ssri's and sexual side effects?

Question

my gf is on an ssri shes having trouble reaching orgasms, do u know of an ssri that doesnt effect sexual functioning?

Answer 1

As previously stated here, SSRI's do cause anorgasmia in the majority of individuals who are taking them. There are several strategies for trying to undo this side effect and they are as follows:
1) Using Periactin (Cyproheptadine) approx. 4 hours prior to intercourse works for some people though not all. Periactin is an antihistamine and has been around a long time and is very inexpensive.
2) Adding Wellbutrin in conjunction with an SSRI works for a large number of people and it is often prescribed because it tends to reverse this side effect of the SSRI's. It has the added benefit of also treating depression through decreasing norepinehrine reuptake as it is an SNRI.
3) Switching to Wellbutrin (which has no sexual dysfunction associated with it) or a combination SSRI/SNRI like Effexor or Cymbalta.
4) For men experiencing sexual dysfunction, taking Yohimbine or Viagra/Cialis often works. Some studies show that women may also benefit from Viagra.
5) Drug holidays have some benefit, but can result in symptoms of discontinuation syndrome making this an unpleasant option.
6) Decreasing the dose or trying alternative SSRI's can be helpful when an SSRI is clearly needed to control symptoms (paxil tends to have slightly decreased anorgasmia reactions), altho the combined SSRI/SNRI mentioned previously tends to be more effective.
7) I am unaware of Amantadine being used to treat anorgasmia, but it may be something recent.

Good Luck to both of you!

Answer 2

I also use an ssri. Here is what I know and what I expereince.

Delayed orgasm is partly the result of using some ssri's. Apparently the antiserotonergic chemical found in the drug Fluoxetine, among others, can cause anorgasmia. That is, either delayed or inhibited ability to reach orgasm. 15 to 50% of people treating depression with an ssri may experience this terrible side effect.

There is a side effect medication that shows some promise in relieveing the condition. This drug is called amantadine and has a relatively weak population of successful reversal of ssri induced anorgasmia. It works for some but not for others.

I have not yet tried this remedy because I am not sure that my experience with delayed orgasm is not exacerbated by secondary conditions, both psychiatric and psychological. My wife and I focus on stress reduction techniques to make our intimacy more ... intimate. This works about half the time which both of us are happy with while the doctors deliberate on the possible efficacy of amantadine in my treatment.

There is a viscious trap when it comes to this problem. Along with the symptoms of depression and the treatment with an ssri there are other factors that can be looked into and controlled.

Such as the nature of depression and, particularly, the loss of interest in activities that are/were very important to the patient. There are drepressions or a select set of deppresion's symptoms that may not respond either immediately or at all to the ssri treatment.

I am not a doctor, but you should see one and discuss your options. Abruptly discontinuing and ssri may be fatally dangerous, so please, don't do that.

Good luck and try the romance thing, it works for my wife and I at least twice a week.

Answer 3

Bad sexual side effects have always been an issue with me, back when I was on antidepressants (Effexor, Lexapro, Celexa) although not at the same time. I'm 24, and believe it or not, but I'm not sexually active. But while I was on a cocktail of drugs (including Seroquel), it was impossible to masturbate. I would get an erection, but I'd never "finish the job" (if that makes sense) LOL. I found it to be sadder than being depressed. Do I have anything to recommend? Unfortunately not. Thank you for letting me share though, and good luck.

Answer 4

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Answer 5

SSRI's have a terrible reputation for that. I think they all do that. A few things, she can try switching to another antidepressant (but it won't be an ssri), she can see about lowering the dose somewhat (have to ask the doc) or she can take "drug holidays" where you discontinue the pills for a couple days every once in awhile. She needs to check with the doc on that, too. I think people switch to zoloft or paxil if they want to take drug holidays, because the half-life of those pills is so much shorter.

Answer 6

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Regards

Answer 7

Ejaculation can be considered premature when it occurs 30 seconds to 4 minutes into sex, depending on different cultures, countries and experts. Behavioural techniques can help you delay orgasm. Learn here https://tr.im/OM7xv
These include the start-and-stop method and the squeeze technique. A combination of these techniques along with sexual counselling and medication (either using an anaesthetic cream or an oral tablet) is recommended.

Answer 8

Wellbutrin claims a low risk of side effects. I just got off of paxil, and I am totally insatiable! I can't believe I went so long with a low sex drive. Now I just need to find someone to share it with!

Answer 9

No