Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search





MDD Q
Kaplan Test Prep and Admissions (Kaptest.com)




Previous Topic | Next Topic
Author8 Posts
  #1

MDD pat. On imipramine develop Hypotension doc stop it and prescribed him SSRI. pat came back with sexual deficiency. What do you give him now???


citalopram
fluoxetine
paroxetine
Carbamazepine
Desipramine


  #2

bupropion - fewest sexual side effect, also risk of HTN, but he is hypotensive

  #3

citalopram and bupropion have less sexual side effects compared to others,ans is a


  #4

usmletopper2 wrote:
citalopram and bupropion have less sexual side effects compared to others,ans is a

any reference on citalopram?

  #5

There are a number of medications that help mood similar ways to SSRIs that don’t have as many or as bothersome sexual side effects. Unfortunately, each of these has different side effects of it’s own. I have listed them below.

● Bupropion (Wellbutrin) – This medication is often used for depression and has been found to be as effective as SSRIs. It is used widely and is generally safe. Of all the anti-depressants it appears to have the lowest incidence of sexual side effects. In fact, in most studies it had no more of these effects than a sugar pill (placebo.) Unfortunately, it can be associated with an increase in anxiety which, for many patients with mood disorders, is a difficulty they already have and do not want to get worse. Other side effects include sleep difficulties and increase in blood pressure.

● Mirtazapine (Remeron) – Another good anti-depressant. It also seems to work as well as SSRIs. With respect to its sexual profile, in one large study about one quarter of all patients taking Mirtazapine experienced sexual side effects. Two other drawbacks to this medicine are that it causes drowsiness and weight gain.

● Duloxetine (Cymbalta) – This is a newer medication used to treat depression. It’s manufacturers have touted it as having fewer sexual side effects than other, similar medications. As more information becomes available, this seems less promising. The most recent study found that about half of all patients taking Duloxetine experienced sexual side effects, only slightly less than the percentage with SSRIs.

● Nefazadone (Serzone) – This was an anti-depressant that worked well for mood problems, but was associated with rare occurrences of liver failure (fewer than 1/10,000 cases). For this reason physicians tend not to use it as a first-line agent. However, it is still prescribed and works as well as the SSRIs.

http://www.modernpsychiatry.org/sexual_sideeffect...


  #6

a

  #7

liliaeliz wrote:
a


not reliable. Needs some conformation/reference raised eyebrow

  #8

heard that on kaplan dvds,will get back to u once i find something concrete!!!!smiling face








You don't have permission to post.




Login or Register to post messages in this topic
























Contact | Leaders | Premium | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.