Our expert says:
With such a strong family history of depression, it's of course not surprising you also suffer from this common condition. Generally, if a tablet works, it continues to do so, and some people stay on a medication like this for years. These are no drugs one "gets used to" and so one should not need an increasing dose to get the same results. Loss of sex drive doesn't occur in everyone on this tablet, but it does happen in SOME people on most antidepressants. There are a couple where this is much less likely, and if you consult a specialist psychiatrist ( which would be wise, anyway, to review why you feel the tablets are not working as well as previously ) he/she can discuss some alternatives, and how to change to them.
I believe that ANY depression which is especially serious or where there are any complications in its treatment, should be seen by a psychiatrist, and not managed only by a GP
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