I am chronic depression patient since last 10 years. I am using lamictal 200 mg and paroxetine 12.5 mg. Depression is under control. I am experiencing erection issues since the onset of depression even though depression eased out to some extent. Libido is good and testosterone levels are also good. I am apprehensive about using tadalafil and caverta etc as they are with side effect profile. Kindly advise me safe medication that helps me with my erectile dysfunction problem which is very frustrating. I am 48 years old.

Start tab bupropion 150 mg every morning after breakfast. Exercise for 20 min daily.  

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Dr. Tejaswi T PPsychiatrist5yrs exp

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Paroxetine is a well known antidepressant which has various sexual side effects and erectile dysfunction in you could be due to the same. There are multiple ways to tackle your problem including change in medications with lesser sexual side effects. Before any medications, I would like to have a detailed history about your problem. I would suggest you to have a detailed discussion either via text or preferably by phone call. Feel free to contact me on private chat.  

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Dr. Shashank RaikwarPsychiatrist6yrs exp

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Sir please speak to your doctor in detail. As sexual effects of medications (if they are experienced) can be countered by adding/ changing antidepressants. Lastly, tadalafil will also help you if taken under supervision.  

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Ms. Rachna MishraPsychologist10yrs exp

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1.Use Deep Breathing Deep breathing is another effective way to relieve stress and anxiety. It helps you with physical symptoms such as shallow breathing and rapid heart rate, and it also helps with controlling your thoughts. When you practice deep breathing, you're forced to take your thoughts off of whatever is causing you anxiety and to focus on the breathing technique that you are using. 2.Keep A Journal Journaling can be an effective way to deal with your anxiety and to find relief. It helps you to take all of the things that are rolling around in your head and get them out of your head and down on paper. Sometimes seeing the things that we're worried about on paper can help us to see that they're not as big of a deal as we thought they were. It can also help us to find solutions that we have been overlooking. 3.Hang Out With Friends If you're struggling with anxiety, sometimes the last thing that you want to do is go hang out with your friends. Even if it's an activity that you enjoy with people that you like, the thought of it can be stressful. Your brain already feels overwhelmed with things that you feel you need to figure out, and it can seem like a bad use of time to do something fun. 4. Exercise, Find What Works For You : You might be tired of hearing about how great exercise is for your health. But, the reason you hear about it so much is that there's no way around it. Exercise it's good for both your physical body and for your mind.Getting regular exercise has been proven to help you sleep better at night, clear your head, and boost your mood. It's a great way to use up all that pent-up energy that you have in a way that's going to benefit you in multiple areas of your life. 

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