Posted by Jedi on March 13, 2008, at 12:16:44
In reply to Re: Nardil Problem? Ejaculation question, posted by JohnSky on March 13, 2008, at 9:58:15
> Anyone else having problems with this issue? I have only moved up from 45mg to 60mg for 4 weeks. When I moved from 30mg to 45mg I had this problem and it settled down and I was able to "complete"?
> I suspect this as well.. as when I took Nardil 25 years ago I had no problem in this department.. but our bodies change.
>
> John
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John,
If you had no problem 25 years ago on Nardil you might get your testosterone level checked. If it is low or borderline low the Nardil will probably be enough to keep you from ejaculating. There are also several medications and herbs that can help.
Good Luck
JediReferences:
http://www.medscape.com/viewarticle/412890_12
Sexual Side Effects
Sexual dysfunction and dissatisfaction are common complaints during long-term treatment with antidepressants...
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http://www.ncbi.nlm.nih.gov/pubmed/7591493?ordinalpos=27&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
Int J Psychiatry Med. 1995;25(2):191-201.
Male sexual side effects associated with antidepressants: a descriptive clinical study of 32 patients.Hsu JH, Shen WW.
Department of Psychiatry and Human Behavior, Saint Louis University School of Medicine, MO 63104, USA.OBJECTIVE: This is a retrospective study to add to the existing body of clinical information regarding male sexual side effects associated with antidepressants. From the chart review, thirty-four out of eighty male patients were identified to have reported loss of libido, erectile difficulty, anorgasmia, and delayed ejaculation while receiving pharmacotherapy of selective serotonin reuptake blockers (fluoxetine, paroxetine, and sertraline); tricyclic antidepressants (nortriptyline, imipramine, amitriptyline, desipramine, and clomipramine); and a monoamine oxidase inhibitor (phenelzine). METHOD: The authors also discussed the management of these sexual side effects by waiting for spontaneous remission, reducing the dosage level, and substituting the offending drug with other antidepressants. RESULTS: This article underscores the underreported nature of antidepressant-associated sexual dysfunction, the high incidence of SSRI-associated sexual side effects, equal potentials in causing sexual side effects among the three SSRI's, the low incidence rate of sexual adverse effects from bupropion, and the minimal need to add an antidote if the side effects are to be managed systematically. CONCLUSIONS: Finally, male sexual side effects can occur randomly and involve any sexual phase randomly, and the treatment approaches are similar, regardless of the types of sexual dysfunction associated with antidepressants.
PMID: 7591493 [PubMed - indexed for MEDL
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http://www.ocfoundation.org/managing-sexual-side-effects.html
MANAGING SEXUAL SIDE EFFECTS
By Michael Jenike, MD
poster:Jedi
thread:817145
URL: http://www.dr-bob.org/babble/20080303/msgs/817723.html