Wellbutrin is an antidepressant medication. It works in the brain to treat depression.
Wellbutrin is used to treat major depressive disorder and seasonal affective disorder. At least one brand of bupropion (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects.
Wellbutrin may also be used for purposes other than those listed in this medication guide.
Important information about Wellbutrin
Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Wellbutrin if you have seizures, an eating disorder, if you are using a second form of bupropion, or if you have suddenly stopped using alcohol or sedatives.
Wellbutrin may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking Wellbutrin.
Before taking Wellbutrin
Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Wellbutrin if you have:
*epilepsy or a seizure disorder;
*an eating disorder such as anorexia or bulimia;
*if you are using a second form of bupropion; or
*if you have suddenly stopped using alcohol or sedatives (such as Valium).
Wellbutrin may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely take Wellbutrin:
*heart disease, high blood pressure, history of heart attack;
*a history of head injury, seizures, or brain or spinal cord tumor;
*kidney disease;
*liver disease (especially cirrhosis);
*bipolar disorder (manic depression);
You may have thoughts about suicide when you first start taking an antidepressant, such as Wellbutrin, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking Wellbutrin, tell your doctor if you are pregnant or plan to become pregnant during treatment. Bupropion passes into breast milk and could be harmful to a nursing baby. Do not take Wellbutrin without telling your doctor if you are breast-feeding a baby.
Do not give this medication to anyone younger than 18 years old without the advice of a doctor.
Prozac side effects weight gain
Combining proper nutrition with cardiorespiratory exercise and resistance training can not only help prevent weight gain and other health-related ailments, but also increase energy levels which can offset some of the sedative effects of medications. Cardio exercise increases the heart rate and helps to promote improved cardiac fitness, in addition to burning calories and raising metabolism. Since patients gaining weight often say that they are not eating more, it is tempting to speculate that there may also be a drug-induced lowering of metabolism. Thus, weight gain is due to positive energy balance, which may be explained by an increase in total calories consumed and/or a reduction in calories used by the body. The SSRI medications affect a brain chemical called "Serotonin." The effects of Serotonin on appetite and food intake can be mediated by activation of specific serotonergic receptors (5-HT2C receptors in the hypothalamus). Drugs that block these receptors cause weight gain in both humans and animals, while administration of drugs that stimulate these receptors result in decreased food intake, decreased subjective hunger, and weight loss.
Prozac and sexual desire-libido
Prozac, generically known as fluoxetine, is the world's most widely prescribed anti-depressant; currently, more than 54 million people all over the globe use this medication to treat depression, panic disorder, obsessive-compulsive disorder, and bulimia nervosa. Fluoxetine works by normalizing the levels of the neurotransmitter serotonin in the brain. This provides freedom from constant negative thoughts, sadness, suicidal thoughts, low energy, negative self-image, pervasive thoughts of needing to perform a specific act, and overwhelming feelings of dread and fear. Contrary to what you've heard, fluoxetine does not increase libido. Actually, it usually reduces sexual desire or drive and inhibits orgasm, or the reflex of a sexual release; as a result, some men use fluoxetine recreationally to delay ejaculation.
However, if someone thinks that he has a problem with premature ejaculation, he may want to see a health care provider, such as a urologist, who can suggest an appropriate treatment regimen. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine and Paxil (generically known as paroxetine), are prescribed by some medical providers for premature ejaculation. These drugs, often used in conjunction with sex therapy, can address this. Some sex therapists also use Eastern disciplines, such as Tantra, for maintaining erections and lasting longer during sex.
From your question, it's not clear if you actually need fluoxetine for use as an anti-depressant, or if you would prefer to have it as a tool in your sexual shed. Based on the info offered here, recreational use of fluoxetine by a man who does not experience premature ejaculation will neither allow for greater ejaculatory control or stamina, nor provide his "partner with the best sex of their relationship." In addition, what one considers the best sex, another may not. Plus, this pressure over pleasure creates an undue expectation, excluding other essentials that enhance sexual experiences. What about the feelings involved in being wanted, desired, lusted after? What about tender touching and caressing? Lasting longer is not the only or primary factor in satisfying a partner sexually.
You can always read books on how to increase sexual pleasure through various exercises and techniques, and can then open the conversations about this topic with your partner more easily. Some books for men that you can check out include Michael Castleman's Great Sex: A Man's Guide to the Secret Principals of Total Body Sex and Bernie Zilbergeld's The New Male Sexuality. Whether you want your sexual desire to increase, or your erections to last longer, fluoxetine plays no part in the solution.
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