin to notice more frequent sexual thoughts, interest in intimacy, and reduced distress about low libido within 4 to 8 weeks.

The best time to take Addyi is in the evening, before bedtime. It’s important to follow the dosing instructions provided by your healthcare professional.

Overdosing on Addyi can result in significant hypotension, dizziness, and excessive drowsiness. It’s crucial to stick to the prescribed 100 mg dose so you can minimize the occurrence of these severe adverse effects.

There’s no direct clinical evidence that Addyi reduces anxiety in people. Although Fibanserin demonstrated non-sedating anxiolytic effects in preclinical trials, its benefits for anxiety in people remain unproven.

The following signs are an indication that your online prescription for Addyi is working well:

• • Increased sexual desire and interest
  • More satisfying sexual events
  • Reduced sexual distress