CNS Part- 2
A 54-year-old male patient was using fluoxetine for depression but decided to stop taking the drug. When questioned, he said that it affected his sexual performance and that "he wasn't getting any younger." You notice that he is a user of tobacco products. If you decide to reinstitute drug therapy in this patient, the best choice would be (DNB June 2009)
a. SSRIs and venlafaxine can cause sexual dysfunction with decreased libido, erectile dysfunction, and anorgasmia.
b. TCAs may also decrease libido or prevent ejaculation.
c. Of the heterocyclic, bupropion is the least likely to affect sexual performance. The drug is also purportedly useful in withdrawal from nicotine dependence.