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Side effects of O - Online Doctor Chats

Date : 21-Feb-2012
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Answered by

General & Family Physician
Practicing since : 2009
Answered : 680 Questions
Doctor :   hi
Doctor :   this is Dr Anvekar
User :   Hi
Doctor :   How may I help you ?
User :   I've actually posted this question on another site, but haven't received an answer yet. Is it ok if I copy and paste it here?
Doctor :   ok
User :   This is really embarassing, but here goes: I was prescribed Clomipramine a few months back for OCD (I stopped usage approximately 6 weeks ago). When I first starting taking it, I experienced sensitivity 'down below', which I initially associated with urinary tract problems. However, when my dosage was increased, I started to feel 'fluttery' sensations in my private parts and muscle spasms. When I looked up the symptoms, I came across the condition 'Persistant Arousal Syndrome' and wondered if this could possibly be the cause of these symptoms. I've noticed that the condition is worse when I feel anxious and seems to have very little to do with sexual desire (in fact, the opposite seems to be the case). I feel physically uncomfortable and this is causing me a great deal of distress, especially as it is exacerabating my OCD. Can anyone help?
Doctor :   please continue with your query?
Doctor :   ok
Doctor :   let me read your query.
User :   They often happen when I feel anxious about it happening
Doctor :   have you stopped taking clomipramine?
User :   I stopped taking it about 6 weeks ago. The symptoms lessened for a while but have now returned.
Doctor :   Are you on any other medications now ?
User :   I'm not entirely sure that the clomipramine has caused this, but it definately started after I went on it. It also seemed to get worse when I increased my dosage
User :   TBH, I'm a bit scared to go on anything else
Doctor :   So you are not taking any other medicine right ?
User :   No; just vitamin/ mineral supplements
Doctor :   SSRIs OR clomipramine - do have some side effects , which could delay sexual pleasure .
User :   It's not really a pleasurable feeling- it's actually kind of freaking me out!
Doctor :   I understand, what i meant , was that these medications can cause sexual dysfunction and delay arousal as well
User :   Also, these sensations definately seem to be linked to anxiety- even worryoing about it can cause an attack
Doctor :   So now you are not taking any meds for your OCD ?
Doctor :   pts on TRICYCLIC antidepressants like clomipramine - have delayed or abnormal sexual arousal
User :   I'm also scared that I'm aroused by things that I definately don't desire and actually gross me out. I thought it could be 'groinal responses' but sometimes the sensations are so bad that I can't sleep and it's making me desire sexual stimulation less
Doctor :   Once these medications are stopped, there may be a rebound of symptoms in the opposite way as well
Doctor :   These are effects of medicines , But i assure you that these will wear off within a 1 -2 weeks
Doctor :   And these will not be permanent
User :   I'm terrified that I've become some horrible pervert because I sometimes get these responses when thinking about things that would definately have been a massive turn-off in the not so distant past
Doctor :   PLEASE NOTE, these are meds induced effects
Doctor :   and not related to your personality
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