Ginseng treatment improves the sexual side effects of methadone maintenance treatment

Psychiatry Res. 2019 Jun:276:142-150. doi: 10.1016/j.psychres.2019.05.004. Epub 2019 May 2.

Abstract

Background: While methadone maintenance therapy (MMT) in patients with opioid use disorder (OUD) decreases the risk of substance use relapses and criminal and risky sexual behavior, a major disadvantage is its negative impact on sexual function. In the present study we tested whether, compared to placebo, ginseng extract ameliorates methadone-related sexual dysfunction among female and male patients with OUD and receiving MMT.

Method: A total of 74 patients (26 females: mean age: M = 39.0 years; 48 males; mean age: 40.64 years) took part in a double-blind, randomized and placebo-controlled study. Female and male patients were separately randomly assigned either to the ginseng or to a placebo condition. At the beginning of the study and four weeks later, patients completed questionnaires on sexual function.

Results: Irrespective of gender, sexual function improved over time, but more so in the ginseng condition than in the placebo condition.

Conclusions: Ginseng appears to counteract the sexual dysfunction resulting from methadone use in both female and male patients with OUD and undergoing MMT.

Keywords: Ginseng; Methadone maintenance therapy; Methadone-related sexual dysfunction; Opioid use disorder.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Methadone / therapeutic use
  • Middle Aged
  • Opiate Substitution Treatment / adverse effects*
  • Opioid-Related Disorders / drug therapy*
  • Panax*
  • Plant Extracts / therapeutic use*
  • Sexual Behavior / drug effects
  • Sexual Dysfunction, Physiological / chemically induced
  • Sexual Dysfunction, Physiological / drug therapy*

Substances

  • Plant Extracts
  • Methadone