Can my (22F) bf (22M) safely take Tadalafil while on antidepressants(SSRI)? Please answer..
Long post. TL;DR in the end
I am 22F and my boyfriend 22M have been together for 8 months. We’ve been through a lot of ups and downs, but he is the kindest, most down to earth person I know. He’s always the first to help others.
Recently, we decided to get physical for the first time (It was the first time for both of us). But when the moment came, he lost his erection. He’s been seeing a Psychiatrist for a year due to a bad fight in college that affected his mental health, and he's on Flusmile 60, Rispond Plus, Provanol sr 40 and Adoximat cr 12.5mg. These meds are definitely causing issues. He feels so guilty, but I know it's the side effects, not him.
Even though he is struggling with ED, he is an incredible partner. He makes sure that I am always sexually satisfied and that I reach my climax. He uses his fingers and tongue very well, and he prioritizes my pleasure despite what he is going through.
I know it is the medication and not a lack of attraction, but it’s been difficult. Even when we are just cuddling or during foreplay, he can’t get a full erection. It stays semi-soft or goes completely soft the moment we try to do the actual deed.
The Main Problem -
The Side Effects (Beyond ED):
Loss of Libido: He used to watch porn occasionally like most guys, but not anymore. He says he just has no desire to watch it at all. He doesn’t masturbate either.
Significant Weight Gain: Since starting treatment in January of last year, his body has changed a lot. Back then, he was only 45kg, but by this March, he reached 67kg. That’s a 22kg gain in 15 months. Honestly, this weight gain was a very good thing! He used to be very skinny, but now he looks much more fit and healthy. His body mass index is alright, means right weight with height.
A few more things:
His diet is actually very good, he avoids junk food and takes care of himself physically
He doesn’t smoke or drink.
I don’t think it’s performance anxiety because he seemed comfortable and not overly stressed in the moment.
Our Dilemma:
Now I’m just unsure what to do next. Is it safe or advisable for him to take something like Viagra or Tadalafil (starting from lowest dose) while on these medications? The reason we are thinking about Tadalafil is due to the frequent side effects associated with Sildenafil. If yes then from which dose should we start tadalafil - 2.5mg, 5mg or 10mg. Or should we just slow down and not rush things?
I really care about him and don’t want him to feel pressured or inadequate. At the same time, I want to understand how to handle this situation in a healthy way for both of us.
Would really appreciate any advice or similar experiences.
TL;DR: BF has ED and zero libido from meds (Flusmile/RispondPlus/aroximat cr). He can't get a full erection even during foreplay. He’s amazing at satisfying me otherwise,should he take tadalafil while on other medications (anti depressants SSRI).