Patient's Query
Hello doctor,
I experience delayed ejaculation and take Escitalopram. Occasionally, I may have intercourse for half an hour or more without reaching orgasm.
Please help.
Hello,
Welcome to icliniq.com.
I understand your concern.
It may be related to the use of Escitalopram, as it can cause delayed ejaculation. You should discuss this with your doctor, as they might suggest changing your medication. By the way, are you taking Escitalopram for depression or another condition?
Kindly reply.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I have not found any other medication that works for me. Is there a medication available that might help with quicker ejaculation?
Hello,
Welcome back to icliniq.com.
I understand your concern.
Your issue is likely due to taking Escitalopram, so as long as you continue with this medication, improvement may be limited. Bupropion might help, but you should only take it with your doctor's approval.
Patient's Query
Hello doctor,
Thank you for the reply.
Do these medications interact with each other? What are your thoughts on Ephedrine? I read online that it might be helpful. Are there any specific foods or remedies that could improve the situation?
Hello,
Welcome back to icliniq.com.
That is why I advised you to consult with the doctor who prescribed Escitalopram. The issue should be addressed since the antidepressant is likely the cause. While Ephedrine is used for other purposes, it may not help with the psychological aspect of your problem. Bupropion could address both the psychological and ejaculatory issues. This is a complex problem that may require trying several treatment options, including Cyproheptadine, Imipramine, and other agents.
Patient's Query
Hello doctor,
Thank you for the reply.
Are you suggesting that I take both medications rather than replacing Escitalopram with one of the alternatives? Since Escitalopram has not worked as well as Fluoxetine and others, it may be difficult to find a suitable replacement.
Hello,
Welcome back to icliniq.com.
I understand your concern.
You cannot take Bupropion with Escitalopram. Both Fluoxetine and Escitalopram can cause delayed ejaculation, so switching to Bupropion might be necessary. It is important to consult with the doctor who prescribed Escitalopram before making any changes. I would also like to understand why you are taking Escitalopram in the first place.
Thanks and regards.
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Answered byDr. Purushottam Sah
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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