Doctor insights on:
How Does Prozac Cause Impotence
Ssri sexual dysfunct: Medications that affect serotonin ssri, like Prozac (fluoxetine) can reduce sexual interest (libido) and cause delayed orgasm. It is uncommon to cause erectile dysfunction except for just loss of interest. These meds help people feel content which may be the reason they are satisfied with less sex. There are several things that can be done to help. Talk with your prescriber about alternative treatments. ...Read moreSee 1 more doctor answer
Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more
Which one is cause lower sexual side effects : Prozac or Paxil (paroxetine) ? in other words which one induced erectile dysfunction much more than another ?Thanks
Indiv differences: Each man reacts to the various SSRIs (etc) differently and even may vary themselves over time. So, your friend may do better w/ one and you w/ the other. If you don't like the way one works - work w/ your Dr to taper and switch and consider CBT Tx as an alternative or supportive addition to reduce need for drugs. Best! ...Read more
Rates vary 20-75%: Prozac (fluoxetine) is in a category called ssri's. They can produce sexual side effects that include decreased sex drive, trouble with arousal (getting and maintaining an erection for males), and delayed or inability to have an orgasm. The variation in the reported rates is related to how the research is done. When patients volunteered side effects they were less likely to report sexual side effects. ...Read moreSee 1 more doctor answer
Consider stop Fluox: Consider switching to buproprion which is a good antidepressant but has fewer side effects. In general, antidepressants don't cause erectile dysfunction but often diminish a man's libido and inhibit ejaculation/orgasm. Also, get screened for low testostoreone which can cause depression. ...Read moreSee 1 more doctor answer
Many options!: All oral pde-5 inhibitors, like cialis, levitra, (vardenafil) staxyn, stendra & viagra, work w/fluoxetine & other anti-depressants. However, you can't take these pde-5 inhibitors w/nitrates like nitroglycerin. You can also try alprostadil, either intrauretrhal (muse) or intracavernosal (caverject & edex) as a non-oral, non-pde-5 inhibitor, just in case you take nitrates or the orals don't work. ...Read moreSee 1 more doctor answer
Viagra-type meds: The only medications that seem to work consistently for ssri-induced sexual dysfunction are the pde-5 inhibitors (viagra, cialis, levitra). Other medication (e.g. Wellbutrin, (bupropion) ritalin, adderall, others) have been studied, but none has been shown to be consistently effective. ...Read moreSee 2 more doctor answers
Will decreasing prozac (fluoxetine) from 80 to 60mg cause withdrawal? On PZ for OCD 3 mnths total, at 80 only for 1 mnth. No S/E at 60, lots persisting at 80
Maybe a little: Of all the SSRI medications, Prozac (fluoxetine) has among the lowest risks of SSRI withdrawal syndrome (mostly consisting of dizziness or light-headed spacey feeling). That said, any SSRI dose reduction might cause some people to experience withdrawal syndrome. The risk of significant withdrawal issues is lessened with short exposure (e.g. only one month) at the higher dose. ...Read more
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