Expert: Dr Alan Galbraith - 4/18/2009

Question
QUESTION: i am 29 years old unmarreid man, suffering with phobia depression since last 2 years, i have taken taken anti depression medicines which effected to my libido, iwant to konw the side effects of BUPRON and BUSPAR tablet whether it effects to libido or fertility in any concern or if u can suggest any anti depression and anti anxity medicine from indian market which does not libido and fertility, i will be very thanxfull to you

ANSWER: Dear Majid

I am not sure whether they are available in India or not but either trazodone or moclobemide may help you in this situation. As your pharmacist.

Buspar does not normally affect libido but is not all that good for depression, more used for anxiety.

Regards

Dr Alan Galbraith



---------- FOLLOW-UP ----------

QUESTION: as u know i lost my libido, i am fearing in taking any anti depression pill, i want to know the sexual side effectof  PAROXETINE CR TABET , is there these medicine effect libido or erection,i am very satisfied with yr answer i have rated you, plz sir say me, i am depending on you.
thanx u

ANSWER: Dear Majid

Paroxetine can cause loss of libido but not normally. However, it commonly can delay ejaculation, in fact it is often used to delay this in persons suffering from premature ejaculation. It may be worth a try for your depression.

I did say to you before that either trazadone or moclobemide could be used (I am not sure about their availability in India though). Both these very rarely interfere with one's libido.

Regards

Dr Alan Galbraith



---------- FOLLOW-UP ----------

QUESTION: dear sir,
i showed to a psychitrist in india he advised me to take MITRAZAPINE tablet and ETIZOLAM tablet, he said me it will not effect to your libido , i want to know the fact from you , i trust you fully. i will start this medicine by geeting yr clearence only waiting for yr reply soon.
thanking you

Answer
Dear Majid

Mirtazapine does not usually cause loss of libido and is worth a try but it can cause drowsiness especially in the first few weeks so is better taken at night. Weight gain is also a common problem. Etizolam is a benzodiazepine-like drug and is used for anxiety disorders and as a hypnotic. I would only use this for no more than 4 weeks at a stretch as it is addictive. It does not affect libido but again can often cause drowsiness and affect concentration (much more so than mirtazapine). Make sure you do not take any more than 0.25 mg tablets during the day especially initially.

Regards

Dr Alan Galbraith