Hello. I could not find this product in the Health Canada database of licensed natural health products. That is, the product itself has not yet been proven safe, and/or there is no evidence that the product contains the ingredients described on the label, and/or the exact amount of them.That being said, I could not suggest adding a medication in addition to cipralex for several reasons:If the loss of libido is secondary to cipralex, and this is clearly interfering with your quality of life, it would be pertinent to consider a change of anti-depressant or adding another one to get better synergy.I invite you to contact your pharmacist who will be able, after studying your file, to guide you towards a possible solution and to contact your physician if necessary.Tell me more