Fluoxitine and lack of orgasms - Online Doctor Chats

User :   I am female and 20 years of age. I used to take 20mg up to 40mg of fluoxitine for per day for 3 years,but it stopped being as effective. I've now been taking 20mg of citalpram for a month. It made me feel a little better at first but it isn't as effective as it should be. I can no longer orgasm and I found myself slitting my wrists which I have never done before. I am missing lectures and cannot get up in the mornings. I have been axious, paranoid, tired, comfort eating, unmotivated, antisocial and generally miserable. Iv'e tried taking the citalopram at different times and I have been seeing a consellorbut it hasnt helped. I still have both tablets, could I mix them? If not what else should I take? my GP doesn't seem to be much help...
Doctor :   Hi
User :   hi
Doctor :   Dr
Doctor :   LET ME READ UR QUERY
User :   Hi
Doctor :   ANY DRUG CHANGe will neeed atleadt 4 -6 weeks fo proper effects to show up
User :   Ok what can I do in the mean time?
Doctor :   Indeed you seem to have severe depression like symptoms
User :   yes
Doctor :   you need to immediately consult your psychiatrist to consult and adresss your symptoms
User :   I am seeing a consellor is that different?
Doctor :   he may add a short acting anziolytic to your treatment
Doctor :   that can help u over the short term
User :   what does an anziolytic do?
Doctor :   so that excitalopram beings to act and take over the the symptoms later on
Doctor :   it calms the body, releives anzitey
User :   ok, is caffiene a bad idea, Ive been having alot lately to be less tired
Doctor :   caffine is fine too
Doctor :   but seek a psychiartist consultation and get counseled at the earliest
User :   do you see a gp to ask for a psychiatrist?
Doctor :   your GP may not be able to help you completely
User :   does it take a long time to get an appointment with a psychiatrist?
Doctor :   no not at all
Doctor :   call one and he may fit u in this schedule
User :   do they cost alot?
Doctor :   not really,
User :   ok, what can I do until then? is there any food/ activities that would help?
User :   or should i double dose, or mix fluoxitine and citalopram?
Doctor :   physical workout, spending time with friends and family to avoid being lonely will help
User :   ok
Doctor :   no, please dont try double dosing or any other such stuff that can harm u in turn
User :   ok
User :   what is the best time of day to take citalopram to avoid tiredness in the day?
Doctor :   early morning is a good time
User :   am I ok driving long distances?
Doctor :   yes driving is ok
User :   is there a drug that can counteract the anorgasia effect of citalopram?
User :   *anorgasmia
User :   or anything to help
User :   hello?
Doctor :   yes
Doctor :   stop floxetine
Doctor :   floixetine can cause delaed orgasm like features
Doctor :   hence cnsult your doctor and he will change the medications for you.