+1 (866) 310–6367

Apomorphine and Motivation

Very little focus is paid to the molecule dopamine which plays such a huge role in our lives. Dopamine is the key neurotransmitter for motivation, focus and productivity. There are about 100 billion neurons in the human brain. These cells communicate with each other via brain chemicals called neurotransmitters.

Dopamine is the neurotransmitter responsible for providing motivation, drive, and focus. It plays a role in many mental disorders including depression, addictions, ADHD, and schizophrenia. The understanding of this molecule has come a long way and one medicine, in particular, is addressing this issue.


When I first began using Apomorphine, a medication very popular in Europe to treat sexual dysfunction, I was surprised by the feedback I was getting from both my male and female patients alike. The exact way this medication works is still not completely understood but it is thought to work by increasing dopamine levels in the brain. It is through this mechanism that it improves sexual function comparable to common medications used in the U.S. such as Viagra or Cialis. I use it for patients that have sexual inhibition in which hormonal support and replacement do not fix their libido. Apomorphine is also known to be a powerful booster in Human Growth Hormone in some patients so it is used in this way also. What was most shocking in my practice however was the voluntary reports from my patients that described an intense desire to hit the gym and the feeling of reward for doing so. They found that they are able to keep their focus, they have an improved outlook on exercise, and were able to push through the usual excuses not to wake up when it’s pitch dark and hit the gym before work. This, as it turns out, can be explained by the Dopamine Effect.


Dopamine has been called our “motivation molecule.” It boosts our drive, focus, and concentration. It enables us to plan ahead and resist impulses so we can achieve our goals. It gives us that “I did it!” lift when we accomplish what we set out to do. It makes us competitive and provides the thrill of the chase in all aspects of life — business, sports, and love.Dopamine is in charge of our pleasure-reward system.It allows us to have feelings of enjoyment, bliss, and even euphoria. But too little dopamine can leave you unfocused, unmotivated, lethargic, and even depressed.

Many common dopamine deficiency symptoms are similar to those of depression:

  • lack of motivation
  • fatigue
  • apathy
  • procrastination
  • inability to feel pleasure
  • low libido
  • sleep problems
  • mood swings
  • hopelessness
  • memory loss
  • inability to concentrate


Low testosterone may make getting or keeping an erection more difficult. Some men may notice a drop in libido while others may lose interest in sex completely. If your initial physical exam and blood test results show you have low testosterone, you may be a candidate for Testosterone Replacement Therapy LEARN MORE ABOUT LOW T

Dopamine-deficient lab mice become so apathetic and lethargic they lack motivation to eat and starve to death.Conversely, some people who are low in dopamine compensate with self-destructive behaviors to get their dopamine boost. This can include use and abuse of caffeine, alcohol, sugar, drugs, shopping, video games, sex, power, or gambling.

Dopamine and Depression

Serotonin is the brain chemical most associated with depression. Selective serotonin reuptake inhibitors (SSRIs) such as Paxil, Prozac, Zoloft, Celexa, and Lexapro are prescribed for depression and work by increasing brain levels of serotonin. But this only works in about 40% of patients who use them.

There’s a growing body of evidence that shows low dopamine and not low serotonin is the cause of depression for many. Bupropion (brand name Wellbutrin) has proven effective for patients who haven’t been helped by SSRIs by addressing dopamine deficiency.How to determine if your depression is more likely from serotonin versus dopamine deficiency? Serotonin-based depression is accompanied by anxiety and irritability, while dopamine-based depression expresses itself as lethargy and lack of enjoyment of life.

I believe this is why, for a large percentage of my patients who are taking apomorphine for sexual dysfunction, there also tends to be a significant change in mood. Some patients find that apomorphine resolves their depressive symptoms.

Dopamine and Schizophrenia

The flip side to the above case of possible dopamine deficiency can occur when Dopamine is beyond optimal. The symptoms are very schizophrenic-like with over-thinking leading to paranoia, overanalyzing, over creative ideas, etc. The cause of schizophrenia is unknown, but genetics and environmental factors are believed to play a role. One prevailing theory is that it’s caused by an overactive dopamine system. Supporting evidence for this theory is that the best drugs to treat schizophrenia symptoms resemble dopamine and block dopamine receptors.


There is not a lot of data on the use of apomorphine to objectively create motivation or add motivation but there are personal experiences and theories behind it. Apomorphine has a proven track record of safety and efficacy to improve drive towards sex which makes sense in those men and women with motivation-induced sexual dysfunction. Studies also suggest it may be the most powerful booster of HGH which makes it very useful as a daily or nightly supplement for some people. That fact that the 2 major side effects of yawning and nausea are mild and go away with regular use makes this an ideal medication if prescribed appropriately for those looking to increase their dopamine to improve motivation in their lives. Sublingual delivery is the delivery of choice nightly or in the morning if yawning not an issue. The importance of strong healthy motivation cannot be overemphasized.


Our team has over 30 years of experience helping men of every age reclaim the fun, excitement, and intimacy of sex through a unique program that focuses on the individual patient and only utilize customized solutions.



TUE – FRI 9 AM - 2 PM
Sat 10 AM - 1 PM

Subscribe to our
newsletter (IMH)

Subscribe to our
newsletter (IMH)

partner1 partner1 partner1 partner1 partner1


It could be said that testosterone is what makes men, men. It gives them their characteristic deep voices, large muscles, and facial and body hair. It plays a role in sperm production, fuels libido, and contributes to normal erections. It also fosters the production of red blood cells, boosts mood, and aids cognition.


TUE – FRI 9 AM - 2 PM
Sat 10 AM - 1 PM

Subscribe to our
newsletter (IMH)

Subscribe to our
newsletter (IMH)

partner1 partner1 partner1 partner1 partner1

01 /10

Do you have a decrease in libido (sex drive)?

02 /10

Do you have a lack of energy?

03 /10

Do you have a decrease in strength and/or endurance?

04 /10

Have you lost height?

05 /10

Have you noticed a decreased "enjoyment of life"

06 /10

Are you sad and/or grumpy?

07 /10

Are your erections less strong?

08 /10

Have you noticed a recent deterioration in your ability to play sports?

09 /10

Are you falling asleep after dinner?

10 /10

Has there been a recent deterioration in your work performance?

You may have
low Testosterone

We recommend seeing our doctor for the diagnosis.

This is for general information only and is not intended to replace a consultation with a healthcare professional, nor is it intended to provide specific medical advice and should not be used for the diagnosis or treatment of medical conditions.

The test result does not show common signs of low Testosterone.

This is for general information only and is not intended to replace a consultation with a healthcare professional, nor is it intended to provide specific medical advice and should not be used for the diagnosis or treatment of medical conditions.