Posted by pharmrep on September 4, 2002, at 23:47:12
In reply to Sexual/anxiety SE question for everyone/pharmrep, posted by johnj on September 3, 2002, at 11:23:30
You need to ask your Dr about Lexapro...Forest is going to start giving the Dr's samples and studies starting 9/5...there can be sexual s/e with AD's that affect serotonin. Lexapro showed a 9% possibility of have ejaculatory delay (not always a problem). But it was not enough to discontinue treatment (only 6% dropout rate for various reasons.) As far as titrating goes...couldn't be easier...everyone starts at 10mg...most patients should see a difference in 1-2 weeks, and if necessary go to 20mg, but that should be necessary for a minority of patients...most will do fine at 10mg. As far as anxiety...Lexapro will help that, not contribute to problems. Look for the Burke, Gorman, and Lydiard studies for proof-sources.
> I have never taken an ssri and need to switch. What do you mean when you say sexual side effects? Lack of desire?, feeling?, etc. Also, would it be desirable to titrate up very slowly with lexapro to decrease the chance of initial anxiety? I have heard it can be a problem at the start and I want an AD with anxiety relieving properties. Anybody feel spacey on Celexa? Remeron made me a space cadet. Thank you
> johnj
poster:pharmrep
thread:109458
URL: http://www.dr-bob.org/babble/20020829/msgs/118839.html