Citalopram
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Citalopram Spontaneous ejaculation: case report A 27-year-old man with panic disorder, agoraphobia and depression was initiated on citalopram 20mg daily, along with alprazolam. Four weeks later, he reported a 2-week history of daily spontaneous ejaculations. These were not accompanied by sexual arousal, erection or feelings of orgasm. Further examination ruled out a urological condition. Citalopram was discontinued, and he was started paroxetine instead. Alprazolam was continued as before. After 3 weeks, he reported that the spontaneous ejaculations were no longer occurring, and that his sexual life was continuing as normal. Author comment: "Although the mechanism of this adverse effect (the association between citalopram and spontaneous ejaculation) is not known exactly, citalopram’s central or spinal effect on serotonin levels are thought to be related to it." Virit O, et al. Citalopram-associated spontaneous ejaculations. Journal of Clinical 801111170 Psychopharmacology 28: 360-361, No. 3, Jun 2008 - Turkey
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Reactions 31 May 2008 No. 1204
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