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My husband is currently on cipralex 10 mg and reports a

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hi my husband is currently...
hi my husband is currently on cipralex 10 mg and reports a total loss of libido. He has been on the meds for four years, since our daughter died and it is seriously affecting our marriage. He has tried reducing the dosage and has had headaches and anger issues. If this continues much more I think divorce is on the cards. Is there anything he can take to circumvent this side effect?

Thanks Joan
Submitted: 7 years ago.Category: Mental Health
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Answered in 2 hours by:
8/10/2010
Mental Health Professional: Selah R, M.S. LPC, Therapist replied 7 years ago
Selah R, M.S. LPC
Category: Mental Health
Satisfied Customers: 582
Experience: Licensed Professional Counselor; over 13+ yrs exp working with adults, teens, & families/couples.
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Thank you for trusting JustAnswer with your important question.

He should see a regular doctor to make sure there are no medical issues causing or worsening the libido (prostate issues, low testosterone, etc.). Once he is cleared medically you can try a different medication for his depression and anger such as Wellbutrin which generally has no sexual side effects. If he isn't being seen by a psychiatrist for his Cipralex, now would be a good time, so he can have a better chance of getting the medications he needs to manage his symptoms without causing the significant libido problem.

You two may also need to consider counseling. Sometimes in a couple a sexual issue isn't about sex at all, but about a relationship or control issue (like maybe not wanting to be as intimate with you for fear he'll lose you too like you both lost your daughter). He may not even be consciously aware that he's shutting down that intimacy partly by choice. A counselor may also be able to help you two as a couple learn how to get intimacy flowing again, because rarely does libido just miraculously return. It usually has to be cultivated and encouraged.

Best wishes,
Selah
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Customer reply replied 7 years ago

We were seeing a counsellor and are hoping to start sessions again. We live in the UK and unfortunately Wellbutrin isn't available here. He's had a number of test and all came back normal. Is there any other meds that he can try?

Joan

Mental Health Professional: Selah R, M.S. LPC, Therapist replied 7 years ago
The first question really needs to be do you think his medication is even working, and could the sexual problem actually be a sign that the depression isn't being adequately treated rather than caused by the medication. It may actually be worth trying an increase in his medication for a few weeks (since the recommended average adult dose for that medication is 20mg/day).

If raising the dose does nothing to help his mood or sex drive, then it's time to try a different medication. Others worth trying (based on reported sexual side effect reports) are Prozac, Pristiq (similar to Effexor, but many are reporting fewer side effects on the Pristiq than the Effexor; if you can only get Effexor, it's probably only worth trying last), and Remeron.

Sincerely,
Selah
Selah R, M.S. LPC
Category: Mental Health
Satisfied Customers: 582
Experience: Licensed Professional Counselor; over 13+ yrs exp working with adults, teens, & families/couples.
Verified
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Customer reply replied 7 years ago

We've been to the GP and she has put me on viagra. Do you think this will impact on his libido in anyway?

Mental Health Professional: Selah R, M.S. LPC, Therapist replied 7 years ago
There has been some research on using Viagra to help increase libido while on antidepressants. The key will be if the libido is gone due to the medication (then it might help) versus due to psychological issues (such as caused by the depression itself, then it most likely will not work). But it is worth trying.
Sincerely,
Selah
Selah R, M.S. LPC
Category: Mental Health
Satisfied Customers: 582
Experience: Licensed Professional Counselor; over 13+ yrs exp working with adults, teens, & families/couples.
Verified
Selah R, M.S. LPC and 87 other Mental Health Specialists are ready to help you
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Selah R, M.S. LPC
Selah R, M.S. LPC
Selah R, M.S. LPC, Therapist
Category: Mental Health
Satisfied Customers: 582
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Experience: Licensed Professional Counselor; over 13+ yrs exp working with adults, teens, & families/couples.

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