Quote:
Originally Posted by lostgirl
I second trying Wellbutrin. It has the least sexual side effects of any of those.
Prozac, Effexor, and Celexa are high on the list of bad side effects.
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Really? Cause I was on Celexa for years without any sexual side effects, and I had a boyfriend on Wellbutrin who couldn't orgasm (he had the same issue on Zoloft).
Like with a lot of medications, one SSRI might have certain side effects for one person but none for another. Someone close to me had problems with Zoloft but none with Celexa, and tried Lexapro (which is a derivative of Celexa that supposedly has fewer side effects) before switching back to Celexa (Celexa is available as a generic, citalopram, which is cheaper). I stuck with Celexa, then the generic citalopram, for several years until weaning myself off.
Does she exercise? Regular exercise (cycling, yoga, walking, sports) made a huge difference in my depression, and made me feel so good I was able to stop the medication, and I've been unmedicated for over a year now. I would really urge anyone on an SSRI to periodically review their need for such a medication, as there are a lot of behavioral things that can be done to get away from the usage of medication.
The other issue could be dosing; sometimes the doctor just prescribes a default dosage without really evaluating the patient's need for a higher dose. It may be that she can get by with a lower dosage. This is tricky, though, as adjusting dosages on SSRIs can sometimes come with nasty side effects, including horrible dizzy spells, depending on how it's done.
Regardless, she should certainly be talking to her doctor about other options.