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Overview

Zaptra 12.5 Mg/0.25 Mg Capsule

Manufacturer: Intas Pharmaceuticals Ltd
Medicine composition: Paroxetine, Clonazepam
Prescription vs.OTC: Prescription by Doctor not required

Zaptra 12.5 Mg/0.25 Mg Capsule is an antidepressant that is used in the treatment of various mental disorders such as OCD, depression, anxiety, post-traumatic stress disorder (PTSD). The Brisdelle brand of Zaptra 12.5 Mg/0.25 Mg Capsule is used in the treatment of hot flashes and night sweats that comes from menopause. It is sold under the trade names Paxil and Seroxat.

On using Zaptra 12.5 Mg/0.25 Mg Capsule the common side effects that you may experience are dryness of the mouth, reduced appetite, drowsiness, insomnia, problems with ejaculation, agitation, chest pain, skin rash, difficulty in breathing, lightheadedness, dizziness, fast or irregular heartbeat, fever, restlessness, speech problems, blurred vision, acidity, abdominal pain, cough, darkening of the urine and shakiness. Notify your doctor immediately if you have suicidal thoughts, hallucinations, coordination issues and convulsion. Before using this medicine, tell your doctor if you have any of the following conditions:

  • If you are pregnant, or are planning to become pregnant, or are breastfeeding a baby.
  • If you have low sodium levels.
  • If you have a history of seizures or epilepsy.
  • If you have a history of glaucoma.
  • If you have liver, heart or kidney diseases.
  • If you are taking any prescriptive or over the counter drugs, herbal medications or dietary supplements. As interaction with certain drugs especially anti-inflammatory ones such as NSAID may cause certain harmful reactions.

The dosage for Zaptra 12.5 Mg/0.25 Mg Capsule will be prescribed by your doctor as per your medical history, age, gender, the current medical condition and what reactions you have after the first course of medicine. Zaptra 12.5 Mg/0.25 Mg Capsule is available in both tablet and liquid form. Generally the usual dose in adults is about 20 mg (tablet/suspension) orally once in a day.

This medicine is used for the treatment of acute episodes of depression associated with chemical imbalance in the brain.
Social Anxiety Disorder
This medicine is used for the treatment of a mental condition characterized by an abnormal fear during normal social situations.
Panic disorder
This medicine is used for the treatment of panic disorder and associated symptoms like overwhelming anxiety and fear coupled with increased heart rate, trembling, numbness and tingling sensation.
This medicine is used to treat depression, tension, and irritability occurring 5-11 days before the start of a menstrual cycle.
Obsessive Compulsive Disorder
This medicine is used for the treatment of a disorder where a person is driven to do compulsive tasks caused by obsessive thoughts.
This medicine is used for the treatment of anxiety, sleeplessness and other behavioral changes after experiencing or witnessing a terrifying event.
Generalized anxiety disorder
This medicine is used for the treatment of general anxiety caused due to excessive thinking about life, work, relationships etc.
Postmenopausal symptoms
This medicine is used to treat symptoms like anxiety, mood swings, fear etc associated with menopause in women.
Monoamine oxidase inhibitors (MAOI)
This medicine is not recommended for use while a MAOI medicine (Rasagiline/Selegiline/methylene blue etc.) is being consumed. This medicine should be consumed at least 14 days after stopping the use of MAOI medicines.
Thioridazine
This medicine is not recommended for use if the patient is taking Thioridazine (medicine used to treat schizophrenia).
Pimozide
This medicine is not recommended for use if the patient is taking Pimozide (anti psychotic medicine).
This medicine is not recommended for use if you a known history of allergy to Zaptra 12.5 Mg/0.25 Mg Capsule or any other ingredient present with it.
In addition to its intended effect, Zaptra 12.5 Mg/0.25 Mg Capsule may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Suicidal thinking and behaviour Moderate Less Common
Serotonin syndrome (agitation, hallucinations, seizures, nausea) Moderate Less Common
Irregular heartbeat Moderate Less Common
Shaking of the hands or feet Moderate Less Common
Dizziness when getting up suddenly from a sitting position Moderate Less Common
Chills or cold sweats Moderate Less Common
Blurred vision Moderate Less Common
Nausea and vomiting Moderate Less Common
Dry mouth and lips Moderate Less Common
constipation Moderate Less Common
Muscle stiffness Moderate Less Common
Decreased sexual urge Moderate Less Common
Difficulty in passing urine Moderate Less Common
Rapid weight gain/loss Moderate Less Common
Photosensitivity Moderate Less Common
Unusual bleeding or bruising Moderate Less Common
Racing thoughts Moderate Less Common
Reckless behavior Moderate Less Common
Unusual tiredness and weakness Moderate Less Common
How long is the duration of effect?
The time for which this medicine remains effective in the body is not clearly established. Dosing, duration and the condition for which this medicine is given determine the effective time duration.
What is the onset of action?
The effect of this medicine is cumulative and may take months to show. It varies depending on the intended use and the dosing.
Are there any pregnancy warnings?
Use of this medicine by pregnant women is not recommended as the risk of adverse effect on the fetus is very high. Consult your doctor if you are pregnant or are planning a pregnancy while taking this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
The medicine is suggested to be ignored by breastfeeding mothers as there is a possibility of side-effects on infant. You should consult your doctor to evaluate the potential benefits and risks before taking the medicine.
Below is the list of medicines, which have the same composition, strength and form as Zaptra 12.5 Mg/0.25 Mg Capsule , and hence can be used as its substitute.
Missed Dose instructions
Take the missed dose as soon as you remember. If the next scheduled dose is less than 4 hours away, then the missed dose should be skipped.
Overdose instructions
In case of an overdose, doctor should be consulted immediately. The overdose symptoms are agitation, hallucinations, convulsions, nausea, drowsiness, fast or slow heartbeat, and convulsions.
This medicine works by selectively inhibiting the reuptake of serotonin. This results in higher concentrations of serotonin in the brain.,
What are you using Zaptra 12.5 Mg/0.25 Mg Capsule for?
Depression
Other
Social Anxiety Disorder
Panic disorder
Obsessive Compulsive Disorder
Generalized anxiety disorder
Premenstrual Dysphoric Disorder
Postmenopausal symptoms
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
More than 2 days
Within 2 hours
Within a day
Within 2 days
Within 6 hours
How frequently did you take this medicine?
Once a day
Not taking on daily level
Twice a day
How did you take this medicine?
With Food
With or without food
Empty stomach
What were the side effects of this medicine?
Other
Dry mouth and lips
Irregular Heartbeat
Suicidal thinking and behaviour
Nausea and Vomiting
Chills or cold sweats
Serotonin syndrome
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I am 40 year old man. I had been taking zaptra 25 for 6 years. Whenever I stop this medicine, I have problem in sleeping. Now I want to stop this medicine. Kindly get any idea for this.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
I am 40 year old man. I had been taking zaptra 25 for 6 years. Whenever I stop this medicine, I have problem in sleep...
We can taper this dose, and can shift you to homeopathic medicines. Besides this, follow certain daily routine for sleep such as - For good sleep, just try out these simple ways - 1. Stick to a sleep schedule- Go to bed and get up at the same time every day. Try to limit the difference in your sleep schedule on weeknights and weekends to no more than one hour. Being consistent reinforces your body's sleep-wake cycle. If you don't fall asleep within about 20 minutes, leave your bedroom and do something relaxing. Read or listen to soothing music. Go back to bed when you're tired. Repeat as needed. 2. Pay attention to what you eat and drink - Don't go to bed hungry or stuffed. In particular, avoid heavy or large meals within a couple of hours of bedtime. Your discomfort might keep you up. Nicotine, caffeine and alcohol deserve caution, too. 3. Create a restful environment - Avoid prolonged use of light-emitting screens just before bedtime. Consider using room-darkening shades, earplugs, a fan or other devices to create an environment that suits your needs. Doing calming activities before bedtime, such as taking a bath or using relaxation techniques, might promote better sleep. 4. Limit daytime naps - Long daytime naps can interfere with nighttime sleep. If you choose to nap, limit yourself to up to 30 minutes and avoid doing so late in the day. 5. Include physical activity in your daily routine - Regular physical activity can promote better sleep 6. Manage worries - Try to resolve your worries or concerns before bedtime. Stress management might help. Start with the basics, such as getting organized, setting priorities and delegating tasks. Meditation also can ease anxiety. Identifying and treating any underlying causes can help you get the better sleep you deserve. If above things doesn't help you, then consult us for homeopathic medicines.

Hi Sir I was going through my anxiety from last 2 years due to daughter as she was just 10 months due to genetic disorder she can could not survive for long. And I have got all my test done during that period of time and everything was normal. MY anxiety got started from my stomach upset one day I had South Indian and then came back home from out of station. 1. First I consultant a Ayurvedic doctor to start with it those medicines dint suited me as they were very warm for me which resulted into high BP. 2. I consulted a doctor and started my medicines called Zaptra and amino fatty acids plus Zapiz at times when my anxiety was little moderate and it went into head. 3. SEIZURE EFFECT ON the head and feeling not comfortable. Presently my medicines are just valino 20 MG and I am 99 per cent fine but my blood pressure is still high like 138/ 88 maximum. So I am taking amlip 5 MG for BP and valine 20 MG. But my BP maximum is 138/ 88. So can I stop taking amlip5 MG as it has 20 days I am taking it.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Hi Sir I was going through my anxiety from last 2 years due to daughter as she was just 10 months due to genetic diso...
Please do not stop BP medications abruptly. You have to change your lifestyle and nutrition .This will reduce your bp within one week and this needs to be monitored by having a Bp apparatus at home. Eat plant based food Do not eat outside No processed food. Cook your own food stop all dairy products sleep well exercise daily do meditation, yoga etc For more specific lifestyle and dietary advice take a consult.
1 person found this helpful

I'm not too sure if its prolonged depression or borderline or bipolar. I get mood swings. It shifts from extreme happy to extreme sad. I take things personally n it affects me a lot. I don't like to socialise, prefer being alone. I'm an empath. And I take on others energies /problems as my own. I overthink a lot too. I'm taking zaptra 12.5 mg since June before that had tried homeopathic med too. I still get highs and lows. I have tried to harm myself and also in extreme anger I cry n slap myself. I used to be a very fun loving n ambitious girl. I feel lethargic now. Little things affect me and I cry a lot. Very tired of feeling this way .Can someone help me online?

MPhil (Clinical Psychology)
Psychologist, Chennai
I'm not too sure if its prolonged depression or borderline or bipolar. I get mood swings. It shifts from extreme happ...
In borderline personality depression will be there as you feel emptiness, loneliness, seek of self assurance, mood swings, shallowness, etc. When there is a personality issue you need to try not to convert it into a disorder by self analysing the situation you react and the way you handle every life situation. Personalizing, taking everything straight to heart form part and parcel of cognitive error which is common in depression. Along with medication seek help for CBT with a clinical psychologist nearby, which might help you.
2 people found this helpful

I have symptoms of borderline personality. I'm taking zaptra 12.5 from June. Yet I have extreme mood swings, sadness. I thought it must be a general depression phase. It has been going on from a long time. Also * m very empathetic n smallest things affect me. Can someone help me out? Is it poss to take online consult here n get prescription of right medicines? I'm really tired of feeling this way n constant tears.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
I have symptoms of borderline personality. I'm taking zaptra 12.5 from June. Yet I have extreme mood swings, sadness....
Borderline personality disorder is a mental disorder characterised by unstable moods, behaviour and relationships. The cause of borderline personality disorder isn't well understood. Diagnosis is made based on symptoms. Symptoms include emotional instability, feelings of worthlessness, insecurity, impulsivity and impaired social relationships. Treatments include psychotherapy, counseling and lifestyle changes. Medicines alone cannot cure BPD. Take care.
3 people found this helpful

I am 24 years female. Suffering from anxiety problems. I have these weird feeling of heartbeat and pumping sounds coming from head whenever I lay down. I have been prescribed to have zaptra and nuhenz once daily. Is it good to have these medications in this age. Can it lead to any complications if yes, then how many days should I limit these medications to avoid any complications. I have been prescribed to go for ct scan of brain if the situation doesn't improve. But I have a fear if CT scan shows any problems. Please help me in the right direction.

MSc, PGDGC, M.Phil - Psychology
Psychologist, Chennai
I am 24 years female. Suffering from anxiety problems. I have these weird feeling of heartbeat and pumping sounds com...
Respected lybrate-user, Not all anxiety features need medication. They need to do an assessment for your anxiety and confirm whether it's mild or moderate or severe. In the case only severe we can suggest medication. Orelse try psychotherapy for anxiety reduction. Deep breathing, systematic desensitization works well for you.
1 person found this helpful

Popular Health Tips

Premature Ejaculation: What Should You Know About It?

MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist, Mumbai
Premature Ejaculation: What Should You Know About It?

My last article gave insight on the non-medical methods of controlling premature ejaculation Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult your doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class of drugs include local anaesthetics, antidepressants and phosphodiesterase-5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for PE management. They were applied topically to the surface of skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays/ creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. Treatment medications include Selective Serotonin Reuptake Inhibitors (SSRIs), which interact with a receptor (5-HT2C) present in brain and increases the production of Serotonin. They also help in reducing anxiety and depression associated with PE. Through this mechanism, they prolong the time to reach ejaculation. Several SSRIs have increasingly become used as 'off-label' for PE.

Among the available SSRIs, Paroxetine-Dapoxetine is more beneficial with lesser side effects as compared to other SSRIs. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent SSRI which acts quickly and cleared rapidly from the body. Adverse effects with SSRIs are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache associated with them have limited their use in PE.

At present, clinicians need to consider all treatment modalities when evaluating a man with PE, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for PE treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse's vigour, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements), and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in Vajikaran. Some of the commonly used formulations include Vrihani GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in treatment of PE. Vajikaranam Ghritam enhances the strength of penis. Upatyakari Shashtikadi Gutika is useful for the enhancement of the fertility.

Also, Chapdraprabha Vati and Kaunch Pak are known to increase sexual vigour and semen consistency helping in increase in sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation. Take care, and stay healthy!

In case you have a concern or query you can always consult an expert & get answers to your questions!

7137 people found this helpful

Homeopathy For Forgetfulness / Memory Loss

BHMS
Homeopath, Navi Mumbai
Homeopathy For Forgetfulness / Memory Loss

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones and how can homeopathic treatment can help you.To know more about homeopathy and homeopathic treatment read more.....

Lack of sleep.

Not getting enough sleep is perhaps the greatest unappreciated cause of memory slips. Too little restful sleep can also lead to mood changes and anxiety, which in turn contribute to problems with memory.

Medications.

Tranquilizers, antidepressants, some blood pressure drugs, and other medications can affect memory, usually by causing sedation or confusion. That can make it difficult to pay close attention to new things. Talk to your doctor or pharmacist if you suspect that a new medication is taking the edge off your memory. As shown in the table below, alternatives are usually available.

*Medications* that may affect memory and possible substitutes
If you take these drug, ask about switching to one of these drugs:
1.paroxetine (Paxil) another antidepressant such as fluoxetine (Prozac) or sertraline (Zoloft), or a different type of antidepressant such as duloxetine (Cymbalta) or venlafaxine (Effexor)
2.cimetidine (Tagamet) a different type of heartburn drug, such as lansoprazole (Prevacid), omeprazole (Prilosec), or esomeprazole (Nexium)
3.oxybutynin (Ditropan) or tolterodine (Detrol, Detrusitol) other medications for an overactive bladder, such as trospium (Sanctura), solifenacin (Vesicare), or darifenacin (Enablex)
4.amitriptyline (Elavil), desipramine (Norpramin), or nortriptyline (Aventyl, Pamelor) another type of medication, depending on why your doctor has prescribed a tricyclic antidepressant (neuropathic pain, depression, etc.)

5.*captopril (Capoten)* a different type of ACE inhibitor, such as enalapril, lisinopril, or ramipril
cold or allergy medication containing brompheniramine, chlorpheniramine, or diphenhydramine loratadine (Claritin) or other non-sedating antihistamine
(Adapted from Improving Memory: Understanding age-related memory loss, a Harvard Medical School Special Health Report)

 

Underactive thyroid

A faltering thyroid can affect memory (as well as disturb sleep and cause depression, both of which contribute to memory slips). A simple blood test can tell if your thyroid is doing its job properly.

Alcohol.

Drinking too much alcohol can interfere with short-term memory, even after the effects of alcohol have worn off. Although “too much” varies from person to person, it’s best to stick with the recommendation of no more than two drinks per day for men and no more than one a day for women. One drink is generally defined as 1.5 ounces (1 shot glass) of 80-proof spirits, 5 ounces of wine, or 12 ounces of beer.

Stress and anxiety.

Anything that makes it harder to concentrate and lock in new information and skills can lead to memory problems. Stress and anxiety fill the bill. Both can interfere with attention and block the formation of new memories or the retrieval of old ones.

 

Depression.

Common signs of depression include a stifling sadness, lack of drive, and lessening of pleasure in things you ordinarily enjoy. Forgetfulness can also be a sign of depression—or a consequence of it.

If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.

TREATMENT PROTOCOLS FOR POOR MEMORY

Spleen Kidney and heart are the 3 organs which provides memory

●Following are the three patterns of poor memory :

1) spleen deficiency causes poor memory, inability to concentrate and study.

2) deficiency of kidney essence causes poor everyday memory.

3) heart deficiency causes poor memory of past events , forgetting names.

1) Spleen deficiency causes
poor memory inability to concentrate
and study:
Main symptoms :
1) poor memory
2) tiredness
3) poor appetite
4) *pale tongue*
5) *weak pulse*

Treatment principle :
1) tone the spleen
2) strengthen intellect. Spleen houses intellect , which controls memorisation, study and concentration.

2) Kidney essence deficiency
causes poor memory everyday.
Main symptoms :
1) poor everyday memory
2) can not remember names , faces, roads etc.
3) dizziness
4) tinnitus
5) weakness
6) if kidney yang is deficient , tongue will be
pale
7) if kidney yin is deficient the tongue will be
red

Treatment principles :
1) tone the kidney
2) nourish essence and marrow

3) Heart deficiency causes

  • Poor memory of past events 
  • Forgetting names 

Main symptoms :

1) poor memory of past events
2) forgetting names
3) absent mindedness
4) tiredness
5) slight breathlessness
6) if there is heart yang deficiency the tongue will be pale with heart cracking
7) if there is heart yin deficiency the tongue will be red with heart crack

Treatment principle :
1) *tone the heart*
2) strengthen the mind and memory

Homeopathic treatment

There are many remedies in homeopathy to treat this condition. It requires a detailed study of the patient to know his/her lifestyle and life circumstances to be able to diagnose at the correct cause/causes so as to administer the right remedy. Since homeopathic medicines do not have sideeffects this is a very great advantage.

14 people found this helpful

Low Desire Disorder In Women

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression, Certificate course to be Sexuality Educator
Sexologist, Hyderabad
Low Desire Disorder In Women

A woman's sexual desire naturally fluctuates over the years. Highs and lows commonly coincide with the beginning or end of a relationship or with major life changes, such as pregnancy, menopause or illness. Some antidepressants and anti-seizure medications also can cause low sex drive in women.

If you have a persistent or recurrent lack of interest in sex that causes you personal distress, you may have hypoactive sexual desire disorder — also referred to as female sexual interest/arousal disorder.
But you don't have to meet this medical definition to seek help. If you are bothered by a low sex drive or decreased sexual desire, there are lifestyle changes and sex techniques that may put you in the mood more often. Some medications may offer promise as well. 
If you want to have sex less often than your partner does, neither one of you is necessarily outside the norm for people at your stage in life — although your differences, also known as desire discrepancy, may cause distress.
Similarly, even if your sex drive is weaker than it once was, your relationship may be stronger than ever. Bottom line: There is no magic number to define low sex drive. It varies from woman to woman.

Some signs and symptoms that may indicate a low sex drive include a woman who:
* Has no interest in any type of sexual activity, including self-stimulation
* Doesn't have sexual fantasies or thoughts, or only seldom has them
* Is bothered by her lack of sexual activity or fantasies
When to see a Doctor specializing in sexual health.
If you're bothered by your low desire for sex, talk to your doctor. The solution could be as simple as changing the type of antidepressant you take.

Causes

A woman's desire for sex is based on a complex interaction of many components affecting intimacy, including physical well-being, emotional well-being, experiences, beliefs, lifestyle and current relationship. If you're experiencing a problem in any of these areas, it can affect your sexual desire.

Physical causes
A wide range of illnesses, physical changes and medications can cause a low sex drive, including:
* Sexual problems. If you experience pain during sex or an inability to orgasm, it can hamper your desire for sex.
* Medical diseases. Numerous nonsexual diseases can also affect desire for sex, including arthritis, cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases.
* Medications. Many prescription medications — including some antidepressants and anti-seizure medications — are notorious libido killers.
* Lifestyle habits. A glass of wine may make you feel amorous, but too much alcohol can spoil your sex drive; the same is true of street drugs. And smoking decreases blood flow, which may dampen arousal.
* Surgery. Any surgery, especially one related to your breasts or your genital tract, can affect your body image, sexual function and desire for sex.
* Fatigue. Exhaustion from caring for young children or aging parents can contribute to low sex drive. Fatigue from illness or surgery also can play a role in a low sex drive.

Hormone changes
Changes in your hormone levels may alter your desire for sex. This can occur during:
* Menopause. Estrogen levels drop during the transition to menopause. This can cause decreased interest in sex and dryer vaginal tissues, resulting in painful or uncomfortable sex. Although many women continue to have satisfying sex during menopause and beyond, some women experience a lagging libido during this hormonal change.
* Pregnancy and breast-feeding. Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sexual desire. Of course, hormones aren't the only factor affecting intimacy during these times. Fatigue, changes in body image, and the pressures of pregnancy or caring for a new baby can all contribute to changes in your sexual desire.

Psychological causes
Your problems don't have to be physical or biological to be real. There are many psychological causes of low sex drive, including:
* Mental health problems, such as anxiety or depression
* Stress, such as financial stress or work stress

* Poor body image
* Low self-esteem
* History of physical or sexual abuse
* Previous negative sexual experiences

Relationship issues
For many women, emotional closeness is an essential prelude to sexual intimacy. So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as:
* Lack of connection with your partner
* Unresolved conflicts or fights
* Poor communication of sexual needs and preferences
* Infidelity or breach of trust

Treatments and drugs
Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling and sometimes medication.
Counseling
Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sexual desire. Therapy often includes education about sexual response and techniques and recommendations for reading materials or couples' exercises. Couples counseling that addresses relationship issues may also help increase feelings of intimacy and desire.

Medication review
Your doctor will want to evaluate the medications you're already taking, to see if any of them tend to cause sexual side effects. For example, antidepressants such as paroxetine (Paxil, Pexeva) and fluoxetine (Prozac, Sarafem) may lower sex drive. Adding or switching to bupropion (Aplenzin, Wellbutrin) — a different type of antidepressant — usually improves sex drive.
Hormone therapy
Estrogen delivered throughout your whole body (systemic) by pill, patch, spray or gel can have a positive effect on brain function and mood factors that affect sexual response. But systemic estrogen therapy may have risks for certain women.
Smaller doses of estrogen — in the form of a vaginal cream or a slow-releasing suppository or ring that you place in your vagina — can increase blood flow to the vagina and help improve desire without the risks associated with systemic estrogen. In some cases, your doctor may prescribe a combination of estrogen and progesterone.
Male hormones, such as testosterone, play an important role in female sexual function, even though testosterone occurs in much lower amounts in women. However, replacing testosterone in women is controversial and it's not approved by the Food and Drug Administration for sexual dysfunction in women. Plus it can cause acne, excess body hair, and mood or personality changes.

Lifestyle and home remedies

Healthy lifestyle changes can make a big difference in your desire for sex:
* Exercise. Regular aerobic exercise and strength training can increase your stamina, improve your body image, elevate your mood and boost your libido.
* Stress less. Finding a better way to cope with work stress, financial stress and daily hassles can enhance your sex drive.
* Communicate with your partner. Couples who learn to communicate in an open, honest way usually maintain a stronger emotional connection, which can lead to better sex. Communicating about sex also is important. Talking about your likes and dislikes can set the stage for greater sexual intimacy.
* Set aside time for intimacy. Scheduling sex into your calendar may seem contrived and boring. But making intimacy a priority can help put your sex drive back on track.
* Add a little spice to your sex life. Try a different sexual position, a different time of day or a different location for sex. Ask your partner to spend more time on foreplay. If you and your partner are open to experimentation, sex toys and fantasy can help rekindle your sexual sizzle.
* Ditch bad habits. Smoking, illegal drugs and excess alcohol can all dampen sexual desire. Ditching these bad habits may help rev up your sexual desire as well as improve your overall health.    

Low sexual desire can be very difficult for you and your partner. It's natural to feel frustrated or sad if you aren't able to be as sexy and romantic as you want — or you used to be.
At the same time, low sexual desire can make your partner feel rejected, which can lead to conflicts and strife. And this type of relationship turmoil can further reduce desire for sex.

It may help to remember that fluctuations in your sexual desire are a normal part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself and your relationship.
Go for a long walk. Get a little extra sleep. Kiss your partner goodbye before you head out the door. Make a date night at your favorite restaurant. Feeling good about yourself and your partner can actually be the best foreplay.

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Premature Ejaculation (PE) - Worry or Not?

MD - General Medicine
Sexologist, Delhi
Premature Ejaculation (PE) - Worry or Not?

The condition of premature ejaculation (PE) is a far more common male sexual dysfunction of middle age people. Generally, premature ejaculation is a male orgasmic disorder that causes an orgasm or "climaxing" faster than both partners' desire. The most couple found this condition irritating and undesirable while some considered it pleasing to them. If the problem of (PE) persists, it can have an adverse effect on the sexual satisfaction of the couple and disrupt the peace in their marital life.

It's difficult to define specific time duration for PE because the length of ejaculation varies from one individual to another. Researchers have revealed that individuals who complain of (PE) reach their climax and ejaculate within 1-2 minutes of penile penetration compare to 7-10 minutes of other individuals who don't complain of the same condition. We can conclude that if a man comes in less than 90 seconds of penile penetration, it's likely that he's suffering from premature ejaculation.

Causes of premature ejaculation:

Several factors contribute to the condition of PE ranging from biological, psychological to social and cultural contributions. Although the exact cause of (PE) is not well known the latest researches have shown that factors that cause sexual dysfunction will cause premature ejaculation.

Some physicians argued that serotonin, a neurotransmitter found in the gastrointestinal tract, central nervous system and platelet is very important in monitoring premature ejaculation. Other biological factors such as infection of the prostate, abnormal level of hormone, diabetes, drug abuse, inheritance can contribute to PE.

Psychological factors that can affect PE include anxiety, depression, stress, sexual abuse, nervousness, early sexual experience and poor body image.

Symptom of premature ejaculation:

The major premature ejaculation symptom is the inability to delay ejaculation. When an individual sees that he cannot control or delay his ejaculation, it's likely to be suffering from PE.

Remedies for premature ejaculation:

A number of treatments have been described to counter premature ejaculation. These are psychological therapies, behavioral therapies, and medical therapies.

In psychological therapies, the clinical psychologist tries to use psychological procedures to evaluate the cause of the man's (PE) problem and proffers a reasonable psychological advice or solution based on the identified cause of the PE. To carry out psychological therapy, a man with premature ejaculation is advised to be confident about his sexual performances and to be less anxious about it. This treatment is usually coupled with medical therapies in order to provide a lasting solution to the problem.

Some of the questions which are often asked by the clinical psychologist from a sufferer include:

What can you say about your present interest in sex?

Do you experience pain during sexual intercourse?

Do you usually engage in mutual romance before intercourse?

Have you ever had a problem reaching climax?

In behavioral therapies, the mutual cooperation of the partners is very important. There's a popular method of "squeezing". In this method, the wife stimulates her man by holding his penis until he's in the state of climax or orgasm. Prior to ejaculation, the wife squeezes the penis hard until he partially loses an erection. This purpose of this is to allow the man to be aware of when he's about to come in each sexual intercourse and begins to delay his ejaculation.

In medical therapy, some pills used as depressant and anesthetic creams have been proved to be effective in slowing down ejaculation time in men although those pills are never approved for use by US Food and Drug Administration (FDA). These drugs include Prozac, Sarafen, Paroxetine, Clomipramine (Anafranil), Sertraline (Zoloft), and some other drugs capable of increasing the level of serotonin production. It's important to note that these drugs might have side effects if used as a treatment for (PE).

Ayurveda treatment for premature ejaculation

The cause of premature ejaculation with respect to ayurvedic perspective is the provocation of Vata (air) and Pitta Dosha at the commencement of the sexual intercourse. Dosha is known to be aggravated by anxiety and nervousness while Vata is known for its quality of swiftness and heightened sensitivity to the sense of touch.

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Male Sexual Health

MD - General Medicine
Sexologist, Delhi
Male Sexual Health

What is ejaculation?

It is the release of semen from the penis at orgasm. Semen is made up of sperm and fluid from testes (singular testis), seminal vesicles and prostate gland.

When a man is sexually stimulated, the brain sends signals to the genital area through nerves in spinal cord that causes contraction of pelvic muscles. Waves of pelvic muscle contractions transport the semen from the testes to tip of penis through vas deferens. This is called ejaculation or orgasm (colloquially to cum, shoot, blast or bust).

What is premature ejaculation (PE)?

PE means 'cumming too soon', that is, a man ejaculates before he is ready for it and he has no control over it.

Studies have shown that most men ejaculate between 2-5 minutes after penetration. This time frame is again arbitrary since it can differ from men to men, couple to couple, between cultures and other factors. So, for practical reason, if ejaculation occurs within 1 minute of penis entering into a vagina, it is called premature ejaculation. It is the commonest sexual problem in men and affects all ages.

What are the causes?

  • Premature ejaculation can be primary or secondary.
  • Primary or lifelong PE is when a man has not had control of ejaculation from the time of his first sexual experience. It can be caused by a chemical imbalance in brain centres that lowers the threshold for ejaculation.
  • Secondary or acquired PE is usually when there has been a period of normal functioning before premature ejaculation began. Secondary premature PE is often linked to psychological factors like stress, performance anxiety, relationship issues and impotence.

How is it diagnosed?

There are no tests or scans to diagnose PE. If you have premature ejaculation, you need to see your local doctor and a diagnosis is made based on your history.

What treatments are there for premature ejaculation?

Treatment for PE may involve sex therapy, behavioural techniques, medications, local gels and creams, and treatment of other conditions like erectile dysfunction.

Sex therapy is administered by a person called sex therapist. This is particularly important if the cause of premature ejaculation is psychological like relationship issues and anxiety. Sex therapist provides counselling to address these issues.

There are mainly two behavioural techniques that can be used for treating premature ejaculation:

Seman's 'stop start' technique and Masters and Johnson's 'squeeze' technique.

How to perform Seman's 'stop start' technique

  • Arouse yourself sexually by playing with your penis or ask your partner to stimulate it for you
  • Once you are fully aroused and feel you are close to ejaculation, stop playing
  • Wait for some time until the feeling of ejaculation passes away
  • Once the feeling has passed, you can restart stimulating your penis
  • Repeat this cycle 5-6 times until you finally ejaculate
  • Once you feel more confident with this technique, you can actually practice this after entering your partner. Start thrusting your partner until you feel you are close to ejaculation, stop thrusting and divert your attention to something else. Once the ejaculation feeling passes away, resume thrusting and stopping until you finally ejaculate.
  • How to perform Masters and Johnson's 'squeeze' technique

Once you are fully aroused and feel you are close to ejaculation, squeeze the tip of the penis between your thumb and index finger (or your partner can squeeze it for you) for several seconds until the feeling of ejaculation passes away. Repeat this squeeze and release technique for as long as you can until you finally ejaculate.

What medications are used to treat PE?

  • You need to see your local doctor to get medications prescribed for PE.
  • Dapoxetine (Priligy) is the only medication that is specific to the treatment of premature ejaculation. It is taken 'on-demand' only, one to three hours before sexual intercourse.
  • Some antidepressants have the side effect of delayed ejaculation and used for premature ejaculation. They include SSRIs like fluoxetine, paroxetine and sertraline and tricyclic antidepressant called clomipramine.
  • If PE is associated with erectile dysfunction, Viagra, Cialis or Levitra may be prescribed by your doctor.
  • Local anaesthetic creams and gels can reduce penile sensation and help premature ejaculation. They should be applied up to 30 minutes before sexual intercourse.
  • Using two condoms can reduce penile sensation and help a man take longer to ejaculate.

Just remember

Premature ejaculation is a very common sexual problem in men and affects all ages. It can cause embarrassment and anxiety and affects a man's self-esteem. It can affect both partners emotionally and sexually. There are many treatments available including sex therapy, behavioural techniques and medications but you need to seek help early. It is very important for partners to discuss this openly and get help from a doctor or other health care professionals.

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