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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have OCD, Trouble Reaching Orgasm. Taking Anafranil. Dosage Increased. What Can Be Done?

i am a 16 year old male. I have been taking a drug called anafranil for ocd. I have been taking it for about a month. every week the dosage was increased. i am now trying to get off the drug by decreasing the dosage until i don't take it at all. what i have become aware of is that i have had trouble reaching orgasm. i'm afraid that this is permanent or that if it does get better that i will still be affected in some small way. Please tell me if it will get better and how much better.
Mon, 8 Apr 2013
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Psychiatrist,  's  Response
Hi there ~

If your problem is the ability to not get orgasm and feel like that is related to anafranil it might be wise to go off of the medication. However I assure you that you will get better and reach orgasm when you stop taking the medication. I however feel like there is more to the story than just the medication. You should consult a psychiatrist who can take a complete history and make your problem better including your ocd. I hope this helps.

Take care and have a lovely day !
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Psychiatrist,  Dr. Gourav Monga's  Response
Hello
Welcome to health care magic
I can understand your situation. I appreciate your effort to seek online support.

Anafranil contains clomipramine which is an TCA and it is used in cases of OCD. Due to their mechanism of action on serotonin, these drugs can cause delay in orgasm. So you are experiencing the side effects of the drug. Don't worry and relax, decreasing the dosage or stoppage of drug will reverse this effect. Discuss all this with your treating doctor.
Hope it helps
Good luck
Regards
Dr. Gourav Monga
Consultant Psychiatrist
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Have OCD, Trouble Reaching Orgasm. Taking Anafranil. Dosage Increased. What Can Be Done?

Hi there ~ If your problem is the ability to not get orgasm and feel like that is related to anafranil it might be wise to go off of the medication. However I assure you that you will get better and reach orgasm when you stop taking the medication. I however feel like there is more to the story than just the medication. You should consult a psychiatrist who can take a complete history and make your problem better including your ocd. I hope this helps. Take care and have a lovely day !