![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Stevie on August 28, 2006, at 20:35:01
Hi there, first post. I've been off of Paxil for about 1 month and have had sexual problems. Cannpt maintained a suitable erection for intercourse. WIll this go away? Am a 43 year old male.
Posted by dondon on August 28, 2006, at 21:17:03
In reply to Paxil - Sexual Side-Efffects, posted by Stevie on August 28, 2006, at 20:35:01
Take REMERON with paxil and you won't get sexual side effects.
Posted by johnnyj on August 29, 2006, at 8:38:36
In reply to Re: Paxil - Sexual Side-Efffects, posted by dondon on August 28, 2006, at 21:17:03
Remeron was the worst for SE for me. Worst than any TCA.
Posted by free_electron on August 29, 2006, at 11:53:16
In reply to Paxil - Sexual Side-Efffects, posted by Stevie on August 28, 2006, at 20:35:01
Hi Stevie,
I also tried Paxil (for SP) 2 months ago for 30 days. Gave up after a month spent in complete mental fog.
I too experienced erectile/orgasmic difficulties during the first few days, but these gradually faded to a manageable level. I'd give it another couple of weeks to see how your own body adjusts.
Good luck
peter
> Hi there, first post. I've been off of Paxil for about 1 month and have had sexual problems. Cannpt maintained a suitable erection for intercourse. WIll this go away? Am a 43 year old male.
Posted by psychobot5000 on September 2, 2006, at 22:27:56
In reply to Re: Paxil - Sexual Side-Efffects, posted by free_electron on August 29, 2006, at 11:53:16
Hi,
Everyone has an individual reaction to the meds, so it's hard to predict. There are some tips here on dr Bob's site about managing the problem, but here are a few things I know.
1. It sometimes goes away in time (weeks, or 2 or three months maybe).
2. Paxil is slightly the worst of any antidepressant on this issue. Switching to another drug may help, but the other SSRIs (lexapro, celexa, prozac, zoloft, luvox) are usually almost as bad. However, just by chance, some people have a problem on one drug, but not another.
3. Reducing the dose could help, or clear up the problem entirely.
4. Changing to another antidepressant, like Remeron, is quite likely to help, but they each come with their side-effects. Remeron has a lot of good qualities, but it tends to make people feel drowsy, especially in the first few days of treatment. Wellbutrin is another that's pretty good for sexual side-effects, but has its own problems. Still, changing could work for you.
5. Over the counter herbs like ginseng, damiana, and others do help. However, many of them, like ginseng, are stimulants, so you need to be careful about whether they are upping your heart-rate or blood-pressure, or preventing you from sleeping. Dr Bob's tips say the prescription drug amantadine (and several others) are helpful. Amphetamine (dexedrine, adderall) is helpful, and usually ritalin to, but your doctor might be wary of prescribing those, and they have their own risks.
If I were you, I'd grab a little ginseng or horny goat weed, and see if that helped for the short term, and wait a few weeks to see if it goes away, or at least lessens a good bit. Still, switching from Paxil to something else might the thing to do. Hope it works out!
Posted by psychobot5000 on September 2, 2006, at 22:30:33
In reply to Paxil - Sexual Side-Efffects, posted by Stevie on August 28, 2006, at 20:35:01
Oh, your -off- it. Sorry for wasting your time a bit, but you could still try some of the herbs. Otherwise, I bet it's temporary.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.