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Re: gdollasign post# 157045

Monday, 02/18/2013 8:56:32 PM

Monday, February 18, 2013 8:56:32 PM

Post# of 252681
Antidepressants with low sexual side effects:

Bladerunner is generally correct about lexapro (and Celexa, the enantiomer), but the truly lowest rate is for Remeron. That said, there's uch to be said about getting the RIGHT antidepressant for your kind of depression as antidepressants aren't close to being fungible. Wellbutrin and Effexor (and Cymbalta to a slightly lesser degree) anchor the most adrenergic antidepressants (SNRI's) and are the most activating/stimulating: best for vegetative symptoms including inertia, hypersomnolence, and amotivation/fatigue. On the other end, Remeron, Lexapro and Celexa are the most anxiolytic of the antidepressants and best for worrisome, ruminative anorexic and hyposomnolent patients. Most of the SSRI's (prozac, paxil, zoloft) and in the middle and useful for that crying, sad affect, poor self worth kind of depression.

The other thing to keep in mind is that most of the sexual side effects wear off after 3-4 weeks even for the worst offenders.
Sex is important, but if you're depressed enough to need treatment, maybe sex can wait a little, N'cest pas?

JM2C,

aj
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