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Depression, Taking Venlor 75 , Dulot, Loss Of Erection. Continue The Medication?

Posted on Tue, 5 Jun 2012

Question: age : 27 ,

i recently went to see a psychiatrist. i had depression one year back. AFter that i lost interest in profession...i just want to be in entertainment always....and lack of intrest in social things..etc..the doc gave me venlor 75 , dulot, fludac 25,trazalon 25 ...i tryed it for a week. after that i tryed to masterbate and i couldnt...something was missing ...the erection was not that hard...and i couldnt go to the edge...noteven near to edge..i went and told that doctor..he said it will goaway very soon...and to continue the medication...what should i do ?...i m really worried..

Answered by Dr. Ashish Mittal (1 hour later)

Hello,

Thanks for your query.

I appreciate your efforts for medical consultation at right time.

Important aspects of your query are:
• 27years old male
• Known case of Depression
• Currently on venlor, dulot, fludac and trazalon
• Currently complaint of erectile dysfunction and difficulty in getting orgasm

In your case some of the sexual problem may be because of depression but considering the fact symptoms started after the start of drugs then we should consider drug induced sexual side effect in your case. From the drugs you are receiving venlor, dulot and fludac cause sexual side effect in form of decrease desire, erectile dysfunction and difficulty in orgasm.

Following measures will help you:
• Use minimum number of anti depressants after discussion with psychiatrist and do not stop any medicine suddenly.
• Replace venlor, dulot and fludac with other anti deoressants not having sexual side effects like: Mirtaz and Bupropion (After discussion with your psychiatrist)
• Do not worry much as drug induced sexual side effects temporary and improved after change of medicine.

Final message to you: worry less and discuss above measures with your psychiatrist.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashish Mittal (2 hours later)

thank u for your reply. i will definitely tlak to my doc regarding ur suggestions.few of my doubts are not clear. yet..

If i stop my medication . will my sexual libido will be back like before?. or will it be normal in continueing the medication (change of medicine)...because in most of the websites i searched in internet..many peoples say they dont get it like back..its not like before &all ...and some say it become like before....which one is the true fact. thank u

is this side effects temporary or permanent? ...if temproray how long will it last...thank u .

Answered by Dr. Ashish Mittal (4 hours later)

Hello again,

Thanks again.

Sexual side effects are temporary and will decrease. The effects of the drug will gradually wean off. Fludac has the longest acting and may take 1-2 month to be washed out from the body. So sexual side effects would reduce and disappear after that period (1-2 month).

Apart from that depression is also associated with decrease libido and your libido will be like your previous self after improvement of depression. Follow your psychiatrist advice and suggestions strictly. And do not worry.

I hope this information has been both informative and helpful for you.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ashish Mittal (9 hours later)

thank u again for ur reply.

My libido was fine even in my heavy depression time which was one and hlaf years ago.

so after trying this medication for few months. And if i stop will my libido be back 100% like before,after the washout time. will my sexual thing will be back 100%. because in most of the website blogs peoples say it has not returned/killed libido/very low/for yrs...yet waiting...i see so many posts like that...But i can say one thing.past one week in those drug. i feel great. my only problem is sexual dysfunction. i can img a life without sex. i m unmarried till now . thank u

Answered by Dr. Ashish Mittal (2 hours later)

Hello again,
Thanks for the follow up.

All reviews are not correct on net. There may be some other reason for continuation of decrease libido in reviewers like:

- Persistent of psychiatric symptoms
- Sexual side effect of other medicines
- Physical illness
- Hormonal illness

These factors are need to addressed before labeling continuation of sexual side effect because of SSRI(Selective serotonin reuptake inhibitors ).

In my practice, I used to see return of sexual functioning after stoppage of SSRI.

So, do not worry.

Wish you good health.

Regards,

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Radhika