mirtazapine, appear not to be associated with sexual side effects. 
The sexual problems associated with anti psychotic drugs, including problems with
sexual desire, erection, lubrication, ejaculation, or orgasm, have occurred with typical as
well as atypical agents. However, problems are less common with prolactin-sparing anti-
psychotics than with agents that cause significant prolactin elevation.
Although the effects of mood stabilizers on se xual function are unclear, it is possible
that lithium and anticonvulsants, with the poss ible exception of lamotrigine, have adverse