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Re: question for Cam or John L.

Posted by JohnL on May 27, 2001, at 1:23:06

In reply to question for Cam or John L., posted by gilbert on May 23, 2001, at 22:12:24

> Hi guys I figured I get out of the chicken and the egg debate and back to some legitimate med questions..I have tried prozac at 10mg, effexor at 37.5, and celexa at 10mg, all as single drug monotherapy, and at very low dosages and still got anorgasmia. Pdoc doesn,t mind me on xanax which works but I get a little depressed on it but still functional. He wants me to try zoloft at 25mg, or go back and titrate prozac at 5 mg. for a while and see if anorgasmia still appears. What do you 2 guys think is my best option. I know zoloft has some dopamine antagonist but is it enough to circumvent anorgasmia or should I see if my body can adjust to 5mg. prozac. I tried all of the above drugs for at least 3 to 4 weeks each. Weird thing on the prozac as horny as a spring bunny with no ability to finish.
>
> Thanks,
>
> Gil

Hi Gil,
I think Prozac is the least likely among the SSRIs to cause sexual problems. Like Cam said, I think Paxil is the worst. I had some anorgasmia when I started Prozac, and like you it really pepped up my sex life, and the anorgasmia went away on its own in about 3 to 4 weeks. I titrated up very slowly from about 2.5mg a day to 20mg a day over a period of about a month.

The juice trick can help. Empty the Prozac capsule into a glass of juice, stir it well, and drink a custom sized dose. Save the rest in the fridge for the next dose. Hopefully the anorgasmia will diminish like mine did.
John


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