Doctor insights on:
Ssri Induced Anorgasmia
All: Most all antidepressants can affect a person's normal sexual functioning at various different levels and in different ways. The antidepressants which affect serotonin can cause problems with the ability to have an orgasm. The one antidepressant which has the lowest risk for sexual side-effects is called buproprion or wellbutrin (bupropion). ...Read more
Which antidepressant drug has less sexual dysfunction side effects: Effexor (venlafaxine) XR or Prozac?
Hard to say: Both agents have sexual dysfunction as potential side effects. Around 20-30% of chances. It depends on individual susceptibility and also it varies upon the dose. So the lower the dose, less the risk . In my experience however, Effexor (venlafaxine) XR would be less prone to cause it than Prozac. ...Read more
Generally not: The majority of sexual side effects from the ssri antidepressants resolve after the medication is stopped. Sometimes, they ease up with time while still on the medications, sometimes we add other antidepressants such as bupropion to counter the sexual side effects. Please consult with your treating physician to get this remedies. ...Read more
Yes: Celexa (citalopram) is an SSRI antidepressant and those medications can have effects on sexual function especially difficulty having an orgasm. There is some evidence that alternative med for depression (Welbutrin) may help (should be done under MD direction). Also medications for impotence may help for men and some women. See links to sexual dysfunction in men and women at uptodate.com ...Read moreSee 2 more doctor answers
Maybe: Prozac (fluoxetine) is an antidepressant. Many antidepresants including Prozac (fluoxetine) can cause patients who have bipolar disorder or who are prone to symptoms of bipolar, to develop bipolar symptoms. The best way to avoid this is to work with a psychiatrist who can provide meds for both the depressive and the manic symptoms of bipolar moods. ...Read moreSee 3 more doctor answers
I've depression + manic episodes postnatal depression generalised anxiety which meds best fluoxetine quetipine olanzapine or mirtazapine?
PostNatal Depression: Because patients' responses to these drugs, singly or in combination, are varied and dependent on each patient's specific condition, it is best to defer to your managing physician who will monitor your condition and response to treatment closely and titrate the doses of these drugs accordingly for optimum effect. Good luck! ...Read more
Agree w Dr. Ali: Which is best for treating which condition?. Paxil is an SSRI antidepressant which is good for treatment of typical depressive sx 's & anxiety. Bupropion is a unique antidepressant which is good for seasonal affective disorder, atypical depression & smoking cessation. Oxcarbazepine is a mood stabilizer and olanzapine is an antipsychotic. You are asking us to compare apples & organges. ...Read moreSee 1 more doctor answer
TCA/SSRI: Both are, depending on what they are prescribed for. The difference is in tolerability & side-effects. ...Read more
Prozac (fluoxetine): One old hypothesis was that some severely depressed patients who had thoughts of self-harm & had no energy to carry on the act, when given medication that gave them extra energy fast, that they carried on the act of self-harm before they had the chance to work thru their depression. Again, this is only hypothetical, since data re. The subject are scarce & not much is written about it. ...Read moreSee 1 more doctor answer
Yes they can.: Ssris such as Prozac (fluoxetine) can help. Also a condom/local anesthetic cream. Distract by thinking nonsexual thoughts. "stop and start": stop stimulation before ejaculation for 30 seconds and restart. Repeat as desired. "squeeze" method: man or partner gently squeezes the end of penis (where the glans meets the shaft) for several seconds. Stop stimulation for 30 seconds, and restart . repeat as desired. ...Read moreSee 1 more doctor answer