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When did you have upper GI endoscopy last time? You should take Wellbutrin or Remeron which doesn't have sexual side effect.
Is it sliding hiatus hernia or paraesophageal hernia? You should take Remeron at bed time. So there is no sedation during the day time. Some people like Wellbutrin and others like Remeron. You should try it.
You don't need to take Ambien. Remeron would make you sleep well. Adderal is for ADHD. Since you have anxiety and depression, that kind of medications might not be good for you.
Have you tried energy drinks containing caffeine? It doesn't cause sexual problems. But it could cause anxiety.
There are no different kinds of medications for you. You should take adderall. When you want erection, you should take medications such as Viagra.
Have you tried self-injections to the penis with alprostadil, papaverine, and phentolamine? Have you tried alprostadil urethral suppository? They are more effective than viagra.
It would be OK for you to take both the Ramipril and Strattera in the AM ...my preference would be take Ramipril first AM prior to exercise and Strattera AM after exercise ...
I hope that this is helpful for you
Let me know if you have further questions or concerns
Anthony Bray MD