Paxil medication - sexual side effects

The antidepressant Paxil is also known as paroxetine by its chemical name. Paxil has many side effects when used. Withdrawal of Paxil also causes severe withdrawal syndrome. However, usually the side effects such as weight gain and sexual dysfunction are not highlighted while talking about them. As like the other side effects, sexual dysfunction also is a common one for any Selective Serotonine Reuptake Inhibitors (SSRIs). Both men and women who are using Paxil have reported this problem. It is known from the medical literatures that around 50% of the people using SSRIs suffer from one form or other of sexual dysfunction during the period of treatment. It is also believed that the actual percentage may be higher than this. Also, the results of the studies conducted in men and women indicate that Paxil has more impact than other SSRIs with respect to the sexual dysfunction.

It is anyway difficult to find out as to how many actual incidences of sexual dysfunction have occurred among the people who are using paroxetine for treating their disorders. Many patients are not transparent in stating their problems, and doctors also keep them confidential. Sexual dysfunction is a broad term representing changes in sexual desire or sex drive, sexual satisfaction and sexual performance. Some male patients have also reported delayed ejaculation and erectile problems. Some women patients have reported absence of orgasm or delay in achieving orgasm. 6 - 15% of male patients who were receiving paroxetine for treating their depression had decreased psychic drive associated with sex desire. 0 - 5% of women patients treated with paroxetine for depression developed obsessive compulsive disorder, social phobia, generalized anxiety disorder and panic disorder.

In common, patients who were having the problem of sexual dysfunction preferred to discontinue paroxetine. However, it is possible that medication may be continued with some modifications. On the other hand, it is also true that after two to three weeks of therapy with paroxetine, some patients have reported a decrease in side effects related to sexual function. However, the best approach during the initial phase of therapy is to have patience. Otherwise, as an alternative they can start Wellbutrin or Remeron, which are the antidepressants that cause less sexual dysfunction. Another strategy is to reduce the dosage of paroxetine, if possible. There is also an opinion that Viagra, Levitra or Cialis added in the treatment regimen may help to tide over impotency. Also note, if paroxetine has caused sexual dysfunction, it decreases of its own in 1 to 3 days after discontinuing the drug.

In addition to the problems discussed above, some male patients receiving paroxetine have reported difficulties related to erectile and ejaculation too. Some had experienced painful erection lasting for long periods, medically known as priapism. May be, Paxil becomes a medicine for treating people reporting early ejaculation! The documented studies reveal that ejaculation problem occurs in 28% of men who received paroxetine for treatment. The highest incidence was found in men having social anxiety. Lowest incidence of this side effect occurred in people having depression or post-traumatic stress disorder, to the extent of 13%. The final word is that you should consult your doctor before deciding on tapering or withdrawing Paxil, or adding any other medicine in your regimen.

The inability to achieve erection is called impotence. This is also known as erectile dysfunction. Studies show that 9% of men taking Paxil develop this problem. Priapism has occurred in rare cases. This should be treated on priority. Otherwise permanent damage can occur to the penis. Notwithstanding all the above, your doctor may not be able to ascertain that your sexual dysfunction is attributable to Paxil. One-third of the untreated population of patients having depression also has reported side effects pertaining to sexual dysfunction.