Come clean to the pdoc and let them know about the side effects that bother you the most. I hate the loss of libido that comes with most side meds. I am lucky in that I usually get a minimum of side effects though if a psych med has dry mouth as a side effect, I'm sure to get it. The dentist has even told me that the dry mouth is bad for your teeth and probably a part of why I have so many dental issues. Another of the reasons is that you can inherit the microbial dental flora (usually from your mother), and my mom has bad teeth. Also, I started grinding & clenching my teeth tightly (bruxism) while sleeping when my eating disorder was bad, and tooth grinding though not always caused by eating disorders can be caused by them, and I just never can't stop it even if my eating habits are mostly normal with the odd relapse here and there.

I am trying to be compliant and also honest with my pdoc. Such as, I tell them flat out that if I feel a psych med is making me gain weight uncontrollably, they can be certain I won't take it (because of my history with eating disorders). The libido thing is frustrating though, but my mind prioritizes it lower than weight gain. I have learned the hard way not to play doctor with myself. I got myself into an awful manic spell that way. If a med makes me too tired (other than ones that are supposed to help me sleep), and I can't function during the day on it, I let the pdoc know. That was how I got off the Seroquel XR, which works great for many people, but which made me want to sleep all day every day, which in turn made me depressed. Pdoc tried me on instant release Seroquel, and it was like a switch was flipped. It's been the miracle drug for me. I haven't gained weight on it (though this is not the norm, but we're all different), and I only take it before bedtime, and it does an excellent job of putting me to sleep without leaving me feeling hungover, the way Trazodone did.