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On Antidepressants - Can't Cum!
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max_garfield
05-12-2016
I would love to know if others have experienced this, I believe it's a side effect though not actually written on the box/leaflet thingy.

I was on Fluoxetine this time last year until about March. it did absolutely nothing for me...couldn't sleep at night but could sleep all day, felt irritable, felt generally more depressed than ever and....couldn't ejaculate! Well i could, but it took HOURS. Most frustrating.

Anyway, after an abysmal year with my mental health (another long story) I was put on Citalopram two weeks ago. Now, I have to say I have no bad side effects except I couldn't sleep at night and surprise surprise....can't cum! So I've come off them as of yesterday, and today? CAN CUM. This is a miracle tbh

But the thing is, the citalopram was actually helping, I felt a bit better, but the lack of sleep and not cummin' is just a mean experience.
MC_Satan
05-12-2016
It's fairly common with this class of antidepressant. It should pass but doesn't always.
Arcana
05-12-2016
Apart from mild nausea the first time I took it, I've experienced no noticeable side effects from Fluoxetine.

Other anti-depressants including Citalopram did affect my sex drive for a few weeks but it passed.
Bex_123
05-12-2016
Originally Posted by max_garfield:
“I would love to know if others have experienced this, I believe it's a side effect though not actually written on the box/leaflet thingy.
”

Sexual problems are one of the most common side effects of SSRI drugs, it would definitely be in the leaflet.
Lou Kelly
05-12-2016
My bf is on Citalopram and yes it's a common side effect. We thought it may go away but it hasn't, it's a very unfortunate side effects but the good outweighs the bad.
D_Mcd4
05-12-2016
It's a common side effect as others have said. Two weeks was too short a time too for you to have had any benefits from them, so unfortunately you suffered those side effects for nothing.
max_garfield
05-12-2016
Originally Posted by D_Mcd4:
“It's a common side effect as others have said. Two weeks was too short a time too for you to have had any benefits from them, so unfortunately you suffered those side effects for nothing.”

As if darlin'
foonk
05-12-2016
Two weeks is not long enough to get the benefits and you should see your GP rather than simply stopping your medication.

As others have said, SSRI drugs can often cause sexual dysfunction, but often those effects reduce over time.

See your GP, good luck.
ajman
05-12-2016
If you can't live with it then you could ask to try Mirtazapine which doesn't have those effects. No problems with orgasming and you sleep really easily. It does make you feel like your body is made out of lead and your brain is full of wool though.
joshua321
05-12-2016
I have this too with paroxetine - also eventual ejaculations usually have no orgasm along with them. Unfortunately it seems it's a price I have to pay. And no, the effects don't reduce over time.

My rule of thumb is: if they say 1 in 100 people get a particular side effect, you'll probably get it. If they say 1 in 1000 people get it, you still have a good chance of getting it.

One doctor I had simply didn't believe that I got so used to the sedating effects of quetiapine that it is impossible for me to get to sleep now without it. She should try taking the damn things - would love to see her pile on six stone and be walking around like a zombie.

This is what pills do to you. It's up to you to work out what's worse - the illness as it is without them or the side effects. But often the pills are very scattergun in their approach and don't help much with the illness, in which case you may well decide the side effects are worse. The trouble is you don't know how much they're helping until you try coming off them, and if you do and end up feeling worse, it's often a lot harder to get back on an even keel. So they've got you.

Psychiatrists simply don't know enough about how the brain works so the medical offerings for mental health conditions are almost always woefully poor, have numerous side effects and are simply pushed by the drug companies. Many psychiatrists take a lucky-dip approach in finding something that might work, and severely mess you up in the process.
MC_Satan
05-12-2016
Edited.
Why Paroxetine? It is not usually prescribed.
joshua321
05-12-2016
Originally Posted by MC_Satan:
“Edited.
Why Paroxetine? It is not usually prescribed.”

Paroxetine is one of the most prescribed SSRIs.
razorback Tony
05-12-2016
It's probably my childish erotic mind, but I couldn't help thinking that if a guy was prescribed a drug that stopped him ejaculating, but he was still able to bang merrily away for hours, his girlfriend would be either asking his G.P. to keep him on it, or begging him to lower the dosage, to give her a rest.
stoatie
05-12-2016
Yeah, Citalopram can have that effect. When they first put me on it I found that VERY annoying, but far less annoying than the massive amounts of clinical depression it was treating- eventually cut my dose (gradually) to a point where there was some kind of balance between the two. But, y'know. There's "annoying in your sex life" and "life-saving in your actual life", and they're not really worth the same amount.
Twmbarlwm
05-12-2016
Originally Posted by razorback Tony:
“It's probably my childish erotic mind, but I couldn't help thinking that if a guy was prescribed a drug that stopped him ejaculating, but he was still able to bang merrily away for hours, his girlfriend would be either asking his G.P. to keep him on it, or begging him to lower the dosage, to give her a rest.”

Yeah, it sounds great, but for many men, there's no pleasure involved in those hours. SSRIs killed my libido totally and, personally, I believe it cost me a couple of relationships.

For me, the side effects of the SSRIs were so bad that they became a huge source of negative thoughts for me. The bad outweighed the benefits with them and I've now lived many years without them.

I should say that that's just me - I know many people swear by them and that the benefits outweigh any side effects with them. I don't want to change their mind.
WhatJoeThinks
05-12-2016
U can't cum coz u is on Citalopram? To bad m8.

Your spelling seems to have suffered too. Perhaps you should try to 'come' instead?
MC_Satan
05-12-2016
Originally Posted by joshua321:
“Paroxetine is one of the most prescribed SSRIs.”

Not in my trust it's not. It's almost NEVER used due to it's side effects and discontinuation profile. You are very unfortunate if your side effects haven't gone away to some degree. For most people they do. Also I have encountered people who don't want to come off Quetiapune as they can't sleep. It is withdrawn and after about a week sleep reverts to normal. It's important to note in a discussion about antidepressants that Quetiapine is not an antidepressant - it's primarily an antipsychotic.
D_Mcd4
05-12-2016
Originally Posted by max_garfield:
“As if darlin'”

The side effects would have gone I think. The fact that you were okay just 24 hours later shows your body was adjusting. The half life of citalopram in your body is around 35 hours, so you were still well dosed up on it!
joshua321
05-12-2016
Originally Posted by MC_Satan:
“Not in my trust it's not. It's almost NEVER used due to it's side effects and discontinuation profile. You are very unfortunate if your side effects haven't gone away to some degree. For most people they do. Also I have encountered people who don't want to come off Quetiapune as they can't sleep. It is withdrawn and after about a week sleep reverts to normal. It's important to note in a discussion about antidepressants that Quetiapine is not an antidepressant - it's primarily an antipsychotic.”

Are you a doctor then? Many people have been on paroxetine for years and have much reduced sexual function and pleasure.

I know quetiapine is an antipsychotic, but it's also used off-label in combination with SSRIs, especially for anxiety disorders such as OCD. I was using it as an example.

Believe me it takes much longer than a week to undo the damage to the brain's sleep cycle done by quetiapine, but then I imagine you've never actually been on it yourself, have you?
MC_Satan
05-12-2016
Originally Posted by joshua321:
“Are you a doctor then? Many people have been on paroxetine for years. I know quetiapine is an antipsychotic, but it's also used off-label in combination with SSRIs, especially for anxiety disorders such as OCD. I was using it as an example.

Believe me it takes much longer than a week to undo the damage to the brain's sleep cycle done by quetiapine, but then I imagine you've never actually been on it yourself, have you?”

No, I'm a mental health nurse. Have been for years. I have seen patients come off quetiapine. I have seen them claim inability to sleep, I have seen them struggle to sleep. I have seen 95% of them sleep fine within a week. Generally when we are taking someone off a medication prior to commencing another (usually when we can't cross titrate due to EPSE's). My partner however IS a doctor, a Psychiatrist.
I wasn't suggesting that you didn't know Quetiapine is an antipsychotic. Rather that others reading this would not know that it is not an antidepressant - in a thread about antidepressants. I am aware it is used in other conditions (very limited evidence base that it works to actually reduce anxiety in the long term and is generally seen as too sedating) which is why I said 'primarily'.
As for Paroxetine, there may well be many people on it but it is mostly either bad prescribing by GP's or historical cases that find it's the only thing that helps. Almost no one is prescribed it as a new medication in my area.
stvn758
05-12-2016
Try Mirtazapine or Buproprion, they have the opposite effect.

Citalopram is typical of SSRI's and it can be permanent. It's one of the main side effects of them and if you're lucky enough not to be ruined down under it can still take a few months to wear off after you stop taking them.
joshua321
05-12-2016
Originally Posted by MC_Satan:
“No, I'm a mental health nurse. Have been for years. I have seen patients come off quetiapine. I have seen them claim inability to sleep, I have seen them struggle to sleep. I have seen 95% of them sleep fine within a week. Generally when we are taking someone off a medication prior to commencing another (usually when we can't cross titrate due to EPSE's). My partner however IS a doctor, a Psychiatrist.
I wasn't suggesting that you didn't know Quetiapine is an antipsychotic. Rather that others reading this would not know that it is not an antidepressant - in a thread about antidepressants. I am aware it is used in other conditions (very limited evidence base that it works to actually reduce anxiety in the long term and is generally seen as too sedating) which is why I said 'primarily'.
As for Paroxetine, there may well be many people on it but it is mostly either bad prescribing by GP's or historical cases that find it's the only thing that helps. Almost no one is prescribed it as a new medication in my area.”

You may have thought you knew what was happening with the patient's sleep patters, but I would suggest you didn't. I would also suggest that even psychiatrists have a very poor understanding of what their patients experience on any kind of medication, and are in virtual denial about the side effects.

I am sure there are several good psychiatrists and perhaps even mental health nurses, but the majority I have come across lack basic compassion and understanding of their patients.
eggchen
05-12-2016
Originally Posted by max_garfield:
“CAN CUM. This is a miracle tbh.”

Listen to these songs to celebrate

Cum on feel the noise
Cum on Eileen
I can feel it cumming in the air tonight
Cum as you are
Cum on over

and, seeing as it's Christmas

O cum all ye faithfull
MC_Satan
05-12-2016
Originally Posted by joshua321:
“You may have thought you knew what was happening with the patient's sleep patters, but I would suggest you didn't. I would also suggest that even psychiatrists have a very poor understanding of what their patients experience on any kind of medication, and are in virtual denial about the side effects.

I am sure there are several good psychiatrists and perhaps even mental health nurses, but the majority I have come across lack basic compassion and understanding of their patients.”

Nice. Thanks for the kind words. I wasn't disputing your experiences, just giving mine. I have stated that it us not unknown for sleep disturbance to happen, rather it is uncommon. If we are in denial about side effects why would I mention EPSE's? Why would I say in answer to the OP that it is a common side effect.
On that very subject, Mirtazepine can have an uncommon side effect of making the patient unaccountably irritable and angry. Happened to me, also happened to my friend and a few patients. All of whom were placid, late 30's males.
When we have to cross titrate for EPSE's we often have the patients on constant obs in case of any adverse reactions. So, yeah, I can tell if they are asleep. Those who don't are quick to tell us.
joshua321
06-12-2016
Originally Posted by MC_Satan:
“Nice. Thanks for the kind words. I wasn't disputing your experiences, just giving mine. I have stated that it us not unknown for sleep disturbance to happen, rather it is uncommon. If we are in denial about side effects why would I mention EPSE's? Why would I say in answer to the OP that it is a common side effect.
On that very subject, Mirtazepine can have an uncommon side effect of making the patient unaccountably irritable and angry. Happened to me, also happened to my friend and a few patients. All of whom were placid, late 30's males.
When we have to cross titrate for EPSE's we often have the patients on constant obs in case of any adverse reactions. So, yeah, I can tell if they are asleep. Those who don't are quick to tell us.”

I wasn't being personal. You have to realise I also have a lot of experience of the mental health professions, from the other side, and I just say what I see, and it's not just me either.

For example, currently my nephew is sectioned on a psychiatric ward and one of the nurses (I think she is Spanish or South American) has taken very much against me when I have come to visit him. She treats the place like her personal fiefdom and feels extremely threatened when I strike up conversations with patients that actually treat them like human beings rather than dangerous lunatics. I brought some clothes for him that he left at my house and she decided to go off on a tirade about how they were a 'weird' type of clothes (Indian-style white linen outfit) and that I was making him worse by bringing them, and how he had been calm before I had arrived.

The way she spoke to me as a visitor was quite frankly appalling - sheer ignorant pig-headedness that I've only seen rivalled by social workers. The fact that she is looking after extremely vulnerable people is terrifying - I intend to complain but not until he gets out because I am worried she might take it out on him otherwise.

So I am sorry you took it personally but I do not hold a high opinion of your profession or mental health workers in general, though I am sure there are a minority who are genuinely moved by a desire to help people, as misguided as the way they are going about it may be.
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