Citalopram side effect and use as antidepressant medication for those with low mood - Can Citalopram benefit as to depression treatment be replicated by the use of natural herbs and extracts?

Citalopram is a pharmaceutical drug also known as Celexa. Some people have treated depression successfully with the use of SAM-e pills, 5-HTP, and St. John's wort herb.

Citalopram for sexual excess
A double-blind study of citalopram versus placebo in the treatment of compulsive sexual behaviors in gay and bisexual men.
J Clin Psychiatry. 2006 Dec;67(12):1968-73. Wainberg ML, Muench F, Morgenstern J, Hollander E, Irwin TW, Parsons JT, Allen A, O'Leary A. Columbia University, New York, NY, USA.
Compulsive sexual behavior is a condition characterized by loss of control over sexual behavior and repeated negative consequences, including unsafe sex. Selective serotonin reuptake inhibitors have been found to reduce compulsive sexual behavior symptomatology in open-label trials. The objective of this study was to conduct a preliminary double-blind, placebo-controlled evaluation of the efficacy, acceptability, and tolerability of citalopram in the treatment of compulsive sexual behavior. Twenty-eight men who have sex with men who met the threshold for compulsive sexual behavior on the basis of existing validated measures participated in a 12-week, double-blind trial of citalopram 20 to 60 mg/day to evaluate its effects on compulsive sexual behavior symptoms. The primary efficacy measure was the Yale-Brown Obsessive Compulsive Scale-Compulsive Sexual Behavior. Significant treatment effects were obtained for sexual desire / drive and frequency of masturbation and pornography use. Both groups reduced sexual risk, but did not differ significantly. This study provides partial support for the effectiveness of citalopram for reducing symptoms of compulsive sexual behavior in this population. Larger-scale trials are recommended to determine the public health benefits of this treatment.
   Comments: It is possible that the use of 5htp, a serotonin precursor available without a prescription, may also be helpful in those with excessive sexual urges.

Citalopram medication questions
I take Citalapram 25mg per day can I use Passion Rx or tongkat ali?
    Unexpected side effects can occur when antidepressants, such as the SSRI citalopram, are mixed with sexual herbs or products such as Passion Rx. We don't suggest taking potent aphrodisiac or libido enhancing herbs the same day as citalopram or any SSRI antidepressant. However, maca herb has been tested and found to be safe when taken with SSRI drugs.