Depression

Question
Posted by: Sarah | 2017/09/21

Q.

Alternative Meds.

Hi Dr. My husband have been presctibed Valdoxane 25mg and Alchera 7.5mg for depression. The problem is that the medical aid GEMS do not cover these meds on chronic and when asking the psychiatrist for something that they will cover she simply said that this is the only medication that will not intefere with his libido. He tried serdep before which didnt work very well. Can you please suggest meds that would perform the same function that will be covered by tge medical aid?

Expert's Reply

A.

Depression expert
- 2017/09/22

Hi Sarah,
One thing puzzles me : has he had previous antidepressant treatment that DID reduce his libido, other than Serdep  ? Serdep is a trade name for Sertraline, and indeed reduced libido is a POSSIBLE side-effect.  I say possible, because the side-effect is not compulsory, and many people use this drug without being troubled by loss of libido.  There are a great many antidepressants available these days, available to choose from. Yes, many of them MAY produce loss of libido but none of them do so in everyone who takes the : we vary in how they affect us in that way. 
Medical aids don't always work to the same list of drugs they will or won't pay for, so I can't say which ones your particular medical aid will pay for : thy should be able to provide you with this information.
Valdoxane is an interesting antidepressant, significantly different from the others, and yes, does not seem to produce sexual side-effects.
Alchera is, I think, a trade name for the sedative Zopiclone.  It is NOT an antidepressant at all, and is used for insomnia, and not intended for long-term use.  Maybe thy don't for some reason accept Alchera, but I'd be  surprised if your medical aid doesn't accept some other version of Zopiclone. 
I also think it is the duty of any doctor to always take into account the financial implications of their prescriptions, so they ought to be able to find a drug that your medical aid will accept.

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