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)

 *********************************************************************************
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

GREAT NEWS from INDONESIAN GOVERNMENT for Drug Addict.

The Indonesian Government especially from Indonesian Police Department and The Indonesian Anti Drug Association have come together to make the junkies report themselves to the government without charge and the government will provide rehab and more afterward. This occasion is in the celebration of HUT BHAYANGKARA. So, for any of you who feel addicted to drugs just come to the BNN Jakarta of Police Department and report themselves without getting any worries to get trouble. The government will support you. 

for further info please visit: www.bnn.go.id

Xanax equals Clonazepam?

klonopin is actually stronger than xanax. 

Benzodiazepine Equivalence Charts



----------------------Benzodiazepine Dose----------Comparative Time to peak plasma level------------------------Half Life
Alprazolam----------------.5------------------------------------------------1 - 2-----------------------------------------------9 - 20
Clonazepam--------------.25-----------------------------------------------1 - 4----------------------------------------------19 - 60


This chart (from the above link) looks for the equivalent dose of a given benzo to equal 5 mg of diazepam (valium).

So, you need .5mg of alprazolam (xanax) to equal 5 mg of valium, but you only need .25 mg of clonazepam (klonopin) to equal 5 mg of valium.

The klonopin is, as you said, slower in action. it takes up to 4 hours to reach full effect where the xanax will be in full effect by 2 hours at the latest. 

However, klonopin has a much longer half life than xanax, so it will stay in your system longer. The long half life of klonopin is why doctors like it. You are less likely to become addicted to it as you do not need to continually take more klonopin throughout the day to keep anxiety at bay, so you don't get into the habit of "popping pills" and you don't experience break-through anxiety. 

As for getting the same feel from klonopin as you get from xanax... there is another reason doctors prefer klonopin and that is that xanax has a mild euphoric effect that klonopin and other benzos do not have. That mild euphoria increases the chance that patients will become habituated to and possibly misuse their medication. So, basically, klonopin is actually stronger than xanax in terms of efficacy, but if what you are looking for is that mild euphoria, (which isn't what benzos are for) you can't replicate that. 

Source:  http://www.crazyboards.org

See the link below to see BENZODIAZEPINE EQUIVALENCE TABLE

http://www.benzo.org.uk/bzequiv.htm

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.