I suffer from erectile dysfunction. Can I take Trazodone with Fluoxetine and Cialis?

Question

Hello doctor,

I suffer from psychogenic erectile dysfunction, and I take Fluoxetine for depression from the past 11 years. Recently, I took Trazodone for this problem, but I had to wean myself off Fluoxetine completely. I took Trazodone for two weeks, and I started getting full erections, but my depression came back with a vengeance. And I started having dangerous side effects of Trazodone, so I stopped taking it and went back to Fluoxetine. I took Cialis for a week or two, and I was able to get full erections. But this week, again I am not getting full erections, and my mood is very distressing. I was fine for a while after taking 5 mg of Cialis. What should I do? Will Trazodone work for erections while I take Fluoxetine and Cialis? Will it give a boost to get hard erections like before? I just do not understand, everything was fine, but it feels like my brain pattern changes often. I feel very aroused for a while, and then I do not. Can you please give me some advice?

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your history. Based on your history, your erectile dysfunction is due to side effects of Fluoxetine. Erection problem can be psychological or organic (problem with blood supply of the penis) or drug-induced. Cialis (Tadalafil) will help if you have any problem with blood supply of the penis, which is not the case with you. You should not take Fluoxetine with Trazodone and Cialis. I suggest you try taking Trazodone without Fluoxetine. If possible, consult your psychiatrist and ask him to modify the medicines for you. I think Cialis will not help at this stage.