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I have been on paroxetine 20mg for 6 years on and off. I am on it for anxiety/panic and depression. It works very well for me. It has one major side effect-it causes me sexual dysfunction. I have little/no libido and find it nearly impossible to orgasm during sex. I do get an erection, but can go at it for hours with nothing happening-VERY FRUSTRATING. I have been with girlfriend for 8 months and we are sick of this.
My doctor has prescribed mirtazapine and reccomends I switch to 15mg building up to 45mg after a week. Does anyone have any advice? Should I swap? Is it better/worse? Does it have sexual side effects? Will I put on weight? I do a lot of fitness work, wieght training, rowing, cycling etc. Im a fitness fanatic but am very worried that it will make me put on weight. I know the withdrawal off paroxetine is bad but it will be worth it if mirtazapine works, stops the sexual side effects and I don't gain weight.
Interested to hear what people say before I decide whether to swap.
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