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Sexual Problems from Meds..What to do!
Thomas L Schwartz, MD posted:
Serotonin type antidepressants can cause 5-30% of the time- sexual problems such as no orgasm, impotence, no libido. Consider that depression kills (suicide), causes disability, unemployment, more medical problems.... So sometimes being not depressed, not anxious is worth the loss of sex... If you have just started getting better on a drug and quit it a few weeks later due to sex problems, you will likely relapse into depression. The more you start/stop meds, the less they work,,
So what do you do,,
Get at least a year depression free, give up sex and stay on the med.. After a year of doing great, with your doc's advice, lower off and get back to sex. If this side effect is a deal breaker ask to be switched to wellbutrin XL, Oleptro, Remeron or the new one Viibryd as these all seem to have much less sexual side effects. WHAT IF YOU HAVE TO STAY ON YOUR SEX DESTROYING MED so YOU CAN STAY SANE and switching the med is not an option.. Ask your doc to consider adding wellbutrin, ritalin, buspar, viagra as these sometimes further improve your depression and get rid of the sex side effects. Ask your doc if you can lower your med on friday or saturday a little as this may lower the sexual side effects enough on the weekend to DO IT but only minimally risk any drug withdrawal or depression relapse. Again only do this with permission...
Finally, sometimes these antidepressants can improve sex as depression and anxiety can ruin sex too. as depression lifts sex happens. Some people report they have multiple orgasms (women) on these meds and some (men) state they can last longer and have sex longer WHICH IS A SIDE EFFECT but in these cases considered a good thing
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30 of 41 found this helpful
TOYOTA56 responded:
beautifulbuffalo responded:
Sex isn't everything. Your life is more important than sex. I could care or less if I ever had it.
princessvegas responded:
I don't understand how lowering your dose "just for the weekend" would do anything if it takes weeks to feel effects from the meds and weeks to wean off it. Also, just from my experience, I have no libido anymore, and I don't really care, but it makes it hard to be in a relationship, which I'm avoiding because of this issue.
Well, right now I am not getting the full benefits from my medication... like they've stopped working..... AND I have no libido. But yes if I had to choose, either be happy or have a sex drive, I'd choose happy!!
lissmeanstrouble replied to princessvegas's response:
He said " Ask your doc if you can lower your med on friday or saturday a little as this may lower the sexual side effects enough on the weekend to DO IT but only minimally risk any drug withdrawal or depression relapse. Again only do this with permission...
ajs421 responded:
I know this is an old thread, but just wanted to relate my wife's experience with Viibryd. Five years on Klonopin had given her a chronic cough and killed her libido. She had delayed orgasm, if she got there at all. I did some research and saw that the cough and sexual dysfunction were side effects of Klonopin (the cough rare). I had her ask her Dr. to switch to Viibryd about a month ago. She has had very little of the common SE for that drug (diarrhea), but the cough is almost gone, and Starurday night after 22 years of being together, she had multiple orgasms for the first time ever. And her anxiety is helped as well. Needless to say, we're big Viibryd fans!

Featuring Experts

Thomas L. Schwartz, MD, received his medical degree from and completed his residency in adult psychiatry at the State University of New York (SUNY) Up...More

Helpful Tips

Do not change your meds...Expert
without consulting your prescriber. I am very concerned with many, many posts where folks are dropping, lowering, changing their meds ... More
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