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      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
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Petrucci914

Overcoming Sexual Side-effects Of Lexapro

26 posts in this topic

Posted

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

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Posted

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

I've been taking 300 WB XL and 10mg Lex. Having to quit the Lex due to the sexual side effects. The WB might have had an effect on the side effects but not enough of one.

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Posted

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

I've been taking 300 WB XL and 10mg Lex. Having to quit the Lex due to the sexual side effects. The WB might have had an effect on the side effects but not enough of one.

I'm new to this forum and dismayed to find that only 2 people have anything to say in a forum about overcoming the sexual side-effects of lexapro. Should I give up hope now?! :hearts: I wonder if that's because it's such a difficult topic, or whether it's because noone has had any success in finding a way to overcome the problem. I'm hoping it's the former!

Until very recently I was taking Citalopram (I think lexapro is escitalopram?) and found it extremely effective for my depression but have just switched to Zispin (mirtazapine) because I've just about had enough of the sexual side effects. Over the years I've tried many different meds (Cipramil, Cipralex, Prozac, lustral, trazodone, reboxetine etc. etc and more 'natural' alternatives such as 5htp, SamE, tyrosine and others) but have found Citalopram to be the best.

If I could only overcome the sexual side effects of it, it would be my drug of choice and I would stay on it forever as I don't have any other side effects. I too have heard that adding either Buspirone or Buproprion helps counteract the sexual side effects. Unfortunately Buproprian is not licenced for depression in the UK and my doctor won't give me Buspirone either. Hence the switch to Zispin (Mirtazipine) which I'm having an awful time with (sedation, depression and extreme anger).

Has anyone out there successfully overcome the sexual side effects of Citalopram/Escitalopram or any of the other SSRI's for that matter? Here's hoping...

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Posted

Hey Sedatedsam, I have been on 300mg WXL for about a month now, I'm not sure if this information will do much good but I was having side effects from depression including anorgasmia proir to WXL, the wellbutrin helped me get over that around week two. Then I added celexa, a relative of Lexapro, anorgasmia was back worse than ever, I tried to stay with the celexa for two weeks at just 5mg which really isn't enough time to treat depression, but the sexual side effects were so overwhelming that I quit. It tood about a week get get back to my new normal functioning. Good luck to you.

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

I've been taking 300 WB XL and 10mg Lex. Having to quit the Lex due to the sexual side effects. The WB might have had an effect on the side effects but not enough of one.

I'm new to this forum and dismayed to find that only 2 people have anything to say in a forum about overcoming the sexual side-effects of lexapro. Should I give up hope now?! :hearts: I wonder if that's because it's such a difficult topic, or whether it's because noone has had any success in finding a way to overcome the problem. I'm hoping it's the former!

Until very recently I was taking Citalopram (I think lexapro is escitalopram?) and found it extremely effective for my depression but have just switched to Zispin (mirtazapine) because I've just about had enough of the sexual side effects. Over the years I've tried many different meds (Cipramil, Cipralex, Prozac, lustral, trazodone, reboxetine etc. etc and more 'natural' alternatives such as 5htp, SamE, tyrosine and others) but have found Citalopram to be the best.

If I could only overcome the sexual side effects of it, it would be my drug of choice and I would stay on it forever as I don't have any other side effects. I too have heard that adding either Buspirone or Buproprion helps counteract the sexual side effects. Unfortunately Buproprian is not licenced for depression in the UK and my doctor won't give me Buspirone either. Hence the switch to Zispin (Mirtazipine) which I'm having an awful time with (sedation, depression and extreme anger).

Has anyone out there successfully overcome the sexual side effects of Citalopram/Escitalopram or any of the other SSRI's for that matter? Here's hoping...

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Posted

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

Yes I have had problems in that area since I started the Cipramil. It has been extremely frustrating for my husband and I. I won't stop taking it though because for me it has treated my depression so well. Now I just have to overcome my anxiety and negative thinking! :hearts:

I think you should definitely talk to your doctor about taking those other medicines.

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Posted

I would say I have less of a desire since starting Lex, but I didnt really have a desire before the Lex either so it doesnt bother me much, we still have sex about the same amount as before and I do enjoy it once I get into it.

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Posted

From everything that I have read, the main thing is to give it time. It may take up to 4 months for the sexual side effects to diminish. Some report that it goes away much sooner.

There are other meds and supplements that may help. The ones I see mentioned the most often are Wellbutrin (drug) and Mucuna pruriens (supplement). But some of the ED drugs may help as well.

Since I don't currently have a partner, it doesn't bother me much. It actually may be a bit of a relief to have less of a drive right now while I am getting better. But that is just me. If sex is important to you, I would take a close look at what can be done to get past this side effect.

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Posted

My interest in sex has increased. My husband says its for worse :hearts:

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Posted

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

I am thankful for your post. I have tried escitalopram and citalopram and while they manage my depression, the sexual side effects were very discouraging, no matter how low the dose. My sexual side effects were very similar to those described by others - inability to orgasm (it just doesn't happen no matter what) and a lack of interest. Buproprion is an excellent drug for sexual side effects...none at all. Since I am not adequately managed with my depression with buproprion alone (my symptoms of depression are slowly creeping up in the absence of escitalopram for 4 weeks), I am seeking the best combination of meds for me to allow for a good AD effect AND a satisfying sexual life. Today my doctor prescribed trazodone 25mg. I am reluctant to start it, but know that it is necessary so that my symptoms of depression do not get out-of-control. I have read other posts about trazodone and it sounds encouraging. I am also currently trying to conceive so and concerned about meds and fetal health. Any advice is appreciated. Tilley

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Posted

Strange, I have an INCREASED sex drive on 20 mg Lexapro, and no problem with the Big O. I had been on Paxil, which totally killed my sex drive, so I had expected the same from the Lex, and didn't even care. When my personal options are: no sex drive due to meds, or savoring suicidal thoughts (complete with clever plans) on no meds, I'll take no sex drive every time.

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Posted

Started on Celexa about a year ago. Currently at 15mg. Been up to 20 but it turned me into a zombie... had a bad case of CRS (couldn't remember crap). Anyway about the first three weeks I was on Celexa, happy endings were out of the question. Argued with the Doc about getting on something else. He insisted I stay with it... About week 4 the plumbing started working again.. Now days I occasionally fail to achieve the happy ending but overall I have no complaints & I'm glad the doc made me stick with it. My advice... Be Patient & give your body time to adjust.... Big problem is I have gained 60 pounds in about five months and couldn't stop eating if I had to..

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Posted

I'm on celexa. I can't remember having orgasm since I started this med 2 months ago?!? I still enjoy regular sex with my husband, but never get the goods :) How long does this take to overcome?

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Posted

I have half the problem. I have a huge sex drive now, which I didn't have on Prozac or Zoloft, but I can't orgasm for the life of me. It just takes too freakin long, and by that time, I'm just exhausted.

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Posted

You may be comforted to know the sexual side effects may disappear after a month or so. That depends on how anxious you get about never overcoming them.

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Posted

I discussed my concerns with my wife, who was very understanding, and within a short time, the side effect subsided. I don't know if it was due to adjustment to the meds, or because I stopped worrying about it, or both.

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Posted

I've been on 40mg of citalopram for 3 years now and my sex drive is erratic. It never seems to improve. It doesn't matter how understanding your partner is,it creates tension.

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Posted

I'm on lexapro as well (15mg) and have experienced sexual side effects. Since my depression had an effect on this even before I went on medication, it's pretty much nil at this point. My physician has started me on wellbutrin, since it is meant to diminish the sexual side effects as well as to boost the AD effects of the lexapro, since it wasn't enough on its own. I've been on Lexapro for less than four months, so I can't say whether it'll go away on its own. I've been on the wellbutrin for two weeks now. Nothing yet, but I suppose we'll see.

It does suck though. Honestly at the moment it just makes me frustrated socially (and consequently more depressed), so I understand what you're going through.

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Posted (edited)

i am on celexa and well, Sex?? whats that. ive lost all urge and care for it. much less feelings. and im a girl, so its not just the guys. and since im on a pill that makes me not give a D*m*, i dont. lol if i feel like making hubby happy i do, i get nothing from it im sorry to say.

Edited by wyldorchids

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Posted

I take Lex 20mg, and that plus Ativan (of all things) makes me roaring to go whenever the oppurtunity presents itself. My situation is a little different, because I was so depressed before that I didnt want to have sex. Now, at least I can be in the mood more often.

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Posted

Hello everyone,

I'm on Lexapro and suffer from several of the sexual side-effects. Some of them are a blessing in disguise, as I've suffered from Premature Ejaculation since I've had depression. The main problem is difficulty in reaching orgasm. I've read that adding Bupropion or Buspirone can help overcome this. Has anyone tried either of these additions? If so, which helped the most with this issue? Thanks!

I am thankful for your post. I have tried escitalopram and citalopram and while they manage my depression, the sexual side effects were very discouraging, no matter how low the dose. My sexual side effects were very similar to those described by others - inability to orgasm (it just doesn't happen no matter what) and a lack of interest. Buproprion is an excellent drug for sexual side effects...none at all. Since I am not adequately managed with my depression with buproprion alone (my symptoms of depression are slowly creeping up in the absence of escitalopram for 4 weeks), I am seeking the best combination of meds for me to allow for a good AD effect AND a satisfying sexual life. Today my doctor prescribed trazodone 25mg. I am reluctant to start it, but know that it is necessary so that my symptoms of depression do not get out-of-control. I have read other posts about trazodone and it sounds encouraging. I am also currently trying to conceive so and concerned about meds and fetal health. Any advice is appreciated. Tilley

Most of SSRI-s (citaloprame etc) causing sexual side effects on the 40 % of the patients by the literature. Majority of people I know who takes SSRI-s complaining problems with lowered libido etc. I had only slightly noticed such effects on me (I had been on most SSRI-s). Now I am on Reversible MAOI: Aurorix (moclobemide) unfortunately forbidden by FDA in the USA. Aurorix don

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Posted (edited)

I'm on lexapro as well (15mg) and have experienced sexual side effects. Since my depression had an effect on this even before I went on medication, it's pretty much nil at this point. My physician has started me on wellbutrin, since it is meant to diminish the sexual side effects as well as to boost the AD effects of the lexapro, since it wasn't enough on its own. I've been on Lexapro for less than four months, so I can't say whether it'll go away on its own. I've been on the wellbutrin for two weeks now. Nothing yet, but I suppose we'll see.

It does suck though. Honestly at the moment it just makes me frustrated socially (and consequently more depressed), so I understand what you're going through.

I was on pills of which the side effects were numb hands. I didn't worry too much although the situation was horrible for me because I couldn't play guitar properly. After about three months I didn't notice it any more.

So side effects can go, just distract yourself from getting anxious about them and you may find everything's fine given time.

Edited by kirkwuk

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Posted

hey everybody ,great discussion, i thinks its real important to discuss because lack of sex drive can end up causing worse depression than you started out with so its a real tough situation!!

i was formerly on lexapro and had the sexual side effects and yes i did try the wellbutrin with it and it helped.

then I felt the wellbutrin made me a bit overanxious and i ended up going off both and eventually switched to effexor.

effexor seems a bit better for me although im still feeling the sexual SE. soooo ive been doing a lot of research on natural supplements and its seems by far the most promising is TONGKAT ALI. or {eurycoma longifolia} aka longjack. people claim it raises the level of free testosterone and can dramatically raise libido and sexual performance.. it was known as the asian viagra buts its a natural plant root

with no known harmful side effects except maybe some irritability and possible restlessness.

according to research it safely raises testosterone without the scary side effects of synthetic steroids, allegedly it stimulates the leydig cells of the testes to produce more test. so im trying to figure out if its safe and effective when used along with ssri meds?????? anyone have any clue?? so far i havent found out.. i have been trying it this week in small doses and my libido does seem improved.. its been used traditionally in se asia for centuries now its being mass produced and standardized.

i plan to ask my doctor soon.. maybe some of you can ask your doctors or help me research this since to me at least for guys over 30 or 40 when their testosterone starts decreasing this seems like it could be a good possibility to overcome this SE of ssri meds!!! ps it has many other uses too including burning fat and building muscle so hey what do you know

theres another major ssri side effect that this may be able to conquer the dreaded 'LEXAFAT!!!!!!!????

:hearts::flowers:

I'm on lexapro as well (15mg) and have experienced sexual side effects. Since my depression had an effect on this even before I went on medication, it's pretty much nil at this point. My physician has started me on wellbutrin, since it is meant to diminish the sexual side effects as well as to boost the AD effects of the lexapro, since it wasn't enough on its own. I've been on Lexapro for less than four months, so I can't say whether it'll go away on its own. I've been on the wellbutrin for two weeks now. Nothing yet, but I suppose we'll see.

It does suck though. Honestly at the moment it just makes me frustrated socially (and consequently more depressed), so I understand what you're going through.

I was on pills of which the side effects were numb hands. I didn't worry too much although the situation was horrible for me because I couldn't play guitar properly. After about three months I didn't notice it any more.

So side effects can go, just distract yourself from getting anxious about them and you may find everything's fine given time.

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Posted

I hadn't even heard about it. Are you just trying to find out if it is safe with your meds? If so, your doc would be the best place to start.

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Posted

Have you had a chance to talk to your doctor about the safety of combining the two? I would be interested to hear the results.

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Posted

Have you had a chance to talk to your doctor about the safety of combining the two? I would be interested to hear the results.

not yet i have a dr apt in a few weeks , mid january so i guess ill have to wait a bit but ill def keep all you guys posted

take care

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