Bupropion is an antidepressant. It works by increasing the activity of dopamine and norepinephrine. It comes in both immediate-release and extended-release forms. It is used in the treatment of depression, for quitting smoking, seasonal affective disorder, etc. It is contraindicated in patients with a seizure disorder, alcohol intake, and patients on monoamine oxidase inhibitor. Side effects are constipation, confusion, headache, nausea, seizure, dizziness, sweating, rash, fast heartbeat, etc.
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How can I increase my sex drive while on antidepressants?
Query: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query with due interest and understand your concerns. Low sex drive is a common symptom of a variety of medical and psychiatric disorders. Before I speculate anything about it I need you to answer a few questions in detail. Mention the duration of the pro... Read Full »
I have lost my libido due to the side effects of antidepressants. Is there any medicine to get back the normal sex drive?
Query: Hello doctor, I am a 32-year-old and married. I have lost my libido due to antidepressant side effects. I have stopped those medicine from getting back my libido. I have tried Bupropion, but it did not work for me. How much time will it take to get a normal sex drive? Is there any medicine to get... Read Full »
Answer: Hello, Welcome to icliniq.com. Loss of libido t is also one of the symptoms of depression. Antidepressants cause delayed ejaculation and rarely decrease your libido. If you are taking any antipsychotic, then it may suppress your libido. There are lots of reasons to decrease your libido. The most c... Read Full »
Does Wellbutrin affect testosterone levels?
Query: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six month... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from the history you gave and the levels of testosterone you mentioned, it is very high level of serum testosterone. There are usually some males who normally have high testosterone levels without any major underlying disease. I will d... Read Full »
Will my anxiety relapse if I stop SSRI?
Query: Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I st... Read Full »
Answer: Hi, Welcome to icliniq.com. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action.SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSR... Read Full »
My dopamine receptors have been desensitized due to excessive internet use. Please help.
Query: Hello doctor, I have been a bit stumped because of perhaps being misguided by my research online; hence I thought to ask a doctor about it, not to play a dice roll on my health. I have been tackling and battling depression for a long time. My symptoms have been drastically altered after taking selec... Read Full »
Answer: Hi Welcome to icliniq.com. I appreciate your interest in the pathogenesis and mechanisms of how these medicines work and their long-term implications. I advise you to limit your internet search as things are way more complex than they appear. It is worthwhile to continue taking the antidepressants... Read Full »
Does intake of Chantix alter a person's memory?
Query: Hi doctor, I started taking Chantix to quit smoking for around three months now. The side effects I noticed were vivid dreams and becoming more withdrawn. Two months back, my girlfriend and I got into a domestic dispute. My honest memory of this incident is that she started verbally abusing me from ... Read Full »
Answer: Hi, Welcome to icliniq.com. The behavioral disturbances that you had exhibited were unlikely to have been caused by Chantix (Varenicline).It is just that you got disturbed that day and had reacted to the stressful situation. The memories that you have are real time memories and not imagined as you t... Read Full »
Does tablet Effexor cause a delay in orgasm?
Query: Hi doctor, I am currently taking Allegron TCA 75 mg. Previously I was on Effexor, which was good except for delayed orgasm. So my doctor decided to taper and switched me to Allegron. I am currently experiencing anger and overwhelming or sad crying at times. I am not sure if this is from tapering Eff... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. I can understand your situation. You need to gradually taper your tablet Allegron 75 mg (Nortriptyline), and you can take a tablet Wellbutrin (Bupropion hydrochloride) 75 mg. It is one of the best medications that have min... Read Full »
While treating a patient for depression, when can we add in Celexa?
Query: Hi doctor, I am a psychiatrist. I would like to switch a patient from 300 mg Effexor to Celexa. I know how to taper the Effexor. But, when can I add in Celexa? I have tried Cipralex, Prozac, Effexor and Abilify, but the depression is not responding. All the routine laboratory tests are normal. Read Full »
Answer: Hi, Welcome to icliniq.com. You seem to be dealing with a patient with treatment-resistant depression. What is the thyroid status of the patient? Since you have tried SSRIs (selective serotonin reuptake inhibitor) and the patient seems to be a non-responder to these, I feel that... Read Full »
Why do I feel restless, tired, and sleepy all the time?
Query: Hi doctor, I feel my legs are restless and lack energy. I am feeling tired with frequent yawning and sleepiness in daytime. Sometimes, I feel nervous and vertigo while walking. Please suggest a medicine. I had Escitalopram 10 mg bd, but it did not work well. My other medication list is attached for... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. The symptoms described by you are symptoms of depression which are due to low dopamine levels. Escitalopram increases serotonin levels and there is a dopamine deficit remaining in most patients. My advice would be to add Bupropion (Bupron XL) 150 mg to existing drugs. Y... Read Full »
Shall I take Tadalafil tablet to maintain erection?
Query: Hello doctor, I am 32 years of age weighing 76 kg and my height is 5 feet 6 inches. I am unable to maintain erection. I have been experiencing this since a year. Prior to that, it was all fine and great. I have not had any other health issue and my BP, sugar levels, cholesterol are all normal. I e... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hi, Welcome to icliniq.com. You can safely take tablet Tadalafil (10 mg or 20 mg) half an hour before sexual activity. It can be taken on alternate days if needed because the effect lasts for two days. You could also take tablet Tetrafol plus (combination of Levomefolate calcium, Pyridoxal 5-phos... Read Full »