SSRI help

Here is the deal; I finally went and saw an urologist for my frequent urination and premature ejaculation problem. As far as the frequent urination goes, I am going back in a few weeks to have some test done. Nothing too serious though.

Now onto the premature ejaculation. The urologist recommended I get on a low dose of SSRI’s which I countered with my hesitations on. He told me there wasn’t much to worry about and they should do the trick (which put me to ease a little bit). I got the prescription filled but I was still undecided if I wanted to try them out. After what all I have read on here, I was quite scared to try them out but I was desperate to fix my problem. I finally gave in and decided to give them a try. Holy shit was that a bad mistake. 3 days after I started taking them I was feeling really paranoid (almost like that sinking feeling in your stomach when something really bad goes wrong).

Should I discontinue use of them? Cut the pill in half and take a smaller does? Or give it a few more days to see how my body reacts? Could it have just been psychological and I got myself too worked up on taking them? Remember, I have been battling this for over a year and am very desperate to cure it.

He prescribed me 50mg a day or Sertraline.

http://en.wikip … wiki/Sertraline is ZOLOFT

"After what all I have read on here, I was quite scared to try them out but I was desperate to fix my problem. I finally gave in and decided to give them a try. Holy shit was that a bad mistake. 3 days after I started taking them I was feeling really paranoid (almost like that sinking feeling in your stomach when something really bad goes wrong)."

Perception perceived is reality achieved. You didn’t care to take them to begin with after reading various horror stories, got them, and waited going I wonder what is going happen. Though the 50 mgs might be a bit high, but what degree to I have in this? When my ass would act up from colitis, I scored some tiny trial bottles off another kook. The pills were TINY.

Although sertraline can be used for the treatment of premature ejaculation[106] a comparative study found it to be inferior to another SSRI, paroxetine.[107] A general disadvantage of SSRIs is that they require continuous daily treatment to delay ejaculation significantly.[108] For the occasional "on-demand", a few hours before coitus, treatment, clomipramine gave better results than paroxetine in one study,[109] while in another study both sertraline and clomipramine were indistinguishable from the pause–squeeze technique and inferior to paroxetine.[110] The most recent research, conducted in 2007, suggests that on-demand treatment with sildenafil (Viagra) offers a dramatic improvement in ejaculation delay and sexual satisfaction as compared with daily paroxetine,[111] with on-demand sertraline, paroxetine or clomipramine,[110] and with the pause–squeeze technique.[110][111] From the wiki link above

http://en.wikip … wiki/Paroxetine made my dick numb in under 72 hours.

Clomipramine - Wikipedia is a tri-Cylic which was the good stuff many years ago before SSRIs ever showed up.

http://en.wikip edia.org/wiki/P … ure_ejaculation

In theory "conventional" :rolleyes: approaches would say you can sub it out for L-tryptophan, SAM-e, or 5-htp.

Yep, SSRIs will kill your ability to ejaculate.

Have a basic metabolic panel done, look for elevated calcium. Have yourself screened for diabetes. Drink less coffee.

Priapologist - is there a correlation to diabetes and premature ejaculation? I ask this because sometimes I get an uneasy feeling, kind of like being really tired and worn out. Along with that, I get these insane amounts of thirst for water, both of which are symptoms of diabetes.

Healthgrades Health Library

PREMATURE EJACULATION

Any psycho-active med in the anti-depressant family can give you an edgy/nervous feeling. Many patients are extremely sensitive to some SSRI’s and not others. I’ve taken Zoloft and had a very bad reaction to it and several others before finding one without side effects. Tell your doctor about your reaction and ask him to change your Rx. No reason to be uncomfortable. That being said, its possible you might adjust to it. But in my experience, you’re better off not getting established on any med you have that initial reaction to, and just switching to something else.

Kewana maybe you should give edging a try. As far as your PE being caused by anxiety perhaps a little green tea will help with that. I think TT has a good argument about SSRI”s unless you need for exactly what it is described for don’t take it. Doctors are in the business of using meds meant for something else for problems that that medication was not intended for.

Example Nuerontin is anti epileptic. My doctor prescribed it for me for diabetic nueropathy. Neurontin made me psychotic causing extreme mood disorders. I had to stop taking it.

http://depressi on.emedtv.com/z … oft-dosage.html Claims 50mg is a starting dose for SOME applications.

I could be mistaken on how small the pills were for colitis with the Zoloft. That was 2003, I stopped cause I would have crazy intense back pain randomly when walking.

http://www.rxli st.com/cgi/gene … /sertral_ad.htm

25 mg of Zoloft works like a charm for me. You do have to get the drug in your system though, a loading phase. No ill side effects for me.

Question.

Can the lowered sex drive associated with anti-depressants make it harder to get wood?
I mean, sure it may reduce the urge to ejaculate but is this at the price of weak or forced erections.
Can Viagra be taken at the same time?

m2 - Did you go through a loading phase where you felt high anxiety and nasuea?

In theory, yes, it is little understood though. Alternate theories propose a semi-systematic explanation for it. Specifically why some people get it to work and others can’t cum at all.

Generally, unless you spew way too easily, they don’t recommend an attempt to chase an extra few minutes out of sex with SSRIs.

Kewana- I didnt experience any high anxiety or other related side effects to Zoloft. I’m amazed how well it is helping my premature ejaculation. One word: AWESOME. I dont even take it everyday. Just 25mg two to three times per week. Although sometimes I do take a break from it to to see how I react when not on it. The lower the dosage the better. To much any it does mess with your abilty to achieve real hard erections.

M2- Did you start off taking just 25mg a day? If so, did you go through an initial loading stage where you took it everyday? Also, if you don’t mind me asking, how bad was your premature ejaculation?