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If your libido isn’t all it could be, maybe your medicine is killing your sex drive, says Amanda Gardner on Health.com. Anti-depressants like Prozac, Zoloft and Elavil are notorious offenders. Birth control pills alter women’s hormones, which might increase or decrease sex drive.

Proscar and Propecia, used to treat prostate issues and baldness, can trample a man’s testosterone levels. Anti-histamines and medical marijuana can have a temporary effect on libido, but anti-seizure meds like Tegretol and opioids like Vicodin, OxyContin or Percocet can diminish testosterone levels significantly.

Heart drugs like beta blockers and anti-anxiety drugs like Xanax also decrease sex drive, though decreasing anxiety can make sex seem more appealing.

These are complex problems, but if your medicine is hurting you in bed, there are alternatives. Confide in your doctor and look for other medical solutions, or even better, find natural ways to deal with these health issues, and preserve your libido.