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Re: SSRIs and Male Sex Probs (add W-butrin or Viagra?)

Posted by Shell on January 14, 2001, at 10:40:19

In reply to SSRIs and Male Sex Probs (add W-butrin or Viagra?), posted by utvols92 on January 14, 2001, at 10:08:29

> i have taken zoloft, celexa and now prozac. All cause ejaculatory delay, which as many of you probably know, is VERY frustrating! My doctor said at one point that possibly adding Wellbutrin might stave off the sexual side effects. And, she also mentioned possibly trying Viagra (Even though I told her that GETTING an erection is NOT a problem, achieving orgasm IS). Does anyone have any advice, tips, etc??? HELP!!!

I like the idea of adding the Wellbutrin. I haven't heard that it will actually reverse side effects when taken with an SSRI, but I imagine it may be possible. What often works is taking a smaller dose of Zoloft, Celexa, Prozac (or whatever your depression responds to best) and augmenting it with Wellbutrin. The smaller dose of the SSRI may correspond to a reduction in side effects while the Wellbutrin would compensate for the reduced antidepressant effect.

There are other antidepressants that do not seem to have these side effects; Serzone and Remeron are the ones that come to mind (I may be forgetting some others). You may want to ask your doctor about trying one of those either alone or in combination with a reduced dose of an SSRI.

Wellbutrin is now the only only antidepressant I am using and the difference in sexual side effects (there are none now) is huge. I also respond well to the antidepressant effect of Wellbutrin, so it works for me. You may have to experiment somewhat to find out what drug or combination of drugs works for you. It can be a long, frustrating process, but if you find it, the results are well worth it.

I can't comment on the Viagra suggestion. I'm female and don't know a lot about Viagra. Just based on what you have said, I'm not sure how that would help in your case (since that doesn't seem to be the problem), but your doctor certainly knows more than I. Perhaps you could ask her to explain it to you; maybe it has some beneficial effects beyond the obvious.

Good luck, and don't get discouraged. It may take a while to find what works for you, but there is no reason not to try.





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