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Unable to ejaculate after changing to SERTRALINE for ANXIETY.

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Hi there, a few weeks ago the mental health team changed my medication from mirtazapine to sertraline to help with anxiety, social anxiety and panic attacks, since going from 50mg to 100mg of sertraline i've been unable to ejaculate. I still get an erection and have libido but can not ejaculate. Is this normal? Is there anything I can do/be prescribed to help this? Its making me really depressed and unhappy.Thanks.

Adam

Category: Family Physician-GP

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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 28 Doctors Online

Expert:  Dr. Jaydeep Tripathy
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Hello,
Thanks for your query at DoctorSpring.com
I understand your concern
Sertraline like many other antidepression drugs may interfere with sexual function. It may affect ejaculation. Reducing the dose of the drug on advice of your physician or tailoring it by restarting it at minimal dose and gradually increasing it to find a level that produces the desired antidepressant effect without causing sexual dysfunction will help.
Hope it answers your question
Feel free to discuss further
Regards

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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