Drugs-Forum  
Home Wiki Studies Forum Groups Blog Video Images News
Go Back   Drugs Forum > DRUG-FORUMS > Various drugs not covered by other forums > Antidepressants
Mark Forums Read
Register Tags

Notices

 
Thread Tools
  #1  
Old 11-11-2011, 17:05
Synesthesiac Synesthesiac is offline
Palladium Member
 
Join Date: 18-09-2008
Male from United Kingdom
Posts: 1,604
Blog Entries: 17
Synesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline MedlineSynesthesiac must mainline Medline
Points: 5,792, Level: 11 Points: 5,792, Level: 11 Points: 5,792, Level: 11
Activity: 0.6% Activity: 0.6% Activity: 0.6%
Anti-depressant that doesn't destroy libido

The first side effect of my Zoloft has started to show, I cant orgasm during sex (I'm male). AGHH!

Not a chance I will keep this up, a week without is far too long. Anyone got alternatives? I seem to remeber that citalopram had the exact same effect on me too, so maybe SSRI's in general are not a good idea. I will be seeing my doctor about this asap.
  #2  
Old 11-11-2011, 18:59
alienesseINspace alienesseINspace is offline
Titanium Member
 
Join Date: 04-02-2011
Female from USA - Texas
Posts: 367
Blog Entries: 3
alienesseINspace probably knows what they are talking about.alienesseINspace probably knows what they are talking about.alienesseINspace probably knows what they are talking about.alienesseINspace probably knows what they are talking about.alienesseINspace probably knows what they are talking about.
Points: 1,123, Level: 5 Points: 1,123, Level: 5 Points: 1,123, Level: 5
Activity: 0% Activity: 0% Activity: 0%
Re: Anti-depressant that doesn't destroy libido

Citalopram and Lexapro are libido killers. Effexor XR was alright but it made me feel even more psychotic.

I believe there is a medication to help reduce the effects of SSRI's on one's naughty bits. Since I been put on adderall a couple weeks ago, I can't keep my hands out of my pants or my boyfriend's. I am not suggesting taking stimulants because the SSRI is inhibiting sex, I am saying I didn't pursue other medication when I realized that I'm "back in business."

Ask your doctor though, best way to get help for the libido issues.
  #3  
Old 11-11-2011, 19:21
YIPMAN YIPMAN is offline
Palladium Member
 
Join Date: 20-01-2011
33 y/o Male from Portugal
Posts: 1,216
YIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPACYIPMAN must think in IUPAC
Points: 3,677, Level: 9 Points: 3,677, Level: 9 Points: 3,677, Level: 9
Activity: 29.2% Activity: 29.2% Activity: 29.2%
Re: Anti-depressant that doesn't destroy libido

Antidepressants and Sexual Dysfunction - Tips to Reduce Sexual Side Effects

By Nancy Schimelpfening, About.com Guide, Updated October 03, 2011
About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Oct 21 2011


One of the great ironies of depression treatment is that while depression can rob you of your desire for sex, the drugs that treat it can be much worse, causing not only low libido, but also erectile dysfunction and difficulties with orgasm. The following are some tips that you may wish to discuss with your doctor that can help restore you sex life.

1. Reduce Your Dose
Under the supervision of a physician, it may be possible to lower your dose enough to reduce sexual side effects while still obtaining depression relief. For example, it has been shown that for some people 5-10 mg of Prozac may be just as effective as the standard 20 mg dose.

2. Schedule Your Dose Right After Sexual Acitvity
With certain drugs, such as sertraline and clomipramine (brand names Zoloft and Anafranil), it may be possible to schedule your daily dose right after the time you would normally expect to engage in sexual activity, when the drug's level in your body would be at its lowest. For example, if you normally have sex at night, schedule your daily dose near that time and take it just after sex.

3. Augment With a Drug That May Reduce Dysfunction
Case reports and small clinical studies have found the following to be potentially helpful in counteracting sexual dysfunction: Amantadine, Bupropion, Buspirone, Cyproheptadine, Dextroamphetamine, Pemoline and Yohimbine. Your doctor may suggest taking the drug prior to sexual activity or may put you on a daily regimen.

4. Take a Drug That Treats Sexual Dysfunction
Drugs targeted at erectile dysfunction, such as Viagra, may help some patients.

5. Take a "Drug Holiday"
With the drugs sertraline and paroxetine (brand names Zoloft and Paxil) it may be possible to schedule a two day drug holiday each week in order to restore sexual function without losing the efficacy of the antidepressant.

6. Switch to an Antidepressant That Causes Fewer Side-Effects
Nefazodone and bupropion (brand names Serzone and Wellbutrin) have been shown in double-blind studies to have less effect on sexual function than SSRIs. If either of these have an adequate antidepressant effect for an individual patient they may be a viable treatment alternative to reduce sexual side effects.

Sources:


Ashton AK, Rosen RC: Bupropion as an antidote for serotonin reuptake inhibitor-induced sexual function. J Clin Psychiatry 59:112, 1998

Bartlik B, Kaplan P, Kaplan HS: Psychostimulants apparently reverse sexual dysfunction secondary to selective serotonin reuptake inhibitors. J Sex Marital Ther 21:264, 1995

Gitlin MJ: Treatment of sexual side effects with dopaminergic agents [Letter]. J Clin Psychiatry 56:124, 1995

Labbate LA et al: Sexual dysfunction induced by serotonin reuptake antidepressants. J Sex Marital Ther 24:3, 1998

Moore Brian E, Rothschild Anthony J: Treatment of Antidepressant-Induced Sexual Dysfunction. Hospital Practice January 1999

Schimelpfening Nancy: Got the bedroom blues? Wellbutrin May Be Your Answer.

Shrivastava RK et al: Amantadine in the treatment of sexual dysfunction associated with selective serotonin reuptake inhibitors. J Clin Psychopharmacol 15:83, 1995http://depression.about.com/od/sexualdysfunction/a/sexdysfunction.htm

...

Personal experience:
I take 10mg Escalitopram (Cipralex) in the morning, using it a bit more than 2 years now. Decreased libido is felt, although no problems in erection. Ejaculation may be slightly delayed, but is possible without any further problems.
Major point is, although sex is enjoyed, intensivity of feelings is less than before drug use.

....

Regarding Escalitopram (trade names Anxiset E(India) Lexapro, Cipralex, Seroplex, Lexamil, Lexam, Entact
...
Escitalopram, like other SSRIs, has been shown to affect sexual functions causing side effects such as decreased libido, delayed ejaculation, genital anesthesia,[6] and anorgasmia.[7][8] Although usually reversible upon discontinuation, these sexual side effects can last for months or years after the drug has been completely withdrawn.[9] This is known as Post SSRI Sexual Dysfunction. SSRI can rarely cause extrapyramidal side effects including akathisia through the indirect inhibition of dopamine.

Source:Wikipedia

...

Burden of phase-specific sexual dysfunction with SSRIs

Abstract

Objective
This study examines phase-specific sexual dysfunction among patients who are being treated for major depression and who do not meet criteria for global sexual dysfunction.

Methods
6297 adult outpatients receiving antidepressant monotherapy completed the Changes in Sexual Functioning Questionnaire (CSFQ). The sub-sample for this study (n=3114) comprises participants who were receiving treatment with a SSRI or SNRI and did not meet the gender-specific criterion for global sexual dysfunction on the CSFQ.

Results
Among this sub-sample, 95.6% of women and 97.9% of men exhibited impairment in at least one phase of sexual functioning. Men were significantly more likely than women to experience dysfunction in the desire phase (91.2% vs. 79.0%; OR=2.76; 95% C.I.=2.14 to 3.5) and the orgasmic phase (85.1% vs. 45.4%; OR=6.9; 95% C.I.=5.6 to 8.4) but were significantly less likely than women to experience dysfunction in the arousal phase (71.9% vs. 83.3%; OR=.51; 95% C.I.=.43 to .62). The prevalence of phase-specific dysfunction did not vary significantly by SSRI/SNRI for males or females.
Conclusion

Among patients who do not experience clinically significant global sexual dysfunction on SSRI/SNRI monotherapy, dysfunction in at least one phase of the sexual response cycle is very common and may reduce sexual health-related quality of life.

http://www.jad-journal.com/article/S...376-9/abstract


Source: Journal of Affective Disorders
Received 11 April 2005;
received in revised form 18 November 2005;
accepted 7 December 2005.

...

...

Sertraline hydrochloride (brand names Zoloft and Lustral)
...
Sexual side effects

Like other SSRIs, sertraline is associated with sexual side effects, including arousal disorder and difficulty achieving orgasm. The observed frequency of sexual side effects depends greatly on whether they are reported by patients spontaneously, as in the manufacturer's trials, or actively solicited by the physicians. There have been several double-blind studies of sexual side effects comparing sertraline with placebo or other antidepressants.[127] While nefazodone (Serzone) and bupropion (Wellbutrin) did not have negative effects on sexual functioning, 67% of men on sertraline experienced ejaculation difficulties vs. 18% before the treatment[127] (or 61% vs. 0% according to another paper).[36] Similarly, in a group of women who initially did not have difficulties achieving orgasm, 41% acquired this problem during treatment with sertraline.[36] A 40% rate of orgasm dysfunction (vs. 9% for placebo) on sertraline was observed in a mixed group in another study.[128] Sexual arousal disorder, defined as "inadequate lubrication and swelling for women and erectile difficulties for men", occurred in 12% of patients on sertraline as compared with 1% of patients on placebo. The mood improvement resulting from the treatment with sertraline counteracted these side effects, so that sexual desire and overall satisfaction with sex stayed the same as before the sertraline treatment. However, under the action of placebo the desire and satisfaction slightly improved.[128]

Genital anesthesia,[129] loss of or decreased response to sexual stimuli, and ejaculatory anhedonia are also possible. Although usually reversible, these sexual side effects can last for months or years after the drug has been completely withdrawn.[130] This is known as Post SSRI Sexual Dysfunction.

...

Source: Wikipedia

Post Quality Evaluations:
GREAT information!

Last edited by YIPMAN; 11-11-2011 at 19:35.
  #4  
Old 11-11-2011, 19:46
chibi curmudgeon Gold member chibi curmudgeon is offline
Gold Finger
 
Join Date: 26-11-2008
33 y/o Female from United States
Posts: 1,346
chibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPACchibi curmudgeon must think in IUPAC
Points: 2,288, Level: 7 Points: 2,288, Level: 7 Points: 2,288, Level: 7
Activity: 10.3% Activity: 10.3% Activity: 10.3%
Re: Anti-depressant that doesn't destroy libido

k, I got some issues with this Nancy chick and whatever medical review board reviewed this.

Quote:
Originally Posted by YIPMAN View Post
2. Schedule Your Dose Right After Sexual Acitvity
With certain drugs, such as sertraline and clomipramine (brand names Zoloft and Anafranil), it may be possible to schedule your daily dose right after the time you would normally expect to engage in sexual activity, when the drug's level in your body would be at its lowest. For example, if you normally have sex at night, schedule your daily dose near that time and take it just after sex.
Though your level is lowest right before your next dose, if you're taking the drug as prescribed, you'll soon reach a steady-state concentration and your level isn't likely to drop significantly enough to eliminate a side effect like this one.

Quote:
5. Take a "Drug Holiday"
With the drugs sertraline and paroxetine (brand names Zoloft and Paxil) it may be possible to schedule a two day drug holiday each week in order to restore sexual function without losing the efficacy of the antidepressant.
Anyone who's ever tried stopping an SSRI cold knows this is a potentially horrible idea. Again, if you don't experience withdrawal symptoms, your levels probably aren't low enough to make the side effect go away.

Quote:
6. Switch to an Antidepressant That Causes Fewer Side-Effects
Nefazodone and bupropion (brand names Serzone and Wellbutrin) have been shown in double-blind studies to have less effect on sexual function than SSRIs.
This is true, however, anyone writing about antidepressants should know nefazodone was taken off the market several years ago.

Post Quality Evaluations:
solid critisisms of a poorly written article
  #5  
Old 11-11-2011, 21:04
C.D.rose C.D.rose is offline
Palladium Member
 
Join Date: 14-01-2006
28 y/o Male from Luxembourg
Posts: 1,021
C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.
Points: 3,601, Level: 8 Points: 3,601, Level: 8 Points: 3,601, Level: 8
Activity: 0.8% Activity: 0.8% Activity: 0.8%
Re: Anti-depressant that doesn't destroy libido

Just two quick points:

One, sexual side effects may disappear over time. For some they do, for some they don't. The more important question may be whether sertraline is helping you - although that too can only be judged after a couple of weeks have passed. If sexual side effects persist though, and this is point number two, you could try vilazodone, which is the newest antidepressant drug available. (Assuming you are receiving treatment for depression - vilazodone isn't FDA-approved for other conditions, such as anxiety etc.) It is basically an enhanced SSRI. If I recall correctly, it's called a multi-modal serotonergic agent. At any rate, it has been proven to be effective for depression with less side effects (including sexual side effects) than regular SSRIs.
  #6  
Old 11-11-2011, 21:15
assholery assholery is offline
Silver Member
 
Join Date: 28-09-2011
28 y/o Female from United States
Posts: 88
assholery is learning how to become a psychonaut.
Points: 155, Level: 2 Points: 155, Level: 2 Points: 155, Level: 2
Activity: 0% Activity: 0% Activity: 0%
Re: Anti-depressant that doesn't destroy libido

wellbutrin improves libido
  #7  
Old 30-11-2011, 13:42
C.D.rose C.D.rose is offline
Palladium Member
 
Join Date: 14-01-2006
28 y/o Male from Luxembourg
Posts: 1,021
C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.C.D.rose really knows their shit.
Points: 3,601, Level: 8 Points: 3,601, Level: 8 Points: 3,601, Level: 8
Activity: 0.8% Activity: 0.8% Activity: 0.8%
Re: Anti-depressant that doesn't destroy libido

Quote:
Originally Posted by chibi curmudgeon View Post
This is true, however, anyone writing about antidepressants should know nefazodone was taken off the market several years ago.
For the record: in the United States, nefazodone has not been pulled from the market. The brand-name product Serzone has been discontinued because of concerns over liver failure, but nefazodone continues to be available as a generic. It shouldn't be a drug of first or second choice though, for obvious reasons.
  #8  
Old 21-04-2013, 23:55
Dave_1963 Dave_1963 is offline
Newbie
 
Join Date: 21-04-2013
51 y/o Male from Canada
Posts: 1
Dave_1963 is an unknown quantity at this point
Points: 5, Level: 1 Points: 5, Level: 1 Points: 5, Level: 1
Activity: 0.2% Activity: 0.2% Activity: 0.2%
Re: Anti-depressant that doesn't destroy libido

Hi everybody, this is my first post. In 1995, I was going through a terribly stressful divorce. I used to treat the stress by drinking a 6-pack of beer, and it worked very well as a stress-reliever. I told my family doctor that I was drinking a 6-pack a day to deal with stress. He immediately said "We have medications for that". He started me on Paxil. I was warned about sexual side-effects, but seeing as I have an extremely high sex drive, I thought at most, the Paxil would just make me have sex a bit less often. I quit the beer and started on the Paxil. I was told by my Dr. that the Paxil takes up to two months to reach it's peak effect. After being on the Paxil for 2 weeks, I noticed I was becoming extremely angry over the smallest thing, and felt absolutely sad all the time. Paxil gave me complete genital anaesthesia to the point of being unable to ejaculate. I quit the Paxil, and went on 150 mg./day of Zoloft. The Zoloft did absolutely nothing psychologically except dull my emotions. The side-effect I got from the Zoloft was totally the opposite of Paxil. Literally within 3 seconds of penetration, I was ejaculating. I took the Zoloft for about 2 years, but after the first year, the nausea it caused became so bad I was vomiting 3-4 times per day. I quit the Zoloft cold-turkey. The only withdrawals I felt were "electric shock" feeling going through my brain. These shocks lasted for two years. As a smoker who has quit 6 times over the past 40 years, I can say that the withdrawals from Zoloft were very similar to nicotine withdrawals, just without the cigarette craving. Went back to a 6-pack a day, and everything was fine again. Moved and got a new doctor. He asked about my drinking and smoking habits. As soon as I told him about the beer, he told me to quit drinking and he prescribed Citralopram sp?. After a month, the Citralopram made me very angry, just like the Paxil. I didn't have a GF at the time, so I cannot comment on sexual side-effects. I went from Citralopram to Mirtazapine. After 3 days on Mirtazapine, it became extremely difficult to talk...the words would get "stuck" halfway through saying them. After 2 weeks on Mirtazapine, I began to tremble so badly, I could not use the keypad on my phone, and I became EXTREMELY depressed, angry, and despondent. No GF still, so I cannot say what the sexual side-effects of Mirtazapine were. This past Xmas was very stressful as I am on disability and it was a choice between buying food and paying rent, or buying gifts and a tree. Picked the food and rent. Went back to doc, and he gave me Fluvoxamine 50 mg. They were supposed to make me sleepy and happy and my doc assured me that Fluvoxamine had the lowest incidence of sexual side-effects of all antidepressants. "Antidepressants?!" I practically yelled. I thought I had been taking tranquillizers for all these years! Why would they give a perfectly happy person antidepressants?

Here are my questions, and I hope someone can help with some advice: Why would a perfectly happy, albeit stressed out person be given antidepressants instead of tranquilizers? The list of meds I gave was not complete. Since 1995, I have been put on every antidepressant in the book of the SSRI variety (they have never tried the older tricyclic ones like Elavil on me). As I said I am 50..just turned 50 2 months ago. I was SSRI-free for a number of years. I have moved and found a really nice gal here in our condo complex. On my best day when I was 49, I was able to go 14 full rounds with her in bed. After taking the Fluvoxamine for two months, I became extremely depressed and felt hopeless about my future, so I quit the Fluvoxamine cold-turkey (the electric shocks in my brain are far worse than the ones I got after quitting Zoloft cold-turkey). This is 2 months ago that I quit the Fluvoxamine. When I was on the Fluvoxamine, I had genital anaesthesia and could not ejaculate. I thought after a week or so after quitting the Fluvoxamine, my libido would return to normal. After 2 months, I still cannot get aroused (even when looking at porn), I never think about sex anymore (I used to think about sex al least 100 times a day), the thought of sex is about as appealing as cleaning a toilet. What is going on here? Will my ability to perform EVER come back? My penis feels like it has been injected with Novocaine. Has anyone on these forums ever taken Fluvoxamine and experienced this effect? Why was I given antidepressants when I was not depressed-just stressed? All that is beside the point...all I want to know is will my sex-drive ever come back? If so, how long will it take? I am very wary of Dr. prescribed drugs after all this, but do doctors have a pill that will restore my sex drive? I cannot take Viagra as it is $25 a pill and my disability coverage will not pay for it.
For a guy who was never depressed, I can honestly say that taking antidepressants has actually made me feel depressed, especially since such a huge part of my life (sex) has been taken away from me because of these horrible pills. Thanks for any advice or info anyone can give me! Looking back to 1995, I should have stuck with the 6-pack a day.
Hope I can find some help on these forums!

Dave_1963 added 5 Minutes and 21 Seconds later...

I should also add that the Fluvoxamine has totally screwed up my sleeping cycle. The doc. said it would make me sleepy, but it makes me wide awake. It has screwed up my sleeping pattern to where I stay up till 9 a.m. then sleep till 6 p.m. I thought after quitting the Fluvoxamine, my sleeping pattern would return to normal, but it still has not.

Post Quality Evaluations:
Thank you for sharing your story, hearing things like this makes me stay far away from these meds, even tho docs try to push them on me constantly.

Last edited by Dave_1963; 21-04-2013 at 23:55. Reason: Automerged Doublepost
  #9  
Old 26-04-2013, 14:02
Horned Demon-Monkey Horned Demon-Monkey is offline
Silver Member
 
Join Date: 04-05-2012
Male from Earth
Posts: 63
Horned Demon-Monkey is a decent psychonaut.
Points: 312, Level: 2 Points: 312, Level: 2 Points: 312, Level: 2
Activity: 0% Activity: 0% Activity: 0%
Re: Anti-depressant that doesn't destroy libido

Personal experiences:

Have had sexual dysfunction and loss of libido with both duloxetine (Cymbalta) and venlafaxine (Effexor). I took duloxetine for prolonged time and the sexual side-effects took almost two years to vanish after discontinuation of the medication. I took venlafaxine combined with 150mg bupropion only for few days before sexual side-effects appeared. I stopped taking it immanently to avoid similar outcome as with duloxetine.

Tianeptine (Stablon, Coaxil) didn't cause me any sexual side-effects and in long term seemed to improve libido - even tho' I was still depressed. The same with bupropion: 300mg certainly made me more horny and increased sexual pleasure.

I have also took mirtazapine (Remeron), but only for few weeks. It made me too sleepy and zombie. I didn't notice any change in sexual function in that time-frame.

Benzodiazepines aren't ADs, but both alprazolam (Xanax) and diazepam (Valium) hasn't caused me any sexual dysfunction. It's probably opposite - more enjoyable as I'm free of any anxiety.
  #10  
Old 26-04-2013, 17:03
[tanarilla.] [tanarilla.] is offline
Silver Member
 
Join Date: 11-07-2009
22 y/o Female from United Kingdom
Posts: 414
[tanarilla.] is on the way up[tanarilla.] is on the way up[tanarilla.] is on the way up
Points: 1,004, Level: 4 Points: 1,004, Level: 4 Points: 1,004, Level: 4
Activity: 0% Activity: 0% Activity: 0%
Re: Anti-depressant that doesn't destroy libido

Things like Amineptin or Bupropion could help. I would just ask your doctor about this, it's a very common complaint.
  #11  
Old 27-04-2013, 17:01
Progress Progress is offline
Newbie
 
Join Date: 20-07-2012
31 y/o Male from United Kingdom
Posts: 2
Progress is an unknown quantity at this point
Points: 5, Level: 1 Points: 5, Level: 1 Points: 5, Level: 1
Activity: 0% Activity: 0% Activity: 0%
Re: Anti-depressant that doesn't destroy libido

I want to say this to you:::::: all the NSRI ive taken have caused an in-ablility to reach orgasm. That inability was the same with all NSRI's. For me it went within 2 weeks of constant use at the recommended levels. Don't worry you will be able to cum again, it just takes your body a bit of time to adapt.

On the same not i will say that when i stopped taking SNRI's i could cum without even getting a boner. Its swings and roundabouts.
  #12  
Old 27-04-2013, 18:50
DmTryp DmTryp is offline
Titanium Member
 
Join Date: 29-12-2010
32 y/o Female from United States
Posts: 153
DmTryp is captain of the psychonauts.DmTryp is captain of the psychonauts.
Points: 243, Level: 2 Points: 243, Level: 2 Points: 243, Level: 2
Activity: 0.3% Activity: 0.3% Activity: 0.3%
Re: Anti-depressant that doesn't destroy libido

Quote:
Here are my questions, and I hope someone can help with some advice: Why would a perfectly happy, albeit stressed out person be given antidepressants instead of tranquilizers? ... What is going on here? Will my ability to perform EVER come back? My penis feels like it has been injected with Novocaine. Has anyone on these forums ever taken Fluvoxamine and experienced this effect? Why was I given antidepressants when I was not depressed-just stressed? All that is beside the point...all I want to know is will my sex-drive ever come back? If so, how long will it take? I am very wary of Dr. prescribed drugs after all this, but do doctors have a pill that will restore my sex drive? I cannot take Viagra as it is $25 a pill and my disability coverage will not pay for it.
Some people do not take to antidepressants very well. Every person on the planet, although very similar, has slight variations in their neurology and biochemistry that can have a dramatic effect on how a drug affects the individual. A significant number of people who take an antidepressant will become more depressed while taking it.

As for why a person who seems generally happy, abeit somewhat stressed, would be prescribed an antidepressant: Many antidepressants are also used for anxiety. Although I do not agree with prescribing an antidepressant for "stress", it does happen. In my own opinion, taking some time for one's self to relax would be more beneficial for stress than a pill. However, your doctor may have felt that it would help with stress-related anxiety.

Will your sex drive and sleep ever return to normal? Yes, however, it can take months before a person coming off of an antidepressant feels "normal" again. Additionally, excessive worry concerning a problem such as this can often times make the problem worse. I'm not a medical doctor, but a lowly grad student and research associate, but my best advice would be to try to find time for yourself to relax and try to not focus so muh on the problem. Start back up with sex slowly and try to not become frustrated with the situation as it will only make it worse. Remember that it will take some time before you feel "normal" again, but that it will eventually happen. Don't try to rush it or it can lead to more frustration.

As for the original post regarding finding an SSRI that will not reduce sex-drive: Finding the right SSRI or antidepressant is basically a trial and error process. Many of them do have the potential to cause problems with male ejaculation or other sexual dysfunction. It's a matter of weighing the side-effects against the benefits of the drug. You can ask your doctor to try something else and see if the new drug has less sexual side-effects. The decision as to whether or not it is worth it is entirely yours.
  #13  
Old 28-04-2013, 20:56
kinks kinks is offline
Newbie
 
Join Date: 26-04-2013
Female from Canada
Posts: 2
kinks is an unknown quantity at this point
Points: 5, Level: 1 Points: 5, Level: 1 Points: 5, Level: 1
Activity: 0.2% Activity: 0.2% Activity: 0.2%
Re: Anti-depressant that doesn't destroy libido

As far as I know, Mirtazapine (Remeron, Avanza, Zispin) has a pretty decent side effect profile and assists with sleeping as well if that is something you struggle with. It's known to have no effect whatsoever on libido and it has a relatively low toxicity in comparison to other anti-depressants. Ask your doctor about it.
  #14  
Old 17-05-2013, 22:12
monoamine monoamine is offline
Newbie
 
Join Date: 01-01-2013
25 y/o Male from Norway
Posts: 38
monoamine is an unknown quantity at this point
Re: Anti-depressant that doesn't destroy libido

haha yet another positive thing to share about moclobemide (Aurorix)


A concern of antidepressant adverse effects is sexual dysfunction; however, moclobemide has actually been found to increase the libido and also improve impaired erection, ejaculation and orgasm

i wrote my exp with moclobemide here http://www.drugs-forum.com/forum/sho...d.php?t=215143
  #15  
Old 21-05-2013, 02:56
propillpopr propillpopr is offline
Newbie
 
Join Date: 18-05-2013
Male from Canada
Posts: 1
propillpopr is an unknown quantity at this point
Points: 5, Level: 1 Points: 5, Level: 1 Points: 5, Level: 1
Activity: 0.1% Activity: 0.1% Activity: 0.1%
Re: Anti-depressant that doesn't destroy libido

You must have been on a low dose of alprazolam.I take 5mg daily and am limp as a noodle.I decided to stop to see what would happen.after approx.24-48 hours the withdrawal symptoms began.the 3rd day my E.D slowly started coming back, but i was sick to the point where I couldn't eat,sleep and the anxiety was ten fold.since I new this drug is addictive I had to take a dose again and felt better shortly after.I will be seeing my doctor tomorrow to see what can be changed,but one Doc. told me it could take up to a year to ween me off of the alpraz.I was also taking Bupropion and Propananol at the same time.still take the alpraz and bupro-which i don't now if it has any effect on me or not ,since effects are not noticeable for up to 2 weeks.stopped taking the propananol because I believe it made my E.D. worse plus what it can do to your heart after prolonged use.My female doc better have some alternatives.why I started was a 6yr adventure through Hell. So that's my story.Maybe I should have posted this for everyone too see.Later!
  #16  
Old 21-05-2013, 04:41
Moving Pictures Moving Pictures is offline
Titanium Member
 
Join Date: 04-02-2010
25 y/o Male from USA - Kentucky
Posts: 3,073
Moving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond repute
Re: Anti-depressant that doesn't destroy libido

As far as SSRIs go, Prozac (fluoxetine) had the least effect on my libido. Duloxetine and citalopram made my dick totally numb, an appendage useless for everything except pissing. I could get hard and stay hard but I couldn't feel anything and could not ejaculate. Paxil was pretty bad also. I've never stuck with a tri-cyclic long enough cus of the drowsiness so I can't comment on them. Prozac really wasn't bad at all though.
  #17  
Old 21-05-2013, 20:19
MishaAnRiusis MishaAnRiusis is offline
Silver Member
 
Join Date: 19-05-2013
Male from United States
Posts: 9
MishaAnRiusis is an unknown quantity at this point
Points: 18, Level: 1 Points: 18, Level: 1 Points: 18, Level: 1
Activity: 0% Activity: 0% Activity: 0%
Re: Anti-depressant that doesn't destroy libido

I had anorgasmia on sertraline (Zoloft) which disappeared after I switched to vilazodone (Viibryd), another SSRI but with additional 5-HT1A partial agonism (speculated to be the cause of the reduced sexual side effects).

It might not hurt to pursue off-label (but not off-prescription) use of other pharmaceuticals. Stimulatants, as other posters have mentioned, can help if one of your symptoms is lethargy, but, because of their abuse potential, they should only be used under strict physician supervision.
  #18  
Old 12-06-2013, 03:41
P1-O2 P1-O2 is offline
Silver Member
 
Join Date: 16-10-2011
24 y/o Male from United States
Posts: 329
Blog Entries: 1
P1-O2 is captain of the psychonauts.P1-O2 is captain of the psychonauts.
Points: 374, Level: 3 Points: 374, Level: 3 Points: 374, Level: 3
Activity: 3.1% Activity: 3.1% Activity: 3.1%
Re: Anti-depressant that doesn't destroy libido

Remeron (Mirtazapine) and Viibryd (Vilazodone) do not cause anorgasmia. I don't experience any issues related to sexual side effects on them.
  #19  
Old 12-06-2013, 05:34
Incarnate Incarnate is offline
Silver Member
 
Join Date: 28-09-2008
27 y/o Male from Canada
Posts: 46
Incarnate is learning how to become a psychonaut.
Points: 62, Level: 1 Points: 62, Level: 1 Points: 62, Level: 1
Activity: 0.5% Activity: 0.5% Activity: 0.5%
Re: Anti-depressant that doesn't destroy libido

I've taken prozac, paxil, zoloft, effexor, wellbutrin (bupropion), and citalopram. My libido is usually always extremely high and none of the medications effected the desire for sexual activity-- but all except bupropion cause varying and dose dependant anorgasmia. Paxil was the worst, followed by effexor, zoloft, prozac, citalopram (the best). I currently take 20mgs of citalopram (started 2 weeks ago) and its slightly more difficult to climax, but much better than all the other medications. I've noticed a trick that seems to help lessen the potential for anorgasmia--- starting the medications at very low (below prescribed dosages) and increasing slowly over time. This seems to have worked in my case.
  #20  
Old 13-06-2013, 03:50
Moving Pictures Moving Pictures is offline
Titanium Member
 
Join Date: 04-02-2010
25 y/o Male from USA - Kentucky
Posts: 3,073
Moving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond reputeMoving Pictures is a true resource and beyond repute
Re: Anti-depressant that doesn't destroy libido

I take it back yall, fluoxetine fucked my libido all up. I quit taking it cus I could not bust. It used to not do that to me, even at 40 mg. Now just 20 mg and it totally scews me. I'm telling the doc I want a TCA, Amitriptyline or Mirtazapine .

Last edited by Moving Pictures; 13-06-2013 at 03:51. Reason: yu
  #21  
Old 23-06-2013, 08:51
Mista-X Mista-X is offline
Newbie
 
Join Date: 05-06-2013
33 y/o Male from Canada
Posts: 26
Mista-X is an unknown quantity at this point
Points: 44, Level: 1 Points: 44, Level: 1 Points: 44, Level: 1
Activity: 0.3% Activity: 0.3% Activity: 0.3%
Re: Anti-depressant that doesn't destroy libido

Quote:
Originally Posted by Synesthesiac View Post
The first side effect of my Zoloft has started to show, I cant orgasm during sex (I'm male). AGHH!

Not a chance I will keep this up, a week without is far too long. Anyone got alternatives? I seem to remeber that citalopram had the exact same effect on me too, so maybe SSRI's in general are not a good idea. I will be seeing my doctor about this asap.
Sertraline (Zoloft) did the exact same thing to me. Worst part about it is that it is the one that works the best for me for my depression. Literally within a week of taking it I found it harder to complete sex; by the time I was up to my full dose getting an orgasm was no easy task to near impossible; and I think it contributed to losing this girl I had as an FWB.

The doc additionally gave me Bupropion (Wellbutrin) which was supposed to conteract the this effect but didn't help, just made me think about eating less (I don't think about food randomly much anymore, only when I'm hungry) Sertraline would also not mix well with booze, so I finally just stopped taking it. After about 1 month off the stuff I was able to orgasm 4 times within two hours of sex.

Problem is I'm now on the max dose of bupropion and it doesn't eliminate my depression as much on it's own. I have a bit more energy and eat less. Though I don't plunge into the deep depression I used to before I had any medication.

Share this on:

Tags
antidepressant, antidepressants, bupropion, drug, drugs, libido, orgasm, placebo, serotonin, sertraline, sexual dysfunction, sexual side effects, snri, ssri, ssris, wellbutrin, zoloft

Thread Tools


» New Threads
Colic child
Last post by Dawn Godess
2 Replies, 17 Views
anyone an expert on Methadone?
Last post by ufa2162
7 Replies, 1,263 Views
Quitting with subutex
Last post by opiatebattler
6 Replies, 85 Views
Codeine Vs Tramadol
Last post by Hamish
5 Replies, 224 Views
Looking for advice to help quit...
Last post by anon9871
2 Replies, 34 Views
Cocaine experiences
Last post by Dwhoneil
203 Replies, 69,472 Views
Are there any other mothers out...
Last post by Cesareo
8 Replies, 587 Views
My time to give up Tramadol
Last post by allme
7 Replies, 287 Views
Borderline personality disorder...
Last post by hotdogfrenchfries
11 Replies, 396 Views
Is this a for-life thing for you?
Last post by hotdogfrenchfries
11 Replies, 521 Views
» New Wiki Articles

Sitelinks: Information:

All times are GMT +1. The time now is 11:31.


Copyright: SIN Foundation 2003 - 2014, All rights reserved
"Wiki" powered by VaultWiki v3.0.20 PL 1.