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Seeking Medication Recommendations for Depression and Sexual Side Effects
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Mental & Emotional Health
Question #27023
6 hours ago
10

Seeking Medication Recommendations for Depression and Sexual Side Effects - #27023

Client_7f6068

I thank all the doctors here who have taken time to reply to my first inquiry earlier. I'm planning on seeing a psychiatrist again to help with my low mood and depression. I already saw one and was given trimipramine that helped me a lot with my anger crisis but didn't help at all lifting my mood from the total depression controlling my life. trimipramine have sexual side effects that are still lingering after years from finishing the course. I didn't do testosterone levels but there rest of my blood work is okay (normal cbc, thyroid function, fasting glucose, kidneyfunction, heart health ...etc)... I am asking for recommendations from you of medication that I can ask the psychiatrist for that should help lift my depression and mood and maybe reverse the sexual side effects of trimipramine if you could recommend anything. Thanks and I am grateful in advance for your support

How long have you been experiencing low mood and depression?:

- More than 6 months

Have you experienced any specific triggers for your low mood?:

- No specific triggers

What other treatments have you tried for your depression?:

- Therapy (e.g., CBT)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
2 hours ago
5

Hello

Ask your psychiatrist about: • Bupropion → lifts mood, very low sexual side effects, may improve sexual function • Vortioxetine → effective for depression with low sexual side effects • Mirtazapine → good for mood + sleep, minimal sexual effects

If another antidepressant is used, adding low-dose bupropion can reduce sexual side effects.

Also consider testosterone check and hormone review.

Review of current stress, sleep, and overall health — improving depression itself often improves sexual function.

You can say: “I need an antidepressant that lifts mood but minimizes sexual side effects — could we consider bupropion, vortioxetine, or an add-on strategy?”

I trust this helps Thank you Take care

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