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FDA Expands Addyi Approval to Postmenopausal Women Over 65

The move keeps the drug’s alcohol box warning in place after years of limited uptake.

Overview

  • The FDA said the once-daily pill can now be prescribed to women older than 65 who have gone through menopause.
  • Addyi was first approved in 2015 for premenopausal patients who report distress caused by low sexual desire.
  • The drug’s safety profile is unchanged, with common side effects such as dizziness and nausea and a boxed warning that alcohol use can cause dangerously low blood pressure and fainting.
  • Despite early expectations, sales have remained modest, and a 2019 FDA-cleared on-demand injection provides an alternative that targets different brain pathways.
  • Sprout Pharmaceuticals announced the decision and CEO Cindy Eckert praised the outcome, as debate continues over diagnosing and treating hypoactive sexual desire disorder.