Page 96 - Cosmopolitan - UK (April 2020)
P. 96

come, trying to finish myself, and
                                                                                                     I have questioned why I’m still
                                                                                                     taking citalopram. Feeling light-
                                                                                                     headed and horny, the temptation
                                                                                                     to quit the tablets entirely becomes
                                                                                                     all I can think about. 
                                                                                                       But this would not be a good idea
                                                                                                     for me. Taking citalopram didn’t just
                                                                                                     dramatically improve my life – it
                                                                                                     saved it. A period of depression had
                                                                                                              left me confined to my
             only took pills for a matter of days,       “Sex doesn’t have                                    crumb-filled, sweat-stained
             but two years on, symptoms remain.                                                               bed, sleeping throughout the
               For some, these sexual issues could       to be the traditional                                day and an insomniac during
             be down to the depression itself,                                                                the night. Pleasures became
             with SSRIs merely exacerbating              heterosexual penis-                                  pleasureless, emotional pain
             the problem. Dr Juliet McGrattan,                                                                became physical self-harm.

             a health expert and former GP, says,        in-vagina way”                                       But finally, medication
             “When you’re depressed, there are                                                                galvanised me. 
             chemical changes and imbalances in                                                                 Although SSRIs have faced
             the brain that make you stop enjoying       depression. Unfortunately, few of           some fierce criticism that debates
             things in life, and that includes sex.      these have taken place. In addition,        how helpful they actually are, and
             Sometimes patients would come to            the effects and speed of the                much is still unknown about their
             me concerned about a lack of sex            medication varies from person to            workings (and even about depression
             drive and after exploration we would        person – so it could be positively          itself), it’s clear that they do work,
             work out that depression was the            impacting your mood, while still            in some way, for most people. In
             underlying cause,” she explains. To         compromising your sexual function.          2018, the largest-ever review of
             truly separate which symptoms are                                                       antidepressant trials (including
                                                                                                                           †
             caused by depression itself and what’s      Coming off to come                          some that weren’t SSRIs) showed
             a side effect from the drugs, a large       There have been times when I’ve             that every single one of the 21
             study would need to be conducted            been holding my anaesthetised               studied, including citalopram,
             on adults who don’t suffer from             penis in my hand, desperate to              worked better than a placebo.



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