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What Causes Delayed Ejaculation After Having Citalopram?

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Posted on Mon, 29 Dec 2014
Question: im 33 and taking 10mg citalopram daily, i find it difficult to ejaculate during sex since taking the ssri. Im wondering if viagra could possibly assist in this problem? if the answer is yes or possibly could you please explain the physiology behind this...thanks. a can still achieve an erection...
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (22 minutes later)
Brief Answer:
Mostly it is due to raised serotonin level

Detailed Answer:
Hello
Thanks for choosing HCM
Ejaculation is delayed because SSRI enhance level of Serotonin in brain and ejaculatory centre, cause inhibition of ejaculation. Yes, sometimes viagra can help and you can try but you have to focus on pleasure only.
Another option can be taking cyproheptadine 4 mg before sex for its anti serotonin action. Discuss all about this your doctor.
Dr Saatiish Jhuntrraa

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr.Saatiish Jhuntrraa (24 minutes later)
Thanks for your answer...in regard to cyproheptadine 4 mg antihistamine would this interfere with the therapuetic effect that I am getting from the citalopram (depression and anxiety reduction) if i was to use it ounce or twice a week? I have taken antihistamines before and are familiar with the sedating groggy side effects but would not like to return to having the labile mood that i suffered prior to the ssri.
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (56 minutes later)
Brief Answer:
Think of alternative modes

Detailed Answer:
Hello
If you felt groggy with cyproheptadine, you can discuss with your psychiatrist either to switch to MAO inhibitor or add Bupropion/ Methyphenidate to raise your dopamine level.

Dr Saatiish Jhuntrraa
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr.Saatiish Jhuntrraa (27 minutes later)
Thanks again for your reply...i think that perhaps you missunderstood my question...aside from the groggy effect that i have experienced from periactin when used for a completely different reason when not on a ssri. My question is directed directly in relation to ......... Now that i am on the ssri do you think that if i used the periactin 4mg ounce or twice a week (disregarding the sedating effect of the antihistamine) while on the ssri, could i experience interference with the theraupuetic effect of the citalopram as you mentioned that the periactin has an anti seratonin action?

clarification the question is- if i took periactin a couple times a week for sex could i expect interference in the positive effect that i am getting from the citalopram?

thanks for your help
doctor
Answered by Dr. Dr.Saatiish Jhuntrraa (29 minutes later)
Brief Answer:
Periactin is safe with escitalopram

Detailed Answer:
Hello
No, it will not affect the positive effect of Citalopram.
DR SAATIISH JHUNTRRAA
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Dr.Saatiish Jhuntrraa

Sexologist

Practicing since :1983

Answered : 1525 Questions

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What Causes Delayed Ejaculation After Having Citalopram?

Brief Answer: Mostly it is due to raised serotonin level Detailed Answer: Hello Thanks for choosing HCM Ejaculation is delayed because SSRI enhance level of Serotonin in brain and ejaculatory centre, cause inhibition of ejaculation. Yes, sometimes viagra can help and you can try but you have to focus on pleasure only. Another option can be taking cyproheptadine 4 mg before sex for its anti serotonin action. Discuss all about this your doctor. Dr Saatiish Jhuntrraa