Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Depression With Erectile Dysfunction

dear sir , i am patient of depression, first i have problem of ibs then i have start the problem of frequent urine and strange urge to pass the urine , my doctor give me paxidep 37.5 .it suit me , and i feel much better and my life going smooth,but i am facing the problem of erection some time ,i asked the doctor he suggest me bupron xl 300mg,but my symptom come back again like frequent urine ,plz guide me is paxidep is good to use continues , i am 36 year old
Tue, 9 Dec 2014
Report Abuse
Psychiatrist,  's  Response
Hello thanks for asking from HCM

You have depressive illness and have been given paroxetine 37.5 mg controlled release tablet for that. The drug has resulted in improvement but you have started having sexual side effects especially erectile dysfunction. Paroxetine is a SSRI drug and it is known to cause sexual side effects but erectile dysfunction is not a common side effect. Bupropion is free of sexual side effects so can prove useful, but it doesnt prevent the sexual side effects. To reduce erectile dysfunctions associated with anti-depressants usually drugs like SILDENAFIL, TADALAFIL etc are advised. Other drugs like YOHIMBIN can also prove useful. I would advise you to consult your psychiatrist for these medicines.
If problem persist then change of antidepressant to other drugs like Trazodon, Mirtazapine can be done. Both of these drugs are free of serious sexual side effects and infact help to improve erection. Discuss your psychiatrist for prescription.

Thanks, hope this helps you.
I find this answer helpful
Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Treatment For Depression With Erectile Dysfunction

Hello thanks for asking from HCM You have depressive illness and have been given paroxetine 37.5 mg controlled release tablet for that. The drug has resulted in improvement but you have started having sexual side effects especially erectile dysfunction. Paroxetine is a SSRI drug and it is known to cause sexual side effects but erectile dysfunction is not a common side effect. Bupropion is free of sexual side effects so can prove useful, but it doesnt prevent the sexual side effects. To reduce erectile dysfunctions associated with anti-depressants usually drugs like SILDENAFIL, TADALAFIL etc are advised. Other drugs like YOHIMBIN can also prove useful. I would advise you to consult your psychiatrist for these medicines. If problem persist then change of antidepressant to other drugs like Trazodon, Mirtazapine can be done. Both of these drugs are free of serious sexual side effects and infact help to improve erection. Discuss your psychiatrist for prescription. Thanks, hope this helps you.