Anti Depresant Membuat Kesulitan Ereksi

Pengaruh Obat-obatan Terhadap Fungsi dan Perilaku Seksual

Membicarakan obat tentu tidak terlepas dari efek sampingg obar-obatan tersebut terhadap badan dan kinerja otak kita, baik kini maupun di kemudian hari. Dari berbagai macam disfungsi yang paling umum terjadi baik pada wanita maupun lelaki adalah KESULITAN EREKSI. Pada pria ini dapat menyebabkan kesulitan “berdiri” sehingga sangat lemah untuk dapat melakukan dan erjadinya disfungsi ereksi. Pemikiran yang salah selama ini adalah kalau mereka meminum obat-obatan ini malah dapat membuat mereka “hebat” di ranjang, padhal ini adalah kekeliruan besar. Dalam artikel ini saya akan coba mengulas tentang disfugsi (ganguan) sexual akibat obat-obatan, khususnya obat-obatan anti depresant.

 BATASAN

• Perilaku seksual adalah manifestasi aktivitas seksual yang mencakup baik hubungan seks (intercourse; coitus; cohabitatio) maupun masturbasi.

• Dorongan / nafsu seksual adalah minat/niat seseorang untuk memulai atau mengadakan hubungan intim (sexual relationship).

• Kegairahan seksual (Sexual Excitement) adalah respons tubuh terhadap rangsangan seksual. Ada dua respons yang mendasar yaitu myotonia (ketegangan otot yang meninggi) dan vasocongestion (pengisian pembuluh darah dengan cairan) terutama pada alat kelamin (Belliveau Richter, 1970).

• Disfungsi (psiko) seksual adalah gangguan respons fungsi seksual. Pada pria : kegagalan yang menetap atau berulang, sebagian atau keseluruhan, untuk memperoleh dan atau mempertahankan ereksi sampai terselesaikannya aktivitas seksual. Pada wanita: kegagalan yang menetap atau berulang, baik sebagian atau secara keseluruhan, untuk memperoleh dan atau mempertahankan respons lubrikasi vasokongesti sampai berakhirnya aktivitas seksual.

Ada 6 jenis kelainan fungsi seksual (sexual dysfunction):

1. Sexual desire disorder

    * Hypoactive sexual desire
    * Sexual aversion disorder
    * Hyperactive sexual desire

2. Sexual arousal disorder

    * Erectile disorder (impotence)
    * Frigidity, lack of vaginal lubrication

3. Orgasm disorder

    * Premature,delayed or lack of ejaculation (pria)
    * Anorgasmia (orgasmic dysfunction) (wanita)

4. Sexual pain disorder

    * Vaginismus (wanita)
    * Dispareunia (pria dan wanita)

5. Unspecified Sexual Dysfunction

    * Orgasmic anhedonia
    * Mastubatory pain
    * Autoerotic asphyxiation

6. Lain-lain

    * Postcoital dysphoria
    * Nymphomania

 

Berikut daftar obat-obat nonpsikotropik atau nonpsikoaktif, yang dapat mempengaruhi fungsi seksual manusia.

A. Obat-obat Antihipertensi

Dapat menurunkan libido dan fungsi seks

1. Diuretika

    * thiazide
    * ethacrynic acid
    * furosemide
    * spironolactone

2. Non-diuretika

    * alpha-methy1dopa
    * guanethidine
    * hydralasine
    * reserpine
    * propranolol.
    * nimodipin
    * penghambat ganglion: pentolinium,mecamy1amine

B. Hormon

    * androgen : testosteron
    * anti androgen: estrogen
    * cyprosterone acetate
    * medroxyprogesterone acetate/MPA
    * kortikosteroid
    * prednison,
    * prednisolon

C. Psikotropika ( bahan psikoaktif)

1. Sedatif dan hipnotik

    * Meprobamate : Medicar®
    * Benzodiazepin: Chlordiazepoxide (Librium®); Diazepam (Valiurn®); Alprazolam; Clobazam dan sebagainya)
    * Barbiturat (Luminal®, Pentothal®, Nembutal® dan sebagainya)
    * Methaqualone

2. Antipsikotika

    * Phenothiazine (Largacti1®,Melleril®,Stelazine®)
    * Haloperidol (Haldol®, Serenace®)
    * Monoamine-Oxidase Inhibitor (MAO-I): (Aurorix®)
    * Tricyclic Antidepressants (TCAs)
    * Lithium Carbonate (Priadel®; Theralite®)
    * Anticholinergics (Cimetidine; Clofibrate; L-Dopa)

3. Alkohol/minuman beralkohol

4. Nikotin (tembakau, sigaret)

5. Marijuana (gelek, ganja, hasish, cimeng)

6. Opioid (heroin)

7. Amfetamin (MDMA, Ecstasy)

8. Kokain

9. Halusinogen (LSD/acid, mushroom)

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Obat-obat antidepresan dapat menyebabkan kesulitan orgasme pada wanita dan kesulitan ejakulasi pada pria; yang merupakan efek samping utama. Ini terjadi misalnya pada antidepresan trisiklik seperti clomipramine, imipramine, amitriptyline, dan lebih jarang oleh desipramine, amoxapine dan nortriptyline. Untuk golongan MAO-I, tersering oleh phenelzine. Pargyline, isocarboxazid dan tranylcypromine kurang menyebabkan disfungsi seksual.

Untuk golongan antidepresan atipikal: trazodone menyebabkan anorgasmia/inhibisi ejakulasi sertraline menyebabkan kelambatan ejakulasi, dan fluoxetine menyebabkan kesulitan orgasme atau orgasme spontan. Cyproheptadine dapat memulihkan disfungsi ejakulasi/orgasme akibat antidepresan.

Antidepresan diperlukan dan efektif untuk disfungsi seksual yang merupakan gejala depresi. Vilaxazine dan trazodone dilaporkan lebih efektif daripada yang lainnya untuk memperbaiki ereksi dan minat seksual pada pasien depresi.

Antidepresan juga efektif untuk sexual phobia dan premature ejaculation. (yang terakhir ini memanfaatkan efek samping antikholinergik) untuk ini yang tersering dipakai adalah imipramine, walaupun yang lain juga bisa termasuk MAO-Is. Clomipramine terkenal karena mempunyai efek paradoksal : menginduksi atau menghambat orgasme wanita.

sumber: netdoctor.co.uk- smallcrab.com - doctormurray.com

Body Detox Methods (at YOUR HOME)

Detoxing and cleansing have become popular in recent years. According to Elson Haas in "Staying Healthy with Nutrition," detoxification removes toxins from the body and can improve basic bodily functions, such as digestion and elimination. With so many products, supplements and services out there, it can be difficult to know which ones are safe and effective and which ones aren't. Signs of toxic buildup can include fatigue, difficulty concentrating, headaches, hormonal imbalances, bloating, constipation, diarrhea, lack of energy, frequent colds and skin problems. Detoxing to many means drinking a concoction of ingredients or buying a "boxed" cleanse from a health-food store. The fact of the matter is, detoxing can be done easily at home.

Detox Foods

Detoxing can seem overwhelming. Haas explains that when toxins build up in your body, congestion occurs. Slowly shifting your diet from more-congesting foods, such as meat and processed foods, to less-congesting foods, like fresh fruits, vegetables and whole grains, is a way to start detoxifying your body. He also states that individuals who feel sluggish and congested could benefit from a vegetarian diet for three weeks. This diet would include plenty of fruits, vegetables, nuts, seeds and legumes.

Spice It Up!

Spices and herbs, such as turmeric, ginger, coriander and rosemary, are an easy addition to any meal. Many herbs and spices have amazing detoxification properties and provide gentle assistance in removing toxins from our bodies. Turmeric, for example, is known for its work in detoxing the liver.

Contrast Showers

In contrast showers, you turn the water back and forth between hot and cold for timed intervals. At the end of your shower, turn the water up to a hot temperature for two minutes. Then turn the water down to a cold temperature for one minute. Repeat three to four times. The varying temperatures promote detoxification by increasing circulation and lymph movement. Contrast showers are not recommended for pregnant women and people with heart problems, asthma, diabetes, Raynaud's Syndrome and vascular problems.

Up Your Water Intake

Drinking water is one of the most underrated detox methods. Naturopathic doctor Christopher Vasey states that we eliminate approximately 2.5 liters of water each day. When dehydration occurs, the kidneys cannot effectively filter the blood and must pass on some of their work to the liver. This can cause the liver to become overworked and stressed. Aim to drink a minimum of 2 liters of water each day. If you work out, try to get 3 liters per day.

Go Organic

Due to the use of pesticides and herbicides in today's farming methods, many fruits and vegetables in the grocery stores today are laden with toxins. According to the Environmental Working Group (EWG), the top 12 produce items to always buy organic are celery, peaches, strawberries, apples, blueberries, nectarines, bell peppers, spinach, cherries, kale/collard greens, potatoes and imported grapes.

References

• "Encyclopedia of Natural Medicine"; Michael Murray N.D.; 1999
• Environmental Working Group: Shopper's Guide
• Pure Inside Out: Detox Bath
• Christopher Vasey
• "Staying Healthy With Nutrition"; Elson Haas, M.D.; 2006

Tips to Detox marijuana FAST!

weed stays in fat cells longer than other drug & i smoked a blunt then the next day passed a urine test... the best way & i have done plenty of research is though...

1.
exercise as much as possible until the day of the test (not the day of b'cuz the burning of calories will metabolize it & put it back into your urine tract)

2. Drink LOTS of water... don’t drink so much that you kill yourself. And yes you can drink so much it kills you. We learned about that in the military, & slow down on the water if you feel a little dizzy, that means your brain is swelling....

3. Go to GNC and buy CREATINE! your body has a natural level & if you urine goes to a lab the weight will be assessed & if you have flushed your system with water it will not weigh enough. urine ways more than water cuz of all the additives...cretin will weigh it down plenty.

4. as I said "drink lots of water" now the problem with this is that if you have drank enough water than your piss should look like water with maybe a slight hint of amber yellow... this will indicate your trying to hide something and are "flushing". The way around this is vitamin B12 & only that. B12 will give your piss a deep yellow almost as if you are dehydrated & will restore the piss smell.


the DO NOTS:

don’t tape a rubber filled with clean piss to you leg. the temp wont register,

AZO's - sure ell - those pricey drinks at head shops - cranberry juice - pickle juice - vinegar
none of those work & they all taste terrible...well unless the cranberry has vodka, that’s pretty nice.

bleach (yeah some have filled an eye dropper with bleach then added it to the sample. you will pass but when it DESTROYS the ph paper & test equipment they will catch on quick, but you will pass that way too as bleach masks it but you won’t get away with it long. they will order an immediate re-test with a quickness.

note: i am an occasional user & not a heavy user of any substance...(mescaline, ex pills/MDMA, meth/speed/crank, marijuana, dextramorphithine, alcohol yes booze is a drug ) & i am medium build male

5foot7inch 168LBS and athletic...well i lift lots of weights but hate running so i don't do cardio unless you count vigorous sex.

if you get tested regularly as i do, once or twice a month you should refrain from hard use & if you plan on using then stay in shape. its helps in multiple ways.

To answer your Q no vinegar will not help in any way... but these should get you on the right track... good luck & happy using.

Oh & if it’s for weed take a few aspirin before you go. It helps...

Are You Depress? Test Here

Depression strikes millions each year, often with debilitating consequences. This psychological disorder is so common that it is sometimes referred to as the "common cold" of mental health, with nearly 10% of the population suffering from a depressive disorder at any given time.

 Depression also has a high cure rate. Effective treatments exist to help bring people's lives back under control. Yet tragically many people suffering from this illness go without diagnosis and treatment. This depression test is a tool that may help you recognize the symptoms of depression and decide to get help. Please note that only a licensed professional can diagnose depression.

check here to make sure that you are depress or not

Xanax (What is Xanax?)

Xanax (alprazolam) belongs to a group of drugs called benzodiazepines. It works by slowing down the movement of chemicals in the brain that may become unbalanced. This results in a reduction in nervous tension (anxiety).

Xanax is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

Xanax may also be used for purposes not listed in this medication guide.

Important information about Xanax

Do not use Xanax if you are pregnant. It could harm the unborn baby. Do not use Xanax if you are allergic to alprazolam or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

Before you take Xanax, tell your doctor if you have asthma or other breathing problems, glaucoma, kidney or liver disease, a history of alcoholism, or a history of depression, suicidal thoughts, or addiction to drugs or alcohol.

Do not drink alcohol while taking Xanax. This medication can increase the effects of alcohol. Xanax may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it.

Before taking Xanax

It is dangerous to try and purchase Xanax on the Internet or from vendors outside of the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. Samples of Xanax purchased on the Internet have been found to contain haloperidol (Haldol), a potent antipsychotic drug with dangerous side effects. For more information, contact the U.S. Food and Drug Administration (FDA) or visit www.fda.gov/buyonlineguide.

You should not take Xanax if you have:

·         narrow-angle glaucoma;

·         if you are also taking itraconazole (Sporanox) or ketoconazole (Nizoral); or

·         if you are allergic to alprazolam or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

To make sure you can safely take Xanax, tell your doctor if you have any of these other conditions:

·         asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems;

·         glaucoma;

·         kidney or liver disease (especially alcoholic liver disease);

·         a history of depression or suicidal thoughts or behavior; or

·         a history of drug or alcohol addiction.

Xanax may be habit forming and should be used only by the person for whom it was prescribed. Never share Xanax with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

FDA pregnancy category D. Do not use Xanax if you are pregnant. It could harm the unborn baby. Xanax may also cause addiction or withdrawal symptoms in a newborn if the mother takes the medication during pregnancy. Use effective birth control, and tell your doctor if you become pregnant during treatment. Alprazolam can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine. The sedative effects of Xanax may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking Xanax. Do not give this medication to anyone under 18 years old

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Xanax can be fatal. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.

What should I avoid while taking Xanax?

Do not drink alcohol while taking Xanax. This medication can increase the effects of alcohol. Xanax may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Grapefruit and grapefruit juice may interact with Xanax and lead to unwanted side effects. Discuss the use of grapefruit products with your doctor

Xanax side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Xanax: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

·         depressed mood, thoughts of suicide or hurting yourself, unusual risk-taking behavior, decreased inhibitions, no fear of danger;

·         confusion, hyperactivity, agitation, hostility, hallucinations;

·         feeling like you might pass out;

·         urinating less than usual or not at all;

·         chest pain, pounding heartbeats or fluttering in your chest;

·         uncontrolled muscle movements, tremor, seizure (convulsions); or

·         jaundice (yellowing of the skin or eyes).

Less serious Xanax side effects may include:

·         drowsiness, dizziness, feeling tired or irritable;

·         blurred vision, headache, memory problems, trouble concentrating;

·         sleep problems (insomnia);

·         swelling in your hands or feet;

·         muscle weakness, lack of balance or coordination, slurred speech;

·         upset stomach, nausea, vomiting, constipation, diarrhea;

·         increased sweating, dry mouth, stuffy nose; or

·         appetite or weight changes, loss of interest in sex

Paradoxical reactions

Although unusual, the following paradoxical reactions have been shown to occur:

·         Aggression

·         Rage, hostility

·         Twitches and tremor

·         Mania, agitation, hyperactivity and restlessness

Effects of Xanax Abuse

Using Xanax, especially for a prolonged period, can have numerous drug abuse effects on your body. The medication is a central nervous system depressant, so most of the effects have to do with how your mind functions. The most common effects of Xanax use include lack of coordination, slurred speech, confusion and disorientation.

Some people develop memory impairment, which typically only affects the short-term memory, and doctors primarily see mild cases of impairment. Sedation is also a concern for Xanax users. People who take the mediation in large doses might experience severe sedation that can last for three to four days.

Xanax Abuse Treatment

People suffering from Xanax addictions have the option to use inpatient or outpatient treatment programs. It is important that you review what every program has to offer. Then, choose the program that has the best chance of helping you succeed.

Inpatient treatment programs give you a stable and temptation-free environment for your recovery. Centers have around-the-clock care. The medical staff will help you cope with your withdrawal symptoms and may administer medication to make the symptoms subside. A typical day in an inpatient facility could include group therapy sessions, individual therapy sessions and educational lectures.

Outpatient treatment programs give you more freedom, and there are two different options. The daily check-in program requires you to check in with a drug abuse counselor every day, while the day treatment program requires you to be at the center for eight hours each day. Meanwhile, you will be attending therapy sessions and possibly educational lectures about addiction and recovery.