Antidepressants and the male penis

My partner is on paroxatine 30mgs one a day and he has been taking them for anxity and panic attacks .now he is getting the feelings of wanting to ejaculate all the time and his penis is dead but i managed to get it hard so we could do the adult thing and have sex .

the strange thing is since he has been taking these tablets he can not cum at all . but the sex lasts longer than ever .

we spoke to our doctor and explained this . and said why dont they prescibe these for men who prematurely ejaculate .

the answer was we know about this but can not reconmend it .

fair enough we said . so does anybody know of a good antidepressant that does not do this to males . as we would love to get our sex life back on track and work for the anxity panicattacks .

as the tablets are not doing much for that side of his problem .

although the sex is much better .

any idea's people

Well, I've only tried two antidepressants so far...both have been fails for me. The first was called Fluoxetine. It worked in the mood department and I felt real great but one major drawback was I could not achieve orgasm! Talk about cruddy! So my doctor prescribed Wellbutrin. It did not settle well with me because my moods would flip flop horribly. But one plus to Wellbutrin and drugs along those lines is that they don't have any sexual dysfunction side effects. Prozac and any other generics along with that line are known to cause sexual dysfunction side effects. You pretty much are going to have to do trial and error with these antidepressants until you find one that fits for you. It's kind of like the same thing you would do for birth control. You just have to find the one that works with your body!

Hope this helped some!

I'm sorry if this isn't really on topic -- I don't have one of those dangly things, but ...

I've been on just about every one that was available before 2006 and they all turned off my ability to have an orgasm (including Wellbutrin, which is supposed to have the opposite effect). Crossing my fingers, but I've not needed antidepressants since that time.

It was so frustrating to have the AD's work so that my desire for sex was back but the ability to "finish" was shut off.

However, the alternative to not taking the meds was probably suicide, so ...

All anti-depression drugs can have sexual side effects. Each individual is different and the results are different too. In general Wellbutrin has the fewest sexual side effects, the fewest overall side effects, but can have much more severe side effects.This is a major antidepressant and should be used with caution. The one that seems to have the worst side effects is Prozac. As this is a very commonly prescribed drug, the fact that a large percentage of men (the official estimate is about 25%) should be noted. That probably translates to close to 50% in real life. There is a major under-reporting of sexual side effects, especially from men. Prozac also has a lot of really nasty side effects which must be monitored.

The only answer I can give is that one has to try different drugs to achieve the desired goal.

Personally, I would rather use an anti-anxiety drug for anxiety. My choice is the old warhorse, Valium. It is much easier to kick than the newer meds like Xanax, is less attractive to the dopers, and does not seem to have too many sexual side effects. I used it for a brief while when I was quitting smoking. Run that by his doctor. an anti-depressant is not all that good for anxiety when their are drugs that do well with it specifically.

Doc

Some of the SSRI (specifically Prozac) are routinely used but not in the package insert for uses for PE (premature ejaculation). It is not always helpful but many patients have found some relief.

I am both on Prozac and Wellbutrin. (40 and 150mg/d) The Prozac was working great, but side affects were pretty bad. Then I tried Wellbutrin; hardly any side effects, but no antidepressant effect either. Then I read in the US Prozac is often combined with Wellbutrin to help reduce the side effects from fluoxetine. So I tried and for me it works! I also heard from a male friend who also added Wellbutrin to Prozac and his sex life (which was greatly suffering from the fluoxetine) had improved a lot!

I don't know about combining paroxetine and Wellbutrin though. You'll have to do some research on that.

What did people do before all these drugs were discovered? I'm not saying these ailments aren't real but I also can't help but wonder if they might be over prescribed. It seems the medical and pharmaceutical industries want to put everybody in a box labeled with some condition that can be cured with the latest expensive drug, pushed by lavish TV commercials designed to get us to believe we fit in one of those boxes and get us to a doctor who will prescribe a "cure".

ADD is a fairly new "disorder". It seems to have been "discovered" about the same time the pharmaceutical industry developed a "cure". I attended a Catholic high school back in the late 50s/early 60s. There were no shortage of kids who just didn't pay attention as much as they should, me included. But the cure back then was not a miracle drug but the booming voice of Fr. O'Neill six inches away from your face with his large hand wrapped around your throat. It definitely 'cured" many cases of ADD!

I'm also reminded of my later experience with a urologist who said my prostate was enlarged and probably caused a slow stream when I urinated. He instructs me to come back with a full bladder for a test. There in the rest room is a scale with a large cup on it. I urinate in the cup and they time how long it takes me to empty and the scale measures how much I release. Of course I'm too slow and the doc prescribes Flomax. But what's wrong with this picture? The scale and the cup have "Flomax" logos all over them. And the doc has a stack of pamphlets handy describing how well this wonder drug works. I'd like to know how many guys actually pass the Flomax test and don't need the drug. Not very many, I bet.

I'm not saying some of these conditions aren't real but this whole behavior modification by drugs business just doesn't always pass the smell test.

I've had issues with my ding dong not working right and all sorts of weirdness with SSRIs. I forget which SSRI it was, but I couldn't have an orgasm for the life of me if I was trying to, but if I sneezed..almost instant orgasm. I eventually gave up on medication, they didn't seem to help the problems I had and then gave me a some more on top. Therapy seemed to help me a lot more than anything else, however it took me *years* to find a therapist I clicked with.