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SSRIs/Sexual dysfunctionFrom: Harrison Sheld (hsheld@anv.net)Sun Apr 27 17:54:19 1997
There was a thread a few months ago about SSRIs and sexual dysfunction. A number of suggestions were made including lowering the dose, changing meds, giving the patient a drug holiday (for example, on weekends etc.) At today's ACOG course "Psychiatry in Ob-Gyn" a couple of other suggestions were made: add a cholinergic agonist, e.g., bethanechol (Urecholine and others) 25-50 mg one hour prior for problems in arousal, or serotonin antagonists cyproheptadine (Periactin) 4 mg one hour prior to intercourse..it may be sedating...for orgasmic dysfunction. Thought this might be helpful.
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