I am on Effexor XR 150 mg daily morning (for chronic anxiety and GAD), and Crestor 10 mg daily (for controlling the lipid profile), and recently the doctor has added Cozaar 50 mg daily (because of high blood pressure). I used mostly all types of SSRIs, but I found Efexor is the best for anxiety and has the least side effects. I am doing well on Effexor 150 mg to control the whole case of anxiety and do not think about changing, stopping, or even decreasing the dose. I have continued symptoms since I started Effexor 8 months ago which includes erectile dysfunctions, slight libido, anorgasmia, and a little semen when ejaculation. Also, I have abnormal sleeping during the night with waking up many times during the night or insomnia. Actually, I do not know of all the above symptoms from Effexor or Crestor. I tried Buspar 10 mg thrice daily, but it did not help much regarding those symptoms of sexual side effects, so I stopped it. Remeron has been excluded completely because of the very high weight gain ratio.
The options available to me here and still not used are Trazodone XL 150 mg daily before bedtime. What do you think about this option? Can it help with those symptoms? Is this medication safe overall? Or is it related to cardio disorders and problems with the valve over time? The other option is Cabergoline 0.5 mg twice weekly, Is this safe medication for the heart? And overall, on the body? Can I use it for the long term? About starting 50 mg Cozaar, can this medication encounter Effexor-induced high blood pressure? In your opinion, which one is better regarding erection, weight gain, and blood pressure control, Cozaar 50 mg or Micardis 40 mg? Because I saw that my blood pressure at night did not drop enough.