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It certainly doesn't help. From a practical standpoint, any drug abuse affects the entire body. Blood vessels along with everything else. Less blood circulation, less erection. Also, most people are not stimulated by opiates, the just nod out. Hard to get an erection when you are passed out. If you are talking about prescribed medication taken in the prescribed dosage, after you become used to the dosage, it may slow your response time a bit, but you should still be able to get an erection. The problem the opiate is prescribed for would have to be considered also.

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Q: Does opiate use cause erectile disfunction?
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