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Doctor insights on: Adderall Celexa Climaxing Tired

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Dr. Alan Ali
906 doctors shared insights

Citalopram (Definition)

Citalopram is a ssri medication used to treat anxiety and depression disorders, it's also used to treat ptsd and ocd. It takes 4 to 6 weeks to be fully effective. Side effects; sedation, minor temporary stomach issues, delayed orgasm in males and rarely weight gain. It is ...Read more


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My fiancee has a history of depression and is on celexa, zoloft, Abilify and stratera. He sleeps too much, is always tired, has trouble focusing or remembering, has almost no sexual desire, can't get an erection without cialis, and can't reach orgasm wit

My fiancee has a history of depression and is on celexa, zoloft, Abilify and stratera.  He sleeps too much, is always tired, has trouble focusing or remembering, has almost no sexual desire, can't get an erection without cialis, and can't reach orgasm wit

Medication reeval: Your husband is on two antidepressants, abilify (aripiprazole) which is closer to the atypical antipsychotic class and stratera which is chemically very similar to an antidepressant. I would suggest it is time to reevaluate his medications and perhaps get a second opinion. ...Read more

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Menopause, on Celexa (citalopram) for anxiety, low sex interest and challenging for orgasm. Thyroidectomy /hypo, What med. may be alternative for anxiety ? Help?

Menopause, on Celexa (citalopram) for anxiety, low sex interest and challenging for orgasm.  Thyroidectomy /hypo, What med. may be alternative for anxiety ? Help?

Talk to your doctor : Tell your doctor about your symptoms. There are alternatives for you that might help improve your quality of life. Your doctor might consider adding or switching medication. For instance, Wellbutrin has a lower risk of sexual side effects. It does tend to be stimulating and can increase anxiety. Buspar (buspirone) can be added for anxiety and it also can help with sexual side effects. Hope this helps. ...Read more

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Celexa causes hard to reach orgasm. Would lowering the dose help and can it become permanent? Im on 20 mg. It does help me though. Zoloft (sertraline) made me sick

Celexa causes hard to reach orgasm. Would lowering the dose help and can it become permanent? Im on 20 mg. It does help me though. Zoloft (sertraline) made me sick

Almost immedicately: The side effect is dose related and improves as soon as the blood levels drop which could be the next day. Of course over time if the depression returns your libido could plummet. Lexapro (escitalopram) may have less sexual dysfunction than Celexa. Young men who are anorgasmic on low doses of SSRI, I wonder about Bipolar disorder and would consider Lamictal as alternate rx ...Read more

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Having sex and couldn't reach orgasm. I was just put on celexa, (citalopram) could this be the reason, if so, what should I do?

Having sex and couldn't reach orgasm. I was just put on celexa, (citalopram) could this be the reason, if so, what should I do?

Celexa (citalopram): Yes, Celexa and other ssri's are known to interfere with sexual functioning in a percentage of people taking these medications. This may include delaying orgasm. Please talk with your physician about this; sometimes adding wellbutrin (bupropion) will help. There are other alternatives also. ...Read more

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Is dhea safe to take with Adderall (dextroamphetamine and racemic amphetamine) and celexa?

No: Adderall (dextroamphetamine and racemic amphetamine) and Celexa are significant treatments for various CNS disorders, such as attention deficit disorders, depression, or some other dx. Treatment requires a certain degree of expertise in these areas that many physicin may not be co fortable with. Don't complicate with possible interactions with supplements that have no proven benefit. ...Read more

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I'm pregnant and i take medications such as Adderall (dextroamphetamine and racemic amphetamine) and celexa, are there any medications i can suggest to my dr. That will work just as well?

Avoid all: Best to try to go without any of these medications. These are psychoactive meds that may affect the baby. You need to manage yourself without need for these drugs. Try to be healthy and good attitude and positive towards yourself and the baby. ...Read more

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I take 10mg amitriptyline and 40mg celexa both at night. Is that safe? And I was recently prescibed lyrical and adderall (dextroamphetamine and racemic amphetamine). I'm just concerned.

I take 10mg amitriptyline and 40mg celexa both at night. Is that safe? And I was recently prescibed lyrical and adderall (dextroamphetamine and racemic amphetamine). I'm just concerned.

Need clarification: Not at all clear to me why you are taking these four meds. They are safe individually, but all have potential side effects, and seems some will cause drowsiness, and others wakefulness. What is the goal here, and what conditions are being treated? Suggest Concierge visit to acquire better understanding and focus. ...Read more

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Does celexa and Adderall (dextroamphetamine and racemic amphetamine) show up in hair follicle drug screen?

Does celexa and Adderall (dextroamphetamine and racemic amphetamine) show up in hair follicle drug screen?

Yes.: Detailed testing of hair (not hair follicle) should disclose exposure to these pharmaceuticals. There is however not much clinical value to such testing. ...Read more

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What side effects does celexa taken with Adderall (dextroamphetamine and racemic amphetamine) have on bipolar patients?

Depends: There is no one answer. To respond to this question, I would need to know your medical and psychiatric status, your medical history, and why these medications were chosen for you. I suggest you talk to the doctor who prescribed the medications to get a better answer than I could provide without the above information. ...Read more

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I've been struggling w/depression for a yr, trying lexapro, celexa, now Prozac 40 & Abilify (aripiprazole) 5.... I'm have bad heartburn again. Is Adderall an option?

Only SSRI: You really only tried one class of antidepressants: SSRI and most recently Abilify (aripiprazole). Your heartburn can be due to lap band and SSRI side effects. Try other class of antidepressants eg NRI, dual acting SNRI, TCA, MAOI or other mood stabilizer eg lamictal. Adderall is not great for depression as people who don't have ADD get tolerant to its antidepressant effects. Emsam patch might an option. ...Read more

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Why does citalopram make it harder to orgasm?

Why does citalopram make it harder to orgasm?

Citalopram: Serotonin reuptake inhibition causes elevation in serotonin which affects potency. ...Read more

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I've been taking citalopram and unable to orgasm. Should i stop taking it?

Unfortunately: Decrease in sexual desire or ability are not uncommon with ssri antidepressants like citalopram. They may ease up over time. Speak with your prescriber to determine if you need to change to a different antidepressant with less risk of sexual side effects such as bupropion (wellbutrin) and mirtazapine (remeron). ...Read more

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Will gabapentin increase weight gain if I take it? Will it work well with celexa (citalopram) and adderal?

Will gabapentin increase weight gain if I take it? Will it work well with celexa (citalopram) and adderal?

2 part question: 1. Gabapentin (neurontin) has a side effect of weight gain in some individuals. 2. The combination of Citalopram (celexa), Adderall (dextroamphetamine and racemic amphetamine) (amphetamine/ dextroamphetamine mixed salts), and Gabapentin is a form of polypharmacy without major contraindications, except that it's polypharmacy, which should be minimized if possible. One may try more non-pharmacological strategies to improve symptoms. ...Read more

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What interactions could citalopram have when taken along side of adderall (dextroamphetamine and racemic amphetamine)? Could it cause increased impulsive speech, insomnia and racing thoughts?

Yesi: Citralopram -as can any sari can push a vulnerable person into mania or hypo mania that could manifest with the symptoms you mention-not really likely to be related to any real interaction with adder all.Use or addition of citralopram could reveal a previously unrecognized or new presentation of a "bipolar like" mood disorder-speak to your dr should stop citralopram probably. ...Read more

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Ejaculation without any orgasm or the feeling of tiredness afterwards, why is this?

Ejaculation without any orgasm or the feeling of tiredness afterwards, why is this?

Tired: I am not sure why this happens but your job is to set up an appointment with a psychologist. No you are not crazy but do need careful and helpful evaluation. ...Read more

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Is it possible that i occasionally have an upset stomach, tiredness and headaches due to 40mg of celexa (citalopram) i'm on every day?

Is it possible that i occasionally have an upset stomach, tiredness and headaches due to 40mg of celexa (citalopram) i'm on every day?

Yes: Particularly early in treatment, headaches, some nausea or upset stomach can be caused by an ssri like celexa, (citalopram) as well as some mild sedation. This ought to resolve itself over a few days to a couple of weeks, but if it doesn't you should discuss with your prescribing physician. ...Read more

Dr. William Singer
710 doctors shared insights

Dextroamphetamine And Racemic Amphetamine (Definition)

Dextroamphetamine|racemic amphetamine is an appetite suppressant which is a kind ...Read more


Dr. Alan Ali
729 doctors shared insights

Celexa (Definition)

Celexa is a serotonin reuptake blocker which is a kind of ...Read more