Originally Answered: I believe I have SSRI sexual dysfunction can anyone help?
Treatment of antidepressant-induced sexual dysfunction can be hard to do, and medications or other type of treatments have not been studied extensively. However there are some medications that have a modest amount of anecdotal evidence and a little testing.
How long ago did you stop taking all antidepressants? In some cases it may take months or even longer but the problem does TYPICALLY go away. If you still have anxiety problems I absolutely recommend you consider treatment and many medications like benzodiazepines are effective that do NOT cause sexual dysfunction.
Serzone (nefazodone) is a type of antidepressant but it has different actions than a SSRI like citalopram. It may be helpful but the studies conducted have been of just a handful of people and they were not exactly high quality. This might be a good option if you still have anxiety problems.
BuSpar (buspirone) is used to treat anxiety, typically generalized anxiety disorder (GAD). It has similar actions to antidepressants although it is not an antidepressant. The evidence with this drug is very low like it is with Serzone. But again if anxiety is still a problem BuSpar may be a good option.
Wellbutrin (bupropion) is probably the most commonly used treatment and considered to be very effective by many doctors although, again, there is very little evidence it works well. However the evidence we do have is all very positive and there is a significant amount of anecdotal information. It is a very unique antidepressant that acts on dopamine where as other antidepressants act on norepinephrine and/or serotonin, what you took only acts on serotonin. The problem is that it may worsen anxiety in some people so if your anxiety is not well controlled this may make it worse, even if it is controlled the anxiety could get worse.
Medications with the most evidence they work are stimulants, primarily Dexedrine (dextroamphetamine) and also Ritalin (methylphenidate). Typically only a low-modest dose is required whereas the other medications typically require the same type of dose needed to help the problem, often a dose on the high side of normal. The major problems with these drugs are that they may increase anxiety, like Wellbutrin, however since a lower dose may be helpful that may not be as much of an issue and these are controlled substances. In The United States both drugs are schedule II controlled substances so if you have a personal history of substance abuse or, to a smaller extent, a family history of substance abuse, then these medications are may not the best.
All the drugs are available as a generic, Wellbutrin is by far the most expensive, followed by BuSpar, Serzone, Ritalin, and Dexedrine.