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Citalopram belongs to a class of antidepressant agents known as selective serotonin-reuptake inhibitors SSRIs and is widely used to treat the symptoms of depression. Its chemical structure is unrelated to that of other SSRIs or of tricyclic, tetracyclic, or other prescribed antidepressants Label. Citalopram is also known as Celexaand available in tablet and solution forms Label.

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Sexual side effects are among the most common complaints about antidepressants. According to the U. Department of Health and Human Services, clinical depression affects 1 in 5 adults in the United States.

The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. There are a number of case reports of sexual side effects, such as priapism, painful ejaculation, penile anesthesia, loss of sensation in the vagina and nipples, persistent genital arousal and nonpuerperal lactation in women.

The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care. What next?

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Loss of sexual desire and difficulties performing during intimate encounters can be symptoms of depression, but they can also be side effects of many medications used to treat depression. While antidepressants are often integral to managing depression, sexuality is an important piece of a healthy life for many people. Experiencing sexual side effects from antidepressants can be frustrating and disheartening, but there are ways to address them.

She then began taking antidepressant medication. Her libido nosedived. She began struggling to orgasm, and sex with her husband of 10 years dwindled to one encounter every few months.

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Yet antidepressants may also impair sexual function. Wait it out. If the medication causing sexual side effects has just been prescribed, wait a while to see if the problems diminish.

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Verified by Psychology Today. All About Sex. Depression is a very common, potentially fatal illness suicide.

Resulting sexual dysfunction can impair quality of life and intimate relationships and discourage patients from taking antidepressants Box 12. Although most reports have focused on SSRIs, all antidepressant classes have been associated with sexual dysfunction, with prevalence likely influenced by differences in neurotransmitter modulation Table 2. A recent study reported similarly high rates with mirtazapine, but its small sample size limits conclusions about side effect prevalence with this drug.

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