I have a low sex drive since I started taking the antidepressant, what should I do?

28-year-old woman2 years ago
Hello, my doctor prescribed antidepressants as a preventive measure. I've been taking them for a week now and I have no libido and have difficulty reaching orgasm. This affects me much more than the "pre-depressive" symptoms I used to experience.
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Naji-tom Samaha · 2 years ago
Hello Mrs,
  • What antidepressant is it?
  • At what dose was it started?
  • Have you tried another antidepressant in the past?
  • What do you mean the antidepressant was prescribed as a preventative measure?
  • When did your symptoms start?
Thank you for your time!
28-year-old woman · 2 years ago
Hello,
  • the medication is citalopram
  • the current dose is 10mg to increase to 20mg if there are no side effects
  • This is the first time I'm taking this kind of medication
  • I say preventive because I do not feel severely depressed. I just had several events in my life that made me need to rest and think about myself for a while. I was very functional but tired
  • I lost all signs of libido after 5 days of taking citalopram
thank you!
Naji-tom Samaha · 2 years ago
Thank you very much for the feedback!
If you think you are having side effects with 10mg, there is no problem with trying to lower the dose to 5mg per day, if only temporarily, to assess the possibility of increasing it afterwards. Your pharmacist will be able to help you with this, including following up closely with you to check tolerance and to keep your doctor informed of the steps you are taking. He/she can even cut the tablets you have in 2 if you wish :)
I want to reassure you that if you are not satisfied, there are many other options. People suffering from depression and/or anxiety may often need several tries before finding the right treatment. If necessary, your pharmacist can suggest alternatives to your doctor if you feel it is appropriate.
Having said that, I suggest that, whether you are taking the medication or not, you begin consultations with a psychologist or psychotherapist. This is covered by most group insurance plans.
I remain available if there is anything :)
Tom Samaha, pharmacist

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