Social Anxiety Support

metamorphosis · 12-30-2008, 06:35 AM

My doc wants to start me on an ssri since wellbutrin doesn't seem to be working.We've talked about Celexa,Lexapro,and Prozac.I told him I want the one that has the least chance of weight gain or sexual problrems.Also one that is not sedating.He's leaving the decision up to me.Once I decide I plan on giving the med. enough time to see if it works.So out of all the Zoloft,Paxil,Prozac,Lexapro,Celexa,Luvox et all users out there give me some feedback.The last thing I need is to gain 20-30# and have no sex drive.

UltraShy · 12-30-2008, 04:42 PM

Prozac is supposed to be the most stimulating of the SSRIs, so that would likely meet your demand for lack of sedation. Paxil is generally deemed the most sedating SSRI (though I personally can't tell any difference between the two -- individual results will vary greatly).

As for sex drive, Zoloft killed my sex drive. Which is totally different from Paxil & Prozac that didn't harm sex drive, but made it impossible to orgasm. Now there is a cruel irony: one drug (Zoloft) that lets me orgasm even though it takes away any desire to do so, and two drugs that still leave me horny, yet totally unable to orgasm even if my life depended on it. As you might guess, I'm not a fan of SSRIs, though they do work for some and you might be one of those lucky ones.

As for weight gain, I personally don't think SSRIs have much effect on weight (though if they do it's certainly in the upward direction). The weight effect of SSRIs isn't so strong as to be obvious -- it's not like Zyprexa that virtually comes with a guarantee of obesity.

WintersTale · 12-30-2008, 05:23 PM

Quote:

Originally Posted by UltraShy

it's not like Zyprexa that virtually comes with a guarantee of obesity.

Exactly. I just recently changed from Zyprexa to a different medication, and I've already dropped 20 pounds in three months (without changing my diet or increasing exercise.) I don't think you'll have much of a problem with the choices that you've been given, but I'm not a medical professional, so ask your doctor for a second opinion.

Noca · 12-30-2008, 08:05 PM

Yay for Zyprexa!

Medline · 12-31-2008, 02:35 AM

Escitalopram (Lexapro) is relatively weight neutral, it can perfectly be combined with Bupropion (Wellbutrin) to increase libido, decrease appetite and make the SSRI more efficient in treatment resistant depression

nightwalker · 12-31-2008, 03:34 AM

My psychiatrist said Paxil does the weight gain.

He said Prozac is the best. And Zoloft, Lexapro, and some other ones tend to give you pain in your stomach..?

Medline · 12-31-2008, 06:58 AM

I don't think Prozac is the best and that people get stomach pain from Lexapro and Zoloft is a pretty stupid comment from your Pdoc.

Ohms · 12-31-2008, 10:43 AM

Celexa doesnt reduce my sex drive, or make me gain wait. I did get the delayed ejaculation sexual side effect, but it is a tolerable effect.

plasticintruder · 01-01-2009, 08:38 AM

prozac is the only SSRI that didnt cause sexual side effects for me. its supposed to be activating but i didnt get that. it didnt do much for anxiety either, it made me quite agitated actually....

12-30-2008, 06:35 AM	#1 (permalink)
metamorphosis Status: metamorphosis Join Date: Dec 2008 Location: Englewood,CO Gender: Male Posts: 125	weight gain and decreased libido My doc wants to start me on an ssri since wellbutrin doesn't seem to be working.We've talked about Celexa,Lexapro,and Prozac.I told him I want the one that has the least chance of weight gain or sexual problrems.Also one that is not sedating.He's leaving the decision up to me.Once I decide I plan on giving the med. enough time to see if it works.So out of all the Zoloft,Paxil,Prozac,Lexapro,Celexa,Luvox et all users out there give me some feedback.The last thing I need is to gain 20-30# and have no sex drive.

12-30-2008, 04:42 PM	#2 (permalink)
UltraShy Status: Accident of Birth Join Date: Nov 2003 Location: Milwaukee, WI (Atheist, Libertarian) Gender: Male Age: 36 Posts: 24,485	Prozac is supposed to be the most stimulating of the SSRIs, so that would likely meet your demand for lack of sedation. Paxil is generally deemed the most sedating SSRI (though I personally can't tell any difference between the two -- individual results will vary greatly). As for sex drive, Zoloft killed my sex drive. Which is totally different from Paxil & Prozac that didn't harm sex drive, but made it impossible to orgasm. Now there is a cruel irony: one drug (Zoloft) that lets me orgasm even though it takes away any desire to do so, and two drugs that still leave me horny, yet totally unable to orgasm even if my life depended on it. As you might guess, I'm not a fan of SSRIs, though they do work for some and you might be one of those lucky ones. As for weight gain, I personally don't think SSRIs have much effect on weight (though if they do it's certainly in the upward direction). The weight effect of SSRIs isn't so strong as to be obvious -- it's not like Zyprexa that virtually comes with a guarantee of obesity. __________________ Nothing is ever the way it should be What we deserve we just don't get you see http://www.insureyourgunrights.com/

12-31-2008, 03:34 AM	#6 (permalink)
nightwalker Status: confused and in pain Join Date: Nov 2008 Location: Nowhere. I am lost in my soul. Gender: Female Posts: 921	My psychiatrist said Paxil does the weight gain. He said Prozac is the best. And Zoloft, Lexapro, and some other ones tend to give you pain in your stomach..? __________________ Before: After:

12-30-2008, 08:05 PM	#4 (permalink)
Noca Status: Permanently Banned Join Date: Jun 2005 Location: Ontario Gender: Male Age: 23 Posts: 14,079	Yay for Zyprexa!

12-31-2008, 02:35 AM	#5 (permalink)
Medline Status: SAS Member Join Date: Sep 2008 Gender: Male Posts: 1,860	Escitalopram (Lexapro) is relatively weight neutral, it can perfectly be combined with Bupropion (Wellbutrin) to increase libido, decrease appetite and make the SSRI more efficient in treatment resistant depression

12-31-2008, 06:58 AM	#7 (permalink)
Medline Status: SAS Member Join Date: Sep 2008 Gender: Male Posts: 1,860	I don't think Prozac is the best and that people get stomach pain from Lexapro and Zoloft is a pretty stupid comment from your Pdoc.

12-31-2008, 10:43 AM	#8 (permalink)
Ohms Status: SAS Member Join Date: Sep 2008 Posts: 105	Celexa doesnt reduce my sex drive, or make me gain wait. I did get the delayed ejaculation sexual side effect, but it is a tolerable effect.

01-01-2009, 08:38 AM	#9 (permalink)
plasticintruder Status: SAS Member Join Date: Jan 2009 Location: delaware valley Gender: Male Posts: 8	prozac is the only SSRI that didnt cause sexual side effects for me. its supposed to be activating but i didnt get that. it didnt do much for anxiety either, it made me quite agitated actually....