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Urology (Expert Forum)
Prothiaden problem.
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Prothiaden problem.
by jracer, Jun 29, 2006 12:00AM
Doc,
I took half a 25mg capsule of Prothiaden (dothiepin), that is ALL I took. As a result I am sexually dsyfunctional. By 'sexually dysfunctional' I mean difficulty getting and maintaining erections.
I know that trycyclics can cause nerve damadge but I am told this is only possible if the drug is taken at high doses over a long period of time which is obviously not the case. Can you confirm this?
I am also told that Prothiaden has upset other systems in my body and things will return to normal over time, however its been six months and no changes. What is wrong?
I want to make it clear that this problem is not psychological. I am depressed and have been open and willing to trying new drugs. I always stop though once the 'side effect' kicks in. None have ever been this bad and lasted this long. I want to know if and when it will go away?
I am not currently on any other medications.
I am only 23.
Any answers you can give me would be very much appreciated.
James
I took half a 25mg capsule of Prothiaden (dothiepin), that is ALL I took. As a result I am sexually dsyfunctional. By 'sexually dysfunctional' I mean difficulty getting and maintaining erections.
I know that trycyclics can cause nerve damadge but I am told this is only possible if the drug is taken at high doses over a long period of time which is obviously not the case. Can you confirm this?
I am also told that Prothiaden has upset other systems in my body and things will return to normal over time, however its been six months and no changes. What is wrong?
I want to make it clear that this problem is not psychological. I am depressed and have been open and willing to trying new drugs. I always stop though once the 'side effect' kicks in. None have ever been this bad and lasted this long. I want to know if and when it will go away?
I am not currently on any other medications.
I am only 23.
Any answers you can give me would be very much appreciated.
James
Doctor's Answer
by Kevin Pho, MD, Jun 29, 2006 12:00AM
, Jun 29, 2006 12:00AM
There are some cases of tricyclics leading to erectile dysfunction. It is unlikely that this can happen after a single dose.
You can look for other causes of sexual dysfunction. This can include imaging (i.e. an ultrasound) to look for vascular issues as well as blood tests looking for testosterone deficiency.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
You can look for other causes of sexual dysfunction. This can include imaging (i.e. an ultrasound) to look for vascular issues as well as blood tests looking for testosterone deficiency.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_