Antidepressants are medications used to treat depression. They work by making the chemicals in the brain more active. In order to take antidepressants, a patient needs to have been diagnosed with moderate or severe depression as opposed to mild depression. They must also be experiencing symptoms for at least two weeks before being prescribed any type of antidepressant.hey are not addictive, but they can have adverse side effects, so it’s important to consult a medical professional before taking one.
The class of antidepressants is determined by their chemical structure and method of action. For example, the TCAs inhibit the reuptake of serotonin and norepinephrine, SSRIs inhibit the reuptake of serotonin, MAOIs inhibit the breakdown of neurotransmitters in the brain, SNRIs inhibit the reuptake of both serotonin and norepinephrine.
One recent study found that men who were taking antidepressants were also much more likely to have an erection problem. The study looked at 28,000 people in Norway and found that 2 out of every 1,000 men between the ages of 20-40 who took antidepressants had erectile problems.
The side effects of antidepressants on PE can be sexual dysfunction, anorgasmia, penile erection disorders, decreased libido, and delayed orgasm. These side effects are attributed to the inhibition of serotonin-mediated neurotransmission in various parts of the brain. Serotonin is a chemical messenger which helps regulate moods, sleep patterns, appetite, sex drive, and other functions. Antidepressants inhibit this function by blocking or reducing its production. This causes changes in your body’s chemistry, including those affecting blood flow to certain areas of the penis.
Psychoactive drugs are substances that enter the brain with the intent of changing or altering psychological processes. When it comes to the issue of sexual performance, there is a host of factors that can affect how an individual with depression responds to these drugs. One such factor is whether or not the person chooses to have sex at all. In addition, if they do decide to have sex, there will be differences in the way they experience it depending on how they choose to take their antidepressants.
Common Antidepressants And Their Side Effects:
The most common antidepressants have side effects that are already made known to everyone. Some of the most prevalent of these are the below:
Citalopram (Celexa®) is a selective serotonin reuptake inhibitor used for treatment of major depression, anxiety disorders, and panic disorder. It may cause priapism in men who are prone to it.
The drug inhibits the re-absorption of serotonin in the brain, which increases its levels in the body.
Symptoms of priapism in the penis, such as painful erections that last for more than four hours or that happen when not aroused, can be a sign of an underlying medical condition. Priapism is most commonly associated with medication such as Citalopram (Celexa®) which can lead to an increased risk of priapism.
Sertraline (Zoloft®) is an antidepressant in the SSRI class. It has shown to be effective in managing anxiety and depression.One side effect of sertraline on the sexual side is premature ejaculation, which can be an effect of erectile dysfunction. Sertraline has also been shown to reduce libido. On the other hand, sertraline is sometimes prescribed for its believed positive effects on increasing ejaculation volumes and sperm quality.
The Prozac® is a selective serotonin reuptake inhibitor (SSRI) and because of this, it can cause an inhibition in the body’s production of phosphodiesterase enzyme. This leads to prolonged periods of erections or priapism which can be painful and damaging if not treated quickly.
Paroxetine (Paxil®) is a selective serotonin reuptake inhibitor that is used to treat a wide variety of mental health disorders. It has been shown to cause persistent sexual side effects, such as erectile dysfunction, in approximately 22% of men. These sexual side effects can include decreased libido, delayed ejaculation/orgasm, and problems with erection.
Duloxetine is a selective serotonin and norepinephrine reuptake inhibitor that has been shown to have side effects including impaired ejaculation. One study found that while taking Duloxetine there was a noted decrease in average number of ejaculations per week, total volume of ejaculate, and duration of ejaculation.
Escitalopram (Lexapro®) is a selective serotonin reuptake inhibitor (SSRI) prescribed for depression and generalized anxiety. It has been found to inhibit ejaculation in men, leading to delayed or absent orgasm and, ultimately, anorgasmia (the inability of a person to achieve arousal or orgasm through any means).
What To Do If Your Antidepressant Is Affecting Your Sex Life?
The person should consult with their doctor about switching medications or reducing the dosage. The use of Viagra (or sildenafil) may also help to mitigate the symptoms of ED but only to be used after consultation with a doctor in case of underlying medical conditions.
Stopping is generally not recommended. When someone takes prescribed antidepressants, they are working at normalizing their brain chemistry back to what it should be. Stops taking the medication could cause the person’s brain to start producing serotonin and other mood-regulating hormones at a slower rate. The abrupt stop in medication usage means that the serotonin levels will be lower than they were before due to lack of stimulation from the antidepressant.
Your antidepressant is affecting how long you last in bed. The best advice for men with depression is to talk to your doctor about how your medication may be affecting your sex life.