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Hi I Have Had OCD For 30 Years. I Have

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Posted on Tue, 30 Oct 2018
Question: Hi I have had OCD for 30 years. I have finally found the right medicine for me. Even though it has not been approved by the FDA,the SSRI trintelelliix . It has worked very effective for me. My psychiatrist approves. For the first eight months I had no sexually side effects. The last month I have not been able to climax. I have gone from Viagra to 5 mg of Cialis everyday and 20 mg 1 hr before sex.Will my ability to climax come back or am I screwed!
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Answered by Dr. Dr. Ashok Kumar Choudhary (31 minutes later)
Brief Answer:
Consultation

Detailed Answer:
Hello,
Thanks for using Ask A Doctor service.

I read your query and understand your concerns.

First of all, I like to inform you that there is a good possibility to achieve orgasm even with the use of SSRI group of medications like Trintellix. This is a common side effect with SSRI group of medications and as a clinician, I can state that most cases respond well even with a slight lowering of medication dose.

The second option is to use dopamine agonists like Ropinirole or Pramipexole among others. The dopamine agonist helps considerably in few patients with loss of climax due to the side effect of SSRI.

Thirdly and most importantly keeping your worries under control is an important part of the treatment of delayed/no ejaculation.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3354 Questions

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Hi I Have Had OCD For 30 Years. I Have

Brief Answer: Consultation Detailed Answer: Hello, Thanks for using Ask A Doctor service. I read your query and understand your concerns. First of all, I like to inform you that there is a good possibility to achieve orgasm even with the use of SSRI group of medications like Trintellix. This is a common side effect with SSRI group of medications and as a clinician, I can state that most cases respond well even with a slight lowering of medication dose. The second option is to use dopamine agonists like Ropinirole or Pramipexole among others. The dopamine agonist helps considerably in few patients with loss of climax due to the side effect of SSRI. Thirdly and most importantly keeping your worries under control is an important part of the treatment of delayed/no ejaculation. I hope this helps you. Feel free to write back to me if you have more questions. Thanks and regards.