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FDA Expands Addyi Use to Postmenopausal Women Under 65

The decision broadens access to an HSDD therapy with prescribing shaped by existing safety guidance.

Overview

  • The FDA added postmenopausal women up to age 65 to Addyi’s indication on December 15, 2025.
  • The label retains alcohol precautions: wait at least two hours after drinking before dosing and skip a dose after three or more drinks due to fainting and low blood pressure risk.
  • Addyi remains the only FDA‑approved oral treatment for hypoactive sexual desire disorder, with Vyleesi available as an as‑needed injectable since 2019.
  • Clinicians note statistically significant but modest benefits versus placebo and advise a comprehensive approach that addresses relationship, hormonal and menopause-related factors.
  • Experts welcome expanded eligibility yet question the 65-year cap, call for clearer user guidance for patients and prescribers, and anticipate broader insurance coverage.