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Mental Health  (Expert Forum)
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Anxious and depressed
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Anxious and depressed

by aaron, Nov 24, 1999 12:00AM
Just a quick question.  I'm taking Zoloft but it is causing difficulty in the bedroom.  I suffer from social anxiety and depression.  I've heard that Paxil works good for anxiety but it also has sexual side effects.  In your opinion, what's the best antidepressant for my condition that has the lowest incidence of sexual side effects?

by HFHS.MD-AJ, Nov 28, 1999 12:00AM
Aaron,

Social Anxiety Disorder (Social Phobia) and depression are both often treated effectively with SSRIs (such as Zoloft, Paxil, or Prozac) or Effexor. However, sexual side effects are not uncommonly associated with all these medications. Medications such as Wellbutrin or Buspar may be added to SSRIs to lessen their sexual side effects. Other medications such as Serzone or Remeron may be used to treat depression and anxiety, with lower risks of sexual side effects. I urge you to discuss your concerns further with your treating physician/psychiatrist.
Member Comments (2)

by emmy, Nov 25, 1999 12:00AM
Aaron,
I swithched from Paxil to Wellbutrin because I was experiencing sexual side effects.  The wellbutrin caused me no ill effects in the bedroom and seemed to control my depression well.  I'm not a Dr., but I have been there.  Good Luck!
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