Dear Nikko,

Some years ago I transitioned from Paxil to Cymbalta because I had heard that Cymbalta didn't have such adverse sexual side effects as Paxil. I found this to be true at normal dosage levels, (i.e. 60 mg.). However, Cymbalta was ineffective against depression at anything less than 120 mg., at which level it was worse than Paxil. Eventually, I switched to Lexapro at normal dosage levels, (10 mg.), which is effective against depression with greatly reduced sexual side effects.

Cymbalta raises the levels of serotonin and norepinephine in your brain. Notwithstanding this, it still annihilates the sexual you.

By the way, "Strattera", a med that doctors are eager to prescribe to you if you need a central nervous system stimulant for ADD because it is NOT an amphetamine nor a Controlled Drug has more warning about potential sexual side effects than any med I have ever seen.

Cordially,