Hi, Cipralex (escitalopram) is an antidepressant medication that works by increasing levels of serotonin in the brain. Like all medications, it can have potential side effects, including sexual dysfunction. Sexual dysfunction is a possible side effect of Cipralex and may include decreased libido, difficulty achieving or maintaining an erection, or delayed ejaculation. However, not everyone who takes Cipralex experiences sexual side effects, and the severity and duration of these effects can vary. If you are concerned about the potential impact of Cipralex on your sexual health, it is important to discuss these concerns with your healthcare provider. They can guide on the potential risks and benefits of the medication and help you make an informed decision about your care. In addition to medication, it is also important to address any underlying lifestyle factors that may be contributing to your depression or addiction. Quitting smoking and seeking addiction support can improve your overall health and well-being, and may also have a positive impact on your sexual health. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician