Sir ,i have overused ssri (frext 50 mg) for two month ,the doctor has prescribed for 1mont twice daily ,but I overused it one more month without his prescription, from august 2018 I am having erectile dysfunction ,what to do.

Dr. Rahul GuptaSexologist13yrs exp

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Hello- millions of people suffer from depression. The various causes can range anywhere between psychological problems to an unhealthy diet. Instead of trying to address the root causes of depression, many doctors simply prescribe ssris -- antidepressants that improve mood. Ssri negatively affect all aspects of the human sexual response cycle, including altering neurotransmitter functions, such as nitric oxide, serotonin, acetylcholine, dopamine, norepinephrine and prolactin. Anti-depressants reduce the production of nitric oxide, which reduces blood flow that leads to a flaccid penis. By increasing the inhibition of serotonin recycle, excessive amounts of serotonin interact with other dopaminergic and cholinergic receptors that have negative influences on sex-related functions. For example, ssri drugs elevate prolactin production, leading to a pituitary functional disorder called hyperprolactimia. High levels of prolactin in your bloodstream or any blockage of parasympathetic and sympathetic nerves will prevent an erection fortunately, ayurveda can restore your normal sexual health. 

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