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Is Buspirone use safe for SSRI‑induced sexual side effects?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I was prescribed Fluvoxamine 100 mg a day for my ego-dystonic homosexuality, major depression, and OCD. Also, I am on Oxcarbazepine 300 mg twice a day for my lack without any reason continuously for a long period of time. Now, I started using Buspirone 5 mg for sexual side effects. I did some research online and took self-medication. Please tell me what causes me to laugh like that. Do SSRIs help to change my sexual orientation? Is using Buspirone safe for sexual side effects?

Kindly help.
Answered by Dr. Sathya Prakash

Education:

MBBS

Professional Bio:

Dr. Sathya Prakash is a Psychiatrist with expertise in the diagnosis, prevention, and treatment of mental disorders. He carefully evaluates patients to determine whether their symptoms stem from physical illnesses, a combination of physical and mental conditions, or purely psychological factors, ensuring personalized and effective care.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

No medicine or counseling can alter sexual orientation. Be clear about this. Any attempt to change orientation by a doctor is considered unethical by professional organizations, including the Indian Psychiatric Society, the American Psychiatric Association, and the World Health Organization. All therapies are aimed at making you comfortable with whatever your orientation is.

There should be no shame in accepting your orientation. No, Buspirone does not have any sexual side effects. But the dose you are taking is inadequate. Consult a specialist doctor, discuss with him or her, and increase the dosage with consent. Other options include adding Bupropion (antidepressant), Mirtazapine (antidepressant), or Cyproheptadine (antihistamine).

Depending upon the exact nature of the sexual side effect, more specific remedies can be suggested. Regarding your laughing problem, I will need more information about it to comment. Please answer the following questions:

  1. Long period means how long?
  2. Is there anything specific that precipitates your laugh?
  3. What happens if you try to stop it?
  4. Is it associated with any specific thought or act?

Kindly revert with the answers to the above questions.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 7, 2017
Reviewed At July 22, 2025

Education:

MBBS

Professional Bio:

Dr. Sathya Prakash is a Psychiatrist with expertise in the diagnosis, prevention, and treatment of mental disorders. He carefully evaluates patients to determine whether their symptoms stem from physical illnesses, a combination of physical and mental conditions, or purely psychological factors, ensuring personalized and effective care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

Buspirone for SSRI Sexual Side Effects and Unusual Symptoms Companion

How it works

Understanding the complexities of medication side effects and sexual health is important. Here's what you need to know about SSRIs, Buspirone, and related concerns.

1

Orientation
Ethics

2

SSRI
Side Effects

3

Buspirone
Usage

4

Alternative
Meds

5

Specialist
Consult

6

Report
Symptoms

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Sathya Prakash
Dr. Sathya Prakash

Psychiatry

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sathya Prakash is a Psychiatrist with expertise in the diagnosis, prevention, and treatment of mental disorders. He carefully evaluates patients to determine whether their symptoms stem from physical illnesses, a combination of physical and mental conditions, or purely psychological factors, ensuring personalized and effective care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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