Libido issues

[infraredline]

Ok so a buddy of mine has been having erectile dysfunction problems recently, and by erectile dysfunction i mean he cant even get hard. I was sure it had to do with either his estrogen being high or prolactin but he then proceeded to tell me he was recently taken off of Prozac. He has never used any sort of performance enhancing drugs.

Can someone explain to me how exactly Prozac effects your sex drive and any possible solutions to help my friend fix his erectile dysfunction.

Thanks

 

[jester72]

Very simply put, erectile dysfunction is probably the top side effect of Prozac. Prozac takes 2-3 weeks to build up effectiveness in the bloodstream, so I'd expect a good 3-4 weeks for it to clear his system, and his erections to return to somewhat normal.

 

[stevesmi]

these types of drugs manipulate bloodflow and the brain. of course they are gonna fuck up libido.

i agree with jester.. its gonna take a few weeks to clear out but he should definately get on some sort of libido enhancing NATURAL supplement. do not touch viagra or cialis, he wants to clear out drugs out of his system not add more .. tell him to get on T stack Rx. here is a writeup you can show him and the codes http://www.elitefitness.com/forum/a...-before-test-stack-rx-came-along-1257623.html .. tell him to run 3 caps a day for 30 days.. he will feel so much better

 

[infraredline]

Appreciate the responses guys. It's been about 8 weeks now though since he stopped it and his problem still hasn't improved. Why could that be?

 

[jester72]

8 weeks should have been plenty long enough. I did find this though:

"Many antidepressants, including Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Celexa (citalopram), Effexor (venlafaxine), Lexapro (escitalopram) and Pristiq (desvenlafaxine), can cause sexual side effects. Some studies have found that one-third to two-thirds of patients taking such drugs may experience lower libido, reduced arousal and delayed climax. Some complain of genital "anesthesia" and orgasm without pleasure.
Although many doctors assume that such side effects will disappear shortly after people discontinue their antidepressants, that may not always be true. One review of case reports concluded that certain antidepressants "can cause long-term effects on all aspects of the sexual response cycle that may persist after they are discontinued" (Journal of Sexual Medicine, Jan. 2008)."

 

[infraredline]

That's what I thought to jester but like I said there hasn't been any improvement. What can he do? Will a natty libido booster like unleashed or test stack help or is there something else he will need to do

 

[jester72]

No idea. If he did some type of long-term or permanent damage to himself as a result of taking Prozac, only a medical professional is going to be able to assess that and help.
You can try the natty products like Unleasehed, Test Stack, etc., but I think his best best is seeing a doctor.

 

[stevesmi]

all a doc will do is give him more drugs.

his best bet is T stack Rx. 12 herbs in 1 and they will plump his nuts up and there is a 110% money back guarantee. have him use my link http://w3.teststackrx.com/109.html and codes Buy 2 get 1 free GET1FREE (make sure you have 3 in your cart before applying)
or 20% off HZI7WTBZ

.. i would load up on the stuff and run it 3 caps a day .. there is no doubt in my mind he will feel a lot better on this stuff.

 

[jester72]

That's true Steve, a doctor will probably just use more drugs to treat the symptoms and not the cause. I never thought of that.
Maybe the natural route should be exhausted first in this case.

 

[ALIN]

Very simply put, erectile dysfunction is probably the top side effect of Prozac. Prozac takes 2-3 weeks to build up effectiveness in the bloodstream, so I'd expect a good 3-4 weeks for it to clear his system, and his erections to return to somewhat normal.

Yes its a common side effect with PROZAC and even PAXIL.

 

[Nelson Montana]

Anti depressants (serotonin inhibitors) kill libido. Using UNLEASHED with PF POST-CYCLE will help with the ED but you have to get together with your doc to adjust the AD dosage.

 

[infraredline]

Anti depressants (serotonin inhibitors) kill libido. Using UNLEASHED with PF POST-CYCLE will help with the ED but you have to get together with your doc to adjust the AD dosage.

The doctor completely dropped him off the Prozac 8 weeks ago Nelson.

 

[Nelson Montana]

The doctor completely dropped him off the Prozac 8 weeks ago Nelson.

Then there's going to be a backlash. Both is clearing the system of the drugs and getting you hormones to adapt to being without them. The UNLEASHED / PF POST-CYCLE combo will definitely help in the interim. Give it time.

 

[Dr_MD]

Prozac should not cause ED. More likely would be ejaculation problems. ED is likely a side effect of the depression

 

[stevesmi]

Prozac should not cause ED. More likely would be ejaculation problems. ED is likely a side effect of the depression

instead of fixing the root problems why do docs insist on handing out more drugs like candy?

he is depressed.

give him drugs.

now he has ED

give him drugs

now he has ejaculation problems

give him drugs.

its a domino effect .. patients need to stop being naive and taking whatever docs hand to them. you wouldn't even trust the candy neighbors give your kids, but you will ingest drugs with crazy side effects without asking questions?

 

[jester72]

Prozac should not cause ED. More likely would be ejaculation problems. ED is likely a side effect of the depression

From your user name "Dr_MD" I hope you're not serious!!!??? Erectile Dysfunction is the NUMBER 1 side effect of of serotonin inhibitors like Prozac, Paxil, etc.
In rare cases, serotonin inhibitors also have the ability to cause PERMANENT erectile dysfunction as well!
I'd suggest knowing your drugs, their side effects, and long term effects on the body before throwing out bullshit information like you did. In fact, I'm going to go as far as to tell the OP to ignore what you said completely.

I'm also still going to agree with Steve, and now Nelson as well. I think the natural route should be exhausted first before seeing a doctor, just to be put on more drugs to treat the symptom, and not the root of the problem.

 

[Dr_MD]

I suggest you check your pharmacology Jester72. ED certainly ins't the number 1 side effect of SSRIs. Prozac is one of the least likely SSRIs to cause ED. Don't confuse ED with ejaculation problems...not the same thing. Yes, i'm an MD and have been lurking on here for a while but only registered a day or so ago.

Stevesmi, i love your post. I wish i could tell patients that have problems to get off their asses, stop eating McDonalds and get to the gym but I would lose my license! Although the advice would be very fitting. You have to remember, that a conventionally trained Dr is trained to prescribe and do surgery to correct problems. That's our job. Patients have to be their own advocates for health care and take some responsibility..... as it seems a lot of people on here do (kudos). Further, the sad fact is that if a patient goes to a Dr and doesn't leave with some sort of prescription they feel cheated. Sad but true!

Nelson, BTW. Love unleashed!!!

 

[jester72]

I just checked again, and it's technically the second most common side effect, behind only nausea/dizziness. That's coming from the Mayo Clinic as my reference as well.

Either way, ED (not ejaculation issues) is a common side effect, and rare long term/permanent effect.

 

[Dr_MD]

From drugs.com which is the mainstay we use for prescribing:

Genitourinary side effects including sexual dysfunction have been reported. The manufacturer has reported sexual dysfunction side effects at rate of 2%. Specific problems reported include male and female anorgasmia, decreased libido, penile anesthesia, vaginal anesthesia, ejaculatory dysfunction, and impotence

2% is generally of no statistical significance.

 

[burnthiscorpse]

2% is generally of no statistical significance.

Except for when it applies for someone in that 2% and their doctor doesn't believe it because its not significant statistically and wants to keep bandaiding the problem

Now please....dont take offense. that was not a shot at you. I'm not trying to start shit with you. As I know Steve wasn't either. It was a shot at general practitioners across the board. I don't know you so I cannot in good conscience lump you into the pile.

As a real MD I'm glad you are here. I would love to hear your perspective on many topics of discussion here.

 

[jester72]

Dr_MD, I stand corrected and you have my apology. I, like burnthiscorpse wasn't taking a shot at you. I was just going by statistics from the Mayo Clinic, which I thought would be a pretty solid benchmark.
I also agree that it'll be interesting to have a medical opinion in many of our threads here.
Again, my apologies for getting off on the wrong foot, and welcome to our community here at EF.

 

[stevesmi]

Stevesmi, i love your post. I wish i could tell patients that have problems to get off their asses, stop eating McDonalds and get to the gym but I would lose my license! Although the advice would be very fitting. You have to remember, that a conventionally trained Dr is trained to prescribe and do surgery to correct problems. That's our job. Patients have to be their own advocates for health care and take some responsibility..... as it seems a lot of people on here do (kudos). Further, the sad fact is that if a patient goes to a Dr and doesn't leave with some sort of prescription they feel cheated. Sad but true!

Nelson, BTW. Love unleashed!!!

oh i know bro. i had a aquaintance who had bladder cancer and would bitch at his doctors because his cancer kept coming back. the problem is whenever i would go see him he would have a cigarette in his mouth and a beer in his hand.. and veggies were his enemy and all he ate was BBQ. he was a chain smoker and frankly should be dead long ago but because of modern medicine he has been able to stay alive somehow.. i'm pretty sure he knows what he is doing is wrong because his wife was an athlete who was a total 180 of him and i'm sure she is on his case but like you said patients have to do it on their own.. if i brung up his diet and smoking he would automatically change the subject. he doesn't want to hear it, he is probably dead by now

 

[Dr_MD]

Thanks guys. As I mentioned, I've been viewing this site for a while now and finally decided to jump in and get involved. I hope I can add something to the community. Regarding drug side effects, it's always a difficult problem to manage; it's laughable that anti-constipation medication has a side effect of.....constipation, for example...... most of it is legal BS that has to go on the box. One other thing, i've seen a lot of Drs get bashed around here for knowing nothing about steroid use and PCT. Have to agree on that one, a lot of the advice on here is first class (although also a lot of crap advice too) as most MDs have had zero exposure to 'sports' medicine and steroid (ab)use!

 

[Zyglamail]

There is no money in curing people, only putting them on drugs which create a constant income stream from prescriptions. Drugs simply ATTEMPT to address symptoms, they dont fix anything. With the exception of stuff like diabetes where insulin is required to avoid death, everyone should start by looking at nutritional deficiencies and toxin exposure (from inside and out) and when doing so throw the stupid FDA guidelines out the window they are by and large put in place to limit medical intervention and benefit big pharma.

Intestinal pathogens wreak havoc on the mind, underfunctioning thyroid also leads to depression and disruption of the bodies various other hormones.

 

[C0LUMB0]

Thanks guys. As I mentioned, I've been viewing this site for a while now and finally decided to jump in and get involved. I hope I can add something to the community. Regarding drug side effects, it's always a difficult problem to manage; it's laughable that anti-constipation medication has a side effect of.....constipation, for example...... most of it is legal BS that has to go on the box. One other thing, i've seen a lot of Drs get bashed around here for knowing nothing about steroid use and PCT. Have to agree on that one, a lot of the advice on here is first class (although also a lot of crap advice too) as most MDs have had zero exposure to 'sports' medicine and steroid (ab)use!

welcome to the site , how long have you been practicing medicine?

 

[stevesmi]

Thanks guys. As I mentioned, I've been viewing this site for a while now and finally decided to jump in and get involved. I hope I can add something to the community. Regarding drug side effects, it's always a difficult problem to manage; it's laughable that anti-constipation medication has a side effect of.....constipation, for example...... most of it is legal BS that has to go on the box. One other thing, i've seen a lot of Drs get bashed around here for knowing nothing about steroid use and PCT. Have to agree on that one, a lot of the advice on here is first class (although also a lot of crap advice too) as most MDs have had zero exposure to 'sports' medicine and steroid (ab)use!

yeah trust me i know.. i play poker with some docs home game and its hilarious when we get into the steroid topic.. they know nothing

there was a guy on here called footdoc who was a good dude as well and was straight up that his peer doctors he works with are morons on this stuff.. unless the doc himself is a bodybuilder who uses how would he know anything about the matter? its just common sense .. would be like taking a BMW or mercedes in to a redneck mechanic in rural Texas and having him service it. he knows about cars but he never saw a bmw in his life.

 

[footdoc]

While it is true that SSRI's interfere with ejaculation far more than erection, they still kill sex for so many men. They are given out like candy by family docs and shrinks. My very best anti-depressant has always been intense exercise....That shouldn't shock anyone here. So while it's true that ED is not the main problem what good is it to have sex if you can't have an orgasm?? This guy should get some proviron and get to the gym