Monday, October 12, 2009

excluding wellbutrin (it does not help at all) what is the best ant-depressant for a man with least sexual sid

sexual side effects. my husband is 64 and i just turned 40, up until about a year ago we had a great sex life. he has been on some kind of anti depressant since 1985. he really needs them, but lately we have noticed an inability to climax or if he does it takes sooooooooooo long to get there. He stopped the prozac 40 mgs and within two weeks our sex life was great again, but soon thereafter he became depressed and irritable, then i finally cslled his doc and got him back on prozax starting with 20mgs and our sex life was still good, but eventually the same problem occcured. then his doc put him on lexipro and added klonapin, well not only did he have a difficult time reaching orgsasm then he began to experience erectile dysfunction. having enough of no sex, he stopped the lexapro and for about two weeks we had the best sex ever, but the long half life ended and he became the most irriitable, irrational man, he was biting everyones head off. he does have a very stressful job, we both d
Answer:
Almost every medication out there for depression make it more difficult for men to climax during sex.You may end up having to get him two medications - 1 to treat the depression and 1 to treat the side-effects. I don't know if something like Viagra in addition to an anti-depressant would be helpful or appropriate.The best place to go is to a psychopharmacologist. They are psychiatrists with specialized training in medication. It's like having a doctor and pharmacist in one. I'm also extremely concerned about all the other psych medication he is on, like Ambien and Xanax. All the more reason you should take him to a specialist.I do want you to know that there *are* options but while I'm experienced I'm not a replacement for a physician. DO ask about a medication called Hydroxyzine Pamoate. It has very few side-effects and can be used to treat anxiety and sleep.
Good heavens -- your husband is taking a LOT of different medications. There are bound to be some interactions between them, as well as their individual side effects. The underlying medical issues (such as narcolepsy, anxiety, etc) can also cause sexual problems. I agree with the previous respondent -- you should persuade your husband to consult a psychopharmacologist who can sort out the medication tangle and see what can be done for the sexual issues without affecting any essential medications. (And I would also consult his doctors about whether ALL those medications are really necessary, and interact well together.)Wellbutrin is generally considered the least likely antidepressant to affect sexual response. Among the SSRI antidepressants, Celexa/Lexapro generally has fewer sexual side effects than Prozac, Zoloft, etc. If neither of these antidepressants worked for your husband, then specialist help really is needed.Good luck to both of you. It must be a very difficult situation.

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