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A 22-year-old male asked:

I'm 22. i take 60mg of paroxetine a day. but because of that i can't have erections. or very rarely. how to fix that side effect?

3 doctor answers4 doctors weighed in
Dr. Krishna Kumar
Psychiatry 55 years experience
Paroxetine effects: I understand your distress. Side effects of Paroxetine (Paxil) may be- decreased sex drive, , or difficulty having an orgasm or ejaculation disturbance. Paroxetine 60mg a day is high dose for maintenance of Depression or Anxiety. See Psychiatrist for Diagnosis; discuss sexual side effects of Paroxetine and decrease the dose to 40 mg/day; if no withdrawal symptoms, decrease it to 20mg/day; Therapy
Dr. Eric Steckler
Psychiatry 50 years experience
Switch: paroxitine is notorious for creating sexual side effects. Newer serotonin medicines such as brintellex tend to have less sexual side effects . you have to wean off paroxetine slowly- it can have a nasty withdrawl syndrome
Dr. Krishna Kumar
Psychiatry 55 years experience
Weaning off Paroxetine slowly is needed due to risk of withdrawal symptoms is good advice.
Mar 31, 2016
Dr. Michael Blumenfield
Psychiatry 57 years experience
New med: There are lots of antidepressants and you might not have this issue with another one or even at a lower dosage. You should discuss your concerns in detail with your psychiatrist. Meds like Viagra (sildenafil) and Cialis can also be very helpful but may not be necessary at your age . Talk it over
Dr. Krishna Kumar
Psychiatry 55 years experience
Discussing your concerns in detail with his psychiatris is Good Advice!t.
Apr 1, 2016

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Last updated Apr 15, 2016

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