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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Aug 18, 2007

Boyfriend trew mw right off yesterday."I know sex has been non-existant lately so if you leave me I will understand"

I know he loves me I love him to death too but it is true that his libido is dead. 8 years and counting.I love him enough to shut up but it sure can get frustrating.He is on Paxil 40, Reyataz ,Kivexa any hope! would Wellbutrim help. signed lonely in the playroom

I miss my partner!

Response from Dr. Henry

Paxil and other antidepressants can result in impotence. A discussion with the HIV specialist and/or a psychiatrist about alternative antidepressants might be helpful. An evaluation of total/free testoterone levels can be worthwhile (low levels can decrease libido). Use of Viagra like drugs can help some patients but dosing has to be done carefully due to interactions with protease inhibitors (ie Kaletra). KH

swollen parotids again after tx

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