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  • Celexa effective but causing sexual difficulties - what about switching to Remeron?

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    Old 04-21-2001, 10:46 AM   #1
    Daniele's Avatar
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    Celexa effective but causing sexual difficulties - what about switching to Remeron?

    Hi, do you remember me?
    About three weeks have gone by since I last wrote. At that time I was deeply depressed and started taking Celexa.
    I'm now feeling much better than then, although, of course, I can't say I'm jumping for joy. The drug was quite fast-acting - I began to notice the first positive effects after only 10-15 days. Now anxiety has diminished (though not completely disappeared) and I no longer wake up early in the morning feeling as if the world were going to collapse on me.
    It's difficult to assess the entity of the improvement, but, approximately, I can say it's been about 60%. There are some residues of depression, but perhaps the full effect is yet to come (honestly, I don't think so, because it was the same with all the other SSRIs I tried: a fast but not complete improvement after 2 weeks, then no change in the following months, even if I increased the dosage). I guess this is the best I can get from meds. Anyway, I can't complain: I'm feeling pretty well and life has become bearable. At least now I can function - work, study, run errands and all that. I know I should be grateful for this.
    Unfortunately, as I expected, sexual dysfunctions (loss of libido, anorgasmia) have appeared immediately after the first pill. The doctor added Wellbutrin, which increased libido (maybe - I'm not sure), but did nothing for delayed ejaculation (actually, it's not just delayed, I'd say it's impossible!). I don't think sexual difficulties will improve after some time, as some people say sometimes happens - it never happened to me with the other SSRI's.
    Anyway, if sexual dysfunctions is the price I have to pay to be (relatively) free from depression, well, I'm willing to pay it, because at this stage of my life I really can't afford to be depressed - I've got too many things to do, too many problems to solve. Life is made of compromises and I suppose I ought to be contented with the results I obtained.
    So, for the time being, I'm going to keep on taking Celexa, because it's not wise to change a drug that works, though partially. I don't want to risk falling into depression again - not now.
    But in the future I'm thinking of switching to Remeron, which is said to be virtually free form sexual side effects. I heard it's often fattening, which I wouldn't accept, but I think it's worth trying. I'll control my weight very carefully and if I notice any gain, I'll stop taking this drug and return to Celexa.
    I'd like to hear some experience with Remeron. Is it effective for depression? And for anxiety? And, above all, does it ALWAYS cause weight gain?
    Sorry for being wordy.


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    Old 04-21-2001, 02:58 PM   #2
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    Re: Celexa effective but causing sexual difficulties - what about switching to Remero

    Hi Daniele,
    I would stay on the Celexa. You seem to feel so good. Most of the postings show Remeron to put weight on most people who take it. It is also very sedating. You can always have your doc adjust your dose of Celexa in a few weeks if needed, but you sound great. You go, girl!

    Old 04-22-2001, 07:50 PM   #3
    nowhere man
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    Re: Celexa effective but causing sexual difficulties - what about switching to Remero

    Daniele: I have been on Remeron (15 mg/day) for 4 weeks now. The sleepiness is almost gone and it happens mostly if I take my dose too close to sleep time. If I allow about an hour before I go to bed, I am fine the next day.
    My apetite has increased and it is hard to control. Before I got severely depressed my weight was @ 178 lbs. During my depression attack, I went down to 162 lbs. The second week after I started Remeron I had all my weight back and stayed there.
    Lately I have been more active, playing sports and doing yard work with my wife and I am weighing 182 lbs. I have noticed that my apetite has increased lately.
    My sex drive is there and I enjoy normal sex with my wife.
    What I like the most is how much clearer my mind is; my thinking process is way better. Also, I am more calmed and relax. I cannot get overwhelmed as easily as before.
    One interesting thing, for the longest time I had been helping my wife with the garden but it was more a duty not a pleassure. This past two weekends I have been enjoying it.
    I guess the Remeron is doing its thing!

    Talk to your doctor about your concerns. Remember, you may get your libido back but you may also put in some pounds. Your call!

    Good luck!

    Old 04-22-2001, 11:48 PM   #4
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    Re: Celexa effective but causing sexual difficulties - what about switching to Remero

    Hi Daniele

    First of all Remeron has none of the libido complications as far as anything I have ever seen, read or heard of. I was on it myself, the only complication was that it simply didn't work for me, but then almost nothing else did or ever had either at that time. But unlike an SSRI, that part is not an issue with Remeron.

    Adding another drug may in some cases do the job, but I personally have a problem with taking one drug to attempt to overcome the side-effects of the first one, kind of a band-aid effect, and it seems to only work sometimes anyway and to some extent.

    There are 3 popular AD drugs right now that I know of, Serzone, Remeron, and Wellbutrin that do not affect us this way and seem to have few other side effects to them, and I don't think an AD should kill a fundamental emotional inclination like libido. So I recommend those 3 highly depending on which is the best for a given individual.

    Celexa has a pretty good track record compared to other SSRI's and compared to drugs like Effexor. But, it is an SSRI and still carries that onus with it. Remeron is prone to some weight gain, as mentioned here, but I also understand this can often be overcome when its realized what is causing it.

    To me, a drug that carries with it significant side effects that could play a large part in the emotional makeup of a person, and may have a negative effect on how they deal with life situations, is not advisable, because it literally is counteracting the good it may be doing in the first place. Conpromise is difficult to justify, if options for a lack of compromise are available to us.

    I think Remeron may be a very good option to consider along with Serzone perhaps.

    Just $.02 worth or so..

    Cheers <IMG SRC="">

    Old 04-23-2001, 08:16 AM   #5
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    Re: Celexa effective but causing sexual difficulties - what about switching to Remero

    Daniele - I agree with the above posts (except I think that I disagree with Joy who thinks you're a girl. I think she missed the part about delayed ejaculation.)

    I would first give the Celexa a longer trial before switching. There are 2 reasons:

    1) Your body needs the break from depression it is currently getting. There is no guarantee that a different drug will be as effective.

    2) When I took Prozac, the sexual side effects never went away. I currently take Celexa. I also could not reach ejaculation for the first 2 or 3 months. But then it got better and the problem mostly went away.

    Old 04-23-2001, 12:25 PM   #6
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    Re: Celexa effective but causing sexual difficulties - what about switching to Remero

    I would be inclined to suggest that you stay on the Celexa if it's working for you. You are SO lucky to have found the right med for you. I'm still looking. Talk honestly to your doctor (or see another doctor) about your sexual concerns. There are things that can be done/tried.

    As for Remeron, bad experience here. Packed on 40 lbs in 2 months, cried constantly and depression got worse. BUT, again, all drugs work differently on all people, so it may work for you.

    Again, I'm so happy that you have found the right drug for your depression. Good luck & take care.

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