gangadharan_nair replied: "Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance.
Some side effects can be serious. If you experience any of the following symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:
* blurred vision
* seizures
* fever, sweating, confusion, fast or irregular heartbeat, and severe muscle stiffness
* abnormal bleeding or bruising
* hallucinating (seeing things or hearing voices that do not exist)"
Phil replied: "Nothing is wrong with you. That's one of the potential side effects of SSRIs.
If it bothers you that much give the prescriber a call and they may be able to switch you to another med or just discontinue therapy."
The sexual side effects by SSRI's are caused by a restriction of blood vessels in the brain, what about this? SSRIs help relieve the symptoms of anxiety and depression by increasing the available supply of serotonin in the brain.
Seratonin is a brain chemical that helps to regulate your mood.
There is more.
Serotonin is also a potent constrictor of the blood vessels and is thought to be involved in the mechanism of migraine and stroke.
And sexual problems?
Is this the whole reason behind why SSRI's cause sexual side effects, because they restrict blood flow and blood vessels in the brain?
Those people out there saying it has caused them permanent sexual dysfuction have suddenly caused me to give them merit, as those blood vessels in the brain that have been restricted for so long, especially for those who took the SSRI's while growing up, will definitely effect the time, if any, that it will completely reverse.
It does also appear to indeed increase the chance of stroke and one person claimed it caused them an impairment of vision, which also makes sense. SSRI's are constricting the blood vessels in the brain, I can't believe it. I wish this had to be explained to people, as I wouldn't have taken an SSRI pill this morning, which I now plan to quit.
Would taking an appropriate dose of a brain blood vessel relaxing medication (?), stop the side effects of SSRI's, while reaping the benefits of the added serotonin?
Perhaps, but that is beginning to sound like chemistry to me.
Incidentally, is there anything else that can help my OCD? And how long will that 50mg dosage of sertraline hydrochloride that I took this morning take to completely leave my body? Thankfully, it is unlikely that it could have caused any permanent damage with one pill, I mean, thats liking thinking of it has a poison pill. Anyway, I have taken a few Effexors precribed to me when I was 17 and I stopped after a few times when I noticed my sexual ability stopped.
What the hell is wrong with those eggheads, can't they see something wrong with this?
Az R replied: "You're in a very very iffy realm. The relationship between SSRIs and blood pressure is pretty weak. The effect they have seems to be very, very mild, and in fact they seem to constrict the larger arteries to the brain and dilate the smaller capillaries in the brain tissue. The idea that vasoconstriction is responsible for sexual side effects really has no merit for several reasons. The sort of blood deprivation that you're describing would result in tissue death, which would be clearly visible on the imaging studies done on the twelve odd cases of PSSD - there was none present. Second is that sexual arousal is clearly monitored by the serotonin system itself.
PSSD has been getting a lot of unwarranted attention on Answers lately. This is very rare, there have been twelve confirmed cases in a few billion patient-years, and none of the people claiming to 'have' it on the internet have had the few hundred other causes of sexual dysfunction, most of which are comorbid with depression, ruled out. If you read those studies, they clearly went through every possible cause known to medical science before assigning blame. This is by all accounts, astronomically.
Imaging of the blood flow in the brains of people taking SSRIs shows no significant alteration in blood flow or pressure. This is probably due to the fact that the Serotonin Transport Protein targeted by SSRIs is not shared by the serotonin system involved in blood pressure regulation (I'm not good with cardiovascular drugs, so I don't know the specifics of how this system works.)
OCD lives in the anxiety domain. And if anyone wants to know why anxiety disorders are difficult to treat, just read the question again. You may also consider the drug Amitriptyline.
As for the specific questions
Sexual side effects due to vasoconstriction? No. Sexual side effects are due to an increase in serotonin activity in the areas responsible for regulating sexual drive and arousal. More serotonin slows down this system.
Would a vasodilator help? No, because the effects on blood pressure and blood vessel tone are negligible. Near none existant as far as we can tell.
So you've got a choice here. You can have a little faith in your doctor's experience and education and work with the process, or you can wait until you can't tolerate the psychiatric symptoms you're having anymore."
Crouching Doggie replied: "Exactly as the above author proffered, it seems like there a bit of confusion about the MOA of SSRIs versus the MOA of serotonergic agonists used in the treatment of Migraine headache. If we accept the theory that Migraine is the product of intracranial vasodilitation, then a serotonergic agonist would only be sensible in it's treatment (and they do appear to work rather well for many).
SSRIs function in a very different manner (at the level of the synapse), so it's really rather complex pharmacology that we're talking about and rather than complicate the matter, your best bet is to adhere to your physician's recommendations. Generally, the advice physicians offer is highly well-thought out, so you'd be well advised to trust your Psychiatrist's judgement, but again, like most things in life, it's entirely up to you."
can you take haldol and an ssri in conbination? can you safley take haloperidol and an SSRI together like for egg haloperidol and sertraline together with it been safe
an ssri is a group of drugs such as citalopram prozac sertraline fluvoxamine paroxatine
Lila replied: "Yes you can the Haldol is for anxiety and a completely different medication that an antidepressant. But always check with your pharmacist about drug combinations as they are the experts."
Have you heard of Post-SSRI Sexual Dysfunction? Post-SSRI sexual dysfunction is the SSRI-induced drastic and permanent loss of capacity for physical sexual sensation, without any substantial loss in mechanical sexual functioning. Post-SSRI sexual dysfunction can be abbreviated as PSSD. The symptoms of PSSD strongly contrast with those of depression-induced sexual dysfunction.
For anyone that doesn't know, SSRIs are selective serotonin reuptake inhibitors. They include drugs such as fluoxetine (prozac), paroxetine (paxil), and sertraline (zoloft).
PSSD only afflicts a relatively small fraction of people that take SSRIs. In particular, it afflicts people that have innately low serotonin, because SSRIs damage and kill sexual neurons by chronic depletion of serotonin from said neurons. People with innately low serotonin have neurons that can not sustain that depletion. People with innately low serotonin largely include introverts and serious people.
So, have you heard of post-ssri sexual dysfunction before now? If so, how much have you known about it before now? Do you have PSSD, or know anyone that has PSSD?
Apparently answerer #4 is having visual hallucinations.

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