8 doctors weighed in:
Does Paxil (paroxetine) side effect effects you sexually ability to perfom in the bed and how could you reverse the effects?
8 doctors weighed in

Dr. Jordan Balter
Psychiatry
3 doctors agree
In brief: It can
I agree with the other doctors.
However, i would be careful about switching your medication, because it depends what it is being used for. Wellbutrin is not known to cause this problem; viibryd (vilazodone hydrochloride) is another good option. The literature suggests that meds like viagra can help both men and women with anorgasmia. You should talk to your doc first, because wellbutrin can make other things worse.

In brief: It can
I agree with the other doctors.
However, i would be careful about switching your medication, because it depends what it is being used for. Wellbutrin is not known to cause this problem; viibryd (vilazodone hydrochloride) is another good option. The literature suggests that meds like viagra can help both men and women with anorgasmia. You should talk to your doc first, because wellbutrin can make other things worse.
Dr. Jordan Balter
Dr. Jordan Balter
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1 comment
Dr. Jordan Balter
Couldn't fit this in: Wellbutrin is not an SSRI; it's a different class of antidepressant that is thought to work more with dopamine receptors than with serotonin. It does not cause sexual side effects, and sometimes even adding a small dose is helpful. On the other hand, if you drink any alcohol, have a seizure disorder or are using Paxil for anxiety, Wellbutrin is not a good choice. There is no literature to suggest who will have which sexual side effect from which SSRI, although Paxil is known to be among the worst offenders. Viibryd has very little affect on sexual functioning and is a good antidepressant, and although not indicated for anxiety, it works very similarly to the rest of the SSRI's and might be another option. Unfortunately, Viagra isn't cheap and usually isn't covered, but the literature does suggest that it can be helpful especially for anorgasmia. If your sexual side effect involves an inability to get aroused or to feel pleasure it might not even be a side effect; Paxil and other SSRI's usually cause an inability to experience an orgasm or, in men, to ejaculate. That's not to say it never causes "impotence" but a lack of arousal or pleasure could indicate other things. So before picking a medication, you should really talk to your doctor about all of the options. Many people who are depressed or anxious, which is typically when Paxil is Rx'd, have problems with sexual performance and pleasure, so seeing your doc and getting a further evaluation is pretty important.
Dr. Alvin Lin
Internal Medicine - Geriatrics
2 doctors agree
In brief: 1)Yes 2)Stop taking
Paxil, (paroxetine) like other selective serotonin reuptake inhibitors (ssris), can cause anorgasmia.
In others, it can make it difficult to reach orgasm. The only way to reverse it is to stop taking it (under your prescribing physician's supervision, of course), substituting another medication if necessary. You might do better w/another ssri or try wellbutrin, considered to have least sexual side effects.

In brief: 1)Yes 2)Stop taking
Paxil, (paroxetine) like other selective serotonin reuptake inhibitors (ssris), can cause anorgasmia.
In others, it can make it difficult to reach orgasm. The only way to reverse it is to stop taking it (under your prescribing physician's supervision, of course), substituting another medication if necessary. You might do better w/another ssri or try wellbutrin, considered to have least sexual side effects.
Dr. Alvin Lin
Dr. Alvin Lin
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Dr. John Moranville
Psychiatry
In brief: Sometimes
Paxil (paroxetine) is a very good antidepressant and anti-anxiety medication.
Unfortunately, it does have a significant incidence of sexual side effects including decreased libido, impotence, and anorgasmia.

In brief: Sometimes
Paxil (paroxetine) is a very good antidepressant and anti-anxiety medication.
Unfortunately, it does have a significant incidence of sexual side effects including decreased libido, impotence, and anorgasmia.
Dr. John Moranville
Dr. John Moranville
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