I have been taking medication for chronic anxiety and GAD to control my anxiety and prevent relapse for the past few years. I now take Effexor XR 150 milligrams daily in the morning and Crestor 10 milligrams daily in the morning (for controlling the lipid profile), and recently the doctor has added Telmisartan 80 milligrams daily in the morning (because of high blood pressure).
I have used nearly all types of SSRIs for the past few years, but none of the medicines were able to control my anxiety completely. However, the medicine Effexor benefitted me. It treated my anxiety completely and controlled the whole case with the least side effects regarding weight gain and fatigue. Overall, Effexor was very nice unless for the sexual aspects.
I am doing pretty well on Effexor XR 150 milligrams in controlling the whole case of anxiety. I do not think about changing or stopping it or even decreasing this dose. Still, I have had a few continued symptoms since I started Effexor a few months ago. These are erectile dysfunction, low libido, anorgasmia, and little semen volume during ejaculation. I feel like a machine, not a human, without any feelings during sexual intercourse. There is no pleasure in ejaculation. Also, I have abnormal sleeping during the night, waking up many times during the night, and insomnia.
I also tried Buspar 30 milligrams daily divided into three doses, but it did not help much regarding those symptoms of sexual side effects. My doctor suggested another drug called low dose dopamine agonist (Pramipexole) before bedtime along with Cialis or Viagra on demand.
I wanted to ask a few questions.
1) What do you think about these suggestions as an add-on to resolve these sexual problems?
2) Can they be taken in the long term?
3) Is it true Pramipexole can harm valves and the heart?
4) Can Pramipexole or Buspar lead to dementia in the long term?