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Women's Sexual Health

Addyi for athletes: anti-doping and performance

Athletes in regulated competitive sport face an additional layer of medication review beyond clinical considerations: whether Addyi (Flibanserin) is permitted under anti-doping rules, requires a Therapeutic Use Exemption, or is on the prohibited list at 100mg. The active ingredient Flibanserin determines the answer; brand or generic version is irrelevant to anti-doping classification.

Anti-doping status of Addyi

The WADA Prohibited List and equivalent national lists are updated annually. Flibanserin may be permitted at all times, prohibited in-competition only, prohibited at all times, or require a TUE depending on the agent and the sport. Some otherwise-routine medications are restricted at competition because of their pharmacological effects on cardiovascular, neuromuscular or hormonal systems. Sexual desire is modulated by complex central nervous system pathways involving serotonin (generally inhibitory) and dopamine and norepinephrine (generally excitatory).

TUE and practical guidance

According to anti-doping authorities, an athlete who needs a prohibited or restricted medication for a legitimate medical reason can apply for a Therapeutic Use Exemption before using it. The application requires medical documentation and may need to be approved before competition. Athletes should always check the most recent WADA list and their sport's federation rules before starting Addyi at 100mg.

Frequently asked questions

Is Addyi banned in sport?

Whether Addyi is banned depends on Flibanserin and the most recent WADA Prohibited List. Some agents are permitted, some restricted in-competition, some prohibited at all times. Always check the current list and TUE requirements before competition.

Will Addyi affect my performance?

Performance effects depend on the medication and the sport. Some medications can mildly impair physical or cognitive performance through their side effects; others are essentially neutral at 100mg. Athletes should expect to experiment with timing relative to training in the first weeks.

More on Addyi

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.