Our expert says:
Lexamil is an antidepressant, escitalopram ; Xanor, SR or othwise, is not and never ever has been an antidepressant - it is a sedative. I have no idea why one would prescribe it, especially in a long-acting formulation, in depression, let alone twice a day.
Now, pretty well all antidepressants can cause sexual problems in SOME of the people who take them ; none cause it in everyone. There could be difficulties in getting an erection, or difficulties in reaching orgasm. The sedaitve Xanor in such a large dose might also contribute to this.
Generally, side-effects are at their worst in the first couple of weeks, so they're not likely to improve if still present after a month.
If you / he are being treated by a GP, I would recommend that he see a proper specialist psychiatrist for re-assessment of treatment, as a different antidepressant may suit him much better.
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