Expert: Dr Alan Galbraith - 9/24/2009

Question
QUESTION: dear sir,
aprat from ssri and tricyclic which is effecting more to body organs i mean to ask sexual side effects  and in ssri medicines which medicines are creating less sexual side effects

ANSWER: Dear Majid

Tricyclics usually produce more sexual problems than the SSRISs.

Regards

Alan Galbraith

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

QUESTION: dear sir,
in SSRISs medicines which medicines are creating less sexual side effect, secondly i am intrested to start pari cr or sertraline or citalopram but these medicines are not giving good sleep , i mean ssris medicines are not giving good sleep, moreover i dont get good sleep without tricyclic medicines like nortripytiline , i am taking tricyclic medicines only since the stating of my depression but i am not yet recoverd oppositly i lost my libido so i am desiding to start ssris medicine for perfect recovery,i am in little bit worry bcoz i have my marriage in january  

Answer
Dear Majid

As I have said many times your real need is pscychotherapy. The more you play about with both tricyclics and SSRIs the more problems that you are goung to create for yourself. The SSRI's can cause delayed ejaculation which may or may not be a problem but should not affect any other aspects of sexuality (but they do in some people. By all means give the SSRIS a try again but be careful and take advice from the precriber on the transition from tricyclics to SSRIs.

Regards

Dr Alan Galbraith