5 Things Men Should Know
5 Things Men Should Know for EDAntidepressants can be a powerful tool for treating depression and anxiety. But some men may fear that taking such drugs could endanger their sexual health. The side effects of these drugs are common – they can cause problems related to ejaculation (delayed or impossible) and weak libido.
But there is good news: Many men can find relief from sexual dysfunction caused by antidepressants while continuing to take medication. “It’s usually a very serious problem,” says psychiatrist David J. Hellerstein, MD, of Columbia University.
We spoke to Dr. Hellerstein, along with three other specialists – psychiatrist David Healy, MD, McMaster University, pharmacist Benjamin Chavez, PharmD, University of Colorado, and pharmacist Sarah T. Melton, PharmD, of East Tennessee State University – to learn more about how men can take antidepressants without harming their sexual health.
Here is what they said:
The solution can be as simple as a dose adjustment
“Patients often go to Google, write‘ sexual dysfunction, ’and come to a quick conclusion about their problem. There are many medical causes for sexual dysfunction, such as depression, anxiety disorders, and drug abuse. We have seen people tell us that their sexual performance improves while taking antidepressants, perhaps because their loss of function was a severe sign of their depression.
Talk to your psychiatrist or doctor and try to fix it. Do not stop your treatment or make changes, which can lead to serious problems. Sometimes sexual dysfunction improves over time as the body adjusts. And one of the simplest things you can do is adjust your dose [under your doctor’s direction] – reduce it, skip it, or take it later in the day. ” – David J. Hellerstein, MD
Some Antidepressants Are Harmful Than Others
“Two classes of antidepressants are associated with an extremely high rate of sexual dysfunction.
One group is selective serotonin reuptake inhibitors (SSRIs) – citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine ( Paxil), and sertraline (Zoloft). Paxil is considered to be the most problematic. It is considered to be the preferred drug for premature ejaculation to prolong orgasm.
Another group is serotonin-norepinephrine reuptake inhibitors (SNRIs) – desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), and venlafaxine (Effexor).
The new antidepressants new vilazodone (Viibryd) and vortioxetine (Trintellix) have been shown to have lower levels of sexual dysfunction than traditional SSRI and SNRI drugs. Bupropion (Wellbutrin) and mirtazapine (Remeron) also have lower levels of sexual dysfunction. “- Sarah T. Melton, PharmD
Sedatives can play a role if you take one
“It has been reported that sexual dysfunction with benzodiazepines is used for anxiety, but there are few details that indicate how many men are affected or likely to be present. The most reported side effect is not positive.
However, these drugs are only indicated for short-term use – 2-4 weeks – which results in reduced sexual dysfunction. “- Sarah T. Melton, PharmD
Changing or Adding Medications May Bring Relief
“Another option is to switch to another medication. The entire SSR class can cause sexual dysfunction, and none of them have a very low risk. But Lexapro and Prozac appear to have a much lower risk among SSRIs.
The least common antidepressant is Wellbutrin. It does not affect serotonin, which causes sexual dysfunction. So in itself, there would be no risk of sexual dysfunction. However, some patients may not be able to function at all because of stress or anxiety. ”
– Benjamin Chavez, PharmD
Sexual Problems May Continue After Not Going On Medication
“After stopping treatment, some men may continue to have sexual problems, and some may have problems such as premature ejaculation. We do not know the proportion of those who have this. However, there is no permanent damage, and it looks like it could turn [in most men]. Let your doctor know if this happens. ” – David Healy, MD
How Alcohol Can Affect Your Lust
They are the oldest eaten compounds – going back 9,000 years with a drink made from fermented rice.
It is a stress reliever, an aphrodisiac, an astringent agent, a preservative, and an ice breaker for parties. Yes, I’m talking about alcohol.
And what a wonderful relationship you have had with us over the last few thousand years.
But let’s get down to the nitty-gritty.
How does alcohol affect sex and arousal?
Does it promote or prevent sex?
The answer is that it does both.
Drinking a drink or two can reduce stress and anxiety and make it easier for colds to start conversations. In this sense, it can improve sex drive and motivation, basically by removing the daily stress that keeps libido under wraps.
And since alcohol weakens your conversational filter, you may end up saying things that you do not know.
But alcohol is soothing and soothing and works as an anesthetic.
It fixes things right.
Before the development of the first true anesthesia in 1846 at Massachusetts General Hospital, surgeons often relied on alcohol and ammunition to perform operations.
Drink plenty of it, and alcohol may make you feel dizzy and lose your appetite.
Not only that, the orgasm is hard to reach and often fades.
Above the same few hours, alcohol can increase sexual motivation and lower your performance.
It’s a good line to go.
And, of course, sexual performance is not the only thing you should consider as you decide whether to order a cocktail or not.
If you have trouble controlling your eating habits or if you are going to drive, consider skipping a liquid liver and be encouraged by knowing that your posture and sex will improve.
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