He could also try Wellbutrin (bupropion), which has no sexual side-effects. The big thing with this one though is the insomnia it can cause, which is usually easily remedied by taking it in the morning.

Are you a pharmacist of physician PrettyFly? Just wondering cause I just finished pharmacy school and you seem to have a pretty good grasp of antidepressants.

> In that class of meds there is paroxetine (paxil), fluoxetine (prozac),
> sertraline (zoloft), citalopram (celexa), and escitalopram (lexapro) with the
> later 2 being the newest ones. Some people do better than others on one med
> compared to another, its just genetic differences. Insomnia could be the time
> of day your taking it (zoloft is known to cause insomnia if taken at night,
> paroxetine is known to cause drowsiness if taken early in the day, but those
> aren't hard, fast rules since they're all in the same class most side effects
> are seen in all of them, just depends on the person.)
>
> If they don't work well for you, you might want to try to switch to an SNRI like
> venlafaxine extended release (Effexor XR), works slightly different from the
> SSRI's but its approved for depression, genalized anxiety, social anxiety, but
> I'm not sure of your financial situation and the medication situation in brazil
> (since in the US Effexor (XR), Zoloft, and Lexapro are still brand only =
> expensive).
>
> But in the case of all of these, they take 4-6 weeks to work, so side effects
> that appear at first may go away, but if they don't and they're messing with
> your life, try another one, but then that'll be another 4-6 weeks till that one
> builds up to a therapeutic level.
>
> _ _ - - = = Pr3tty F1y = = - - _ _
>