Management sexual side effects antidepressant medication

The Maudsley Prescribing Guidelines. London, UK: Informa Healthcare; Modell et al 11 investigated through self-reported anonymous questionnaires, the sexual side effects of bupropion and the SSRIs fluoxetine, paroxetine, and sertraline among outpatients. The three SSRIs, to an equal degree, significantly decreased libido, arousal, duration of orgasm, and intensity of orgasm below levels experienced pre-morbidly. In comparison, bupropion-treated clients reported significant increases in libido, level of arousal, intensity of orgasm, and duration of orgasm beyond levels experienced premorbidly. Consequently, the authors concluded that adverse sexual effects appear to be the rule rather than the exception with SSRIs.
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When an SSRI medication impacts your sex life

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Managing Antidepressant Sexual Side Effects

J Clin Psychiatry. Management of sexual side effects of antidepressant therapy. Hirschfeld RM 1. Sexual dysfunction occurs in over one third of the general population and has many causes, including psychosocial factors, general medical illness, nonpsychiatric medication, psychiatric disorders, and psychotropic medications. Psychosocial causes are the most prevalent, but many frequently used medications, such as diuretics, beta-blockers, and H2-blockers, can also cause sexual dysfunction. Sexual dysfunctions occur in many psychiatric disorders, including mood disorders, schizophrenia, substance abuse, and anxiety disorders.
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How to Reduce Sexual Side Effects From Antidepressants

If you experience any sexual problems while taking an SSRI medication, talk with your doctor or therapist. So, in some cases, sexual difficulties may stem not from the SSRI, but rather from the underlying depression. If medication is the problem, sexual side effects sometimes subside with time, so it's worth waiting a while to see if problems diminish.
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However, for many people, these additional emotional and physical effects can make the idea of sex less appealing. Weight gain, in particular, can lead to a feeling of self-consciousness that results in a decreased sex drive. Sometimes managing your weight or adjusting your exercise routine will give you more energy and desire for sex. Managing sexual side effects of your antidepressants Adjust your dosage Antidepressants can affect your sex drive at almost any dose.
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