Sex & Romance
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Antidepressents and Libido

Does anyone here take antidepressents by chance?  I take 40mg of Citalopram daily and it seems to affect libido horrendously, especially in the past year.  I have an appointment to see a doctor next Friday to discuss possible other medications to try. 

Any advice from anyone?

Re: Antidepressents and Libido

  • A side effect of most antidepressants is lowered sex drive.  Have you tried a lower dose at all?  Also, if you are also taking hormonal contraceptives, that may lower it, too. 

    Talk to your doc about other options, but (from what my sister tells me) it's all about trial and error.

    http://www.mayoclinic.com/health/low-sex-drive-in-women/DS01043

     

  • I'm on the 20mg of it and haven't noticed any difference. I am a pharmacy tech and the PP is correct, it is all about trial and error. There are a couple others you can try. hope it all works out!
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  • I just became a pharmacy tech a few months ago, so I have been researching other types and their side effects.  I think I will ask to split the pill and see how it goes!
  • my husband's on citalopram, and i'm on lexapro, so we're both a little lazy about sex sometimes!
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  • I've tried a mixed bag of anti-anxiety drugs, which usually are similar to anti-depressants.  I've been told by both my GP and my OBGYN that the drugs cause decreased libido and some actually make it more difficult to orgasm (more of the anti-anxiety drugs).  I've had the best luck with Pristique.  I also talked with my OBGYN about the interaction between antidepressants and birth control pills.  Being on both, it's definitely a mood-killer.  But...I went off BC and am only on Pristique and am fairly happy.  I can't say that I'm wrapping myself in plastic wrap when my hubby comes home, but the idea of sex doesn't make me think...well...crap...I have to shave my legs.
    kelbell
  • I take Cipralex 10mg and the birth control pill, and I noticed a decrease in libido with both.'

    I found that exercise and a good diet helped a bit, but I definitely have to make more of an effort to get in the mood. I try to prioritize it though, and usually if I'm not in the mood beforehand, I'm still happy after the act :) 

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  • Hi Goetzr!

     I was on Citalopram 20mg for several years. I definitely noticed a big change in libido when I was on it. I have always heard that trial and error is your best bet since drugs interact with people so differently. For me (and I know this is not an option for everyone), I decided to get off the meds totally. I am not going to lie - it was really hard. It made me realize how reliant my body was on it when I tried to get off of them. It took a long time, and alot of patience, but I am finally done with Citalopram and I can honestly say that I now recognize a positive difference in my libido.

     Good luck :)

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  • I've tried several antidepressants over the last few years.  Prestiq is the best I have found for minimal sexual side effects.  Staying active also helps a lot.  Also, "planning ahead" seems to help me.  If I start thinking about what I want to do before we "do it" I feel that I'm more in the mood.  Just talking with my husband always helps as well. 

  • This response may be a little long but please bear with me! :)

    I took 40 mg of Citalopram daily after DH and I first married. It had an intense effect on my sex drive. I took Atarax during the day for breakthrough anxiety and Trazadone at night. Yep, pretty crazy I guess. :( anyway... Coming off of it wasn't helpful either, as I suffer pretty intense depression and don't enjoy - well, anything - when I'm completely untreated.

    About six months after we were married, DH landed in the emergency room with panic attacks/anxiety episodes and they put him on Citalopram and a breakthrough anxiety medicine (we're quite a pair!). I thought "well, at least our sex drives will match) but he was always in the mood.

    His breakthrough medicine is called "Buspar" and apparently it heightens libido and actually increases pleasure to some degree. I'm not sure what you're being treated for or if it is an option for you, but you might research it. I DO know you cannot take it while trying to become pregnant. 

  • One more thought - without changing your meds. Every once in a while, when I logically know that I'm very overdue for offering any enthusiastic loving to the marriage, it helps to make myself make an event out of it.

    Like, I will go buy new lingerie, just like adding it to other errands at the end of the work day, and come home with the decision to take a shower, fix my hair and makeup, and get dressed in it. If I MAKE myself do those things, usually by the time I'm dressed, my body and mind are ready. Hope that helps some!

  • imageEr1n01:

    I've tried several antidepressants over the last few years.  Prestiq is the best I have found for minimal sexual side effects.  Staying active also helps a lot.  Also, "planning ahead" seems to help me.  If I start thinking about what I want to do before we "do it" I feel that I'm more in the mood.  Just talking with my husband always helps as well. 

     

    I agree...as I mentioned before, Pristique does have some negative effects on a gal's sex drive, but this med is one of the best.  I think that the "mood killer" feelings can be overcome by what was being talked about....start talking about and thinking about what is going to happen.  For me...just calling my hubby at work and letting him know that I've done this or that evens out the effects of my meds!!! 

    kelbell
  • I've been on 40mg of Citalopram for about a year and I had believed that it didn't effect my sex drive, just have had some weight gain issues. However, almost 3 months ago I switched to Zoloft and my sex drive has gotten awesome, I don't want it as often as he does, but I actually think about it regularly. I didn't realize that it was effecting me because I was previously on a birth control that completely knocked out my sex drive, like to the point that I didn't even want to be touched. Of course, Zoloft sucks for me in every other way, but I'll be talking to my dr. to find a compromise and you definitely should too.
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