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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 19 of 19. This is the beginning of the thread.
Posted by dazednconfused on May 15, 2002, at 11:33:27
THIS IS THE QUESTION!!!! (not "to be or not to be") LOL...
Could anyone answer to my greatest dilemma???
You will win 1.000.000.000 $!!!
In my long experience i've nerver found out a Ad without sexual side effect!
Perhaps one of you know one med without this terrible side effect??
Thanks very much for your share!
Posted by davex on May 15, 2002, at 13:12:47
In reply to SSRI or TCA with NO SEX side effect?, posted by dazednconfused on May 15, 2002, at 11:33:27
No, I think do not exist AD without sexual side effects (low libido or impotence or anaorgasmia).
You could try to add Buspirone (BusPar) to your SSRI therapy.
Thanks for offering 1.000.000.000 $, but actually i do not need them (LOL).
Bye
Posted by Essence on May 15, 2002, at 18:28:50
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by davex on May 15, 2002, at 13:12:47
Remeron.... been on 5 mos at 30 mg, no sexual problems at all.
Posted by JohnX2 on May 15, 2002, at 19:36:45
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by Essence on May 15, 2002, at 18:28:50
> Remeron.... been on 5 mos at 30 mg, no sexual problems at all.
And Wellbutrin. Others?
John
Posted by JohnX2 on May 15, 2002, at 19:37:40
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by JohnX2 on May 15, 2002, at 19:36:45
> > Remeron.... been on 5 mos at 30 mg, no sexual problems at all.
>
> And Wellbutrin. Others?
>
> JohnAnd Lamictal.
John
Posted by JohnX2 on May 15, 2002, at 19:39:04
In reply to SSRI or TCA with NO SEX side effect?, posted by dazednconfused on May 15, 2002, at 11:33:27
Posted by Chloe on May 15, 2002, at 20:00:20
In reply to SSRI or TCA with NO SEX side effect?, posted by dazednconfused on May 15, 2002, at 11:33:27
> THIS IS THE QUESTION!!!! (not "to be or not to be") LOL...
> Could anyone answer to my greatest dilemma???
> You will win 1.000.000.000 $!!!
> In my long experience i've nerver found out a Ad without sexual side effect!
> Perhaps one of you know one med without this terrible side effect??
> Thanks very much for your share!Why not try lower than therapeutic doses of each, TCA and SSRI? It may reduce side effects and still help with depression...
Chloe
Posted by fairnymph on May 15, 2002, at 23:24:25
In reply to Re: SSRI or TCA with NO SEX side effect? » dazednconfused, posted by Chloe on May 15, 2002, at 20:00:20
I don't think there is an SSRI or TCA without these side effects...sucks, eh?
There are other antidepressants (without sexual side effects) in addition to Remeron, Lamictal, and Wellbutrin, however -- namely: Tianeptine (Stablon)- a european AD, and Reboxetine (Edronax).
Posted by turalizz on May 16, 2002, at 1:19:33
In reply to Oops, It needs to be SSRI or TCA? (nm) » dazednconfused, posted by JohnX2 on May 15, 2002, at 19:39:04
Amineptine (Survector), which is not marketed anymore because of high abuse potential was a tricyclic and a dopamin reuptake inhibitor. It not only didn't cause any bad sexual side effects, but also it boosted the libido.
cem
Posted by petters on May 16, 2002, at 1:44:02
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by JohnX2 on May 15, 2002, at 19:37:40
Hi...
Nefazodon (Serzone)
Reboxetin ( Edronax)
All moodstabilizer.
Pramipex (Mirapex) All dopaminergical meds, often even improve the sexual function. Good alternative as an add on to ssri.
SAM-e
Aurorix
Mirtazapine (Remeron) Very good as an add on to ssri, for improvment of the sexual improvment, even desire.
Tolvon.
It´s so individual in responding the different medication, so one most try. Trial and error.
Sorry for bad spelling, etc. I´m not from U.S
Sincerely
//Petters
Posted by ST on May 16, 2002, at 4:54:42
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by JohnX2 on May 15, 2002, at 19:36:45
Wellbutrin. Still had the sex drive when I was only on Wellbutrin with my Depakote. Once I started adding SSRIs to the mix, my drive went down the tubes. Now I'm just on Wellbutrin (and Depakote) and my sex drive is coming back!!!
Posted by Mason on May 16, 2002, at 12:59:06
In reply to SSRI or TCA with NO SEX side effect?, posted by dazednconfused on May 15, 2002, at 11:33:27
I keep hearing/reading about Remeron. I mentioned it to my pysch. who has never prescribed it before, and isn't really open to trying it at this point. I'm finally getting some benefit from Effexor (after going through half a dozen with no benefit) but like all the rest, it is severely affecting my sex live, specifically anorgasmia. I'm on 150mg of Wellbutrin to help with the anorgasmia, but with absolutely no benefit.
I'm interested in some of these others mentioned, like Lamitcal which I've seen the name but don't know much about, and Reboxetine (Edronax) which is completey new to me.
Posted by petters on May 16, 2002, at 14:06:52
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by Mason on May 16, 2002, at 12:59:06
Hi...
Wellbutrin is often not so good for deleyed orgasm. It can improve the desire. Lamictal is great for depression, but will not improve the sexual side effect.
Most patient on Effexor, like the combo with Remeron. With this strategi you can also decrese the Effexor. I´m sure that you will have some benefit from the combo.
Go for it...!! Don´t hesitate. I know the combo very well, for severel years.
Sincerely...//Petters
Posted by Phil on May 16, 2002, at 14:36:46
In reply to SSRI or TCA with NO SEX side effect?, posted by dazednconfused on May 15, 2002, at 11:33:27
Serzone, Wellbutrin, Reboxetine, and Remeron. I've taken all of these with very little sexual problems but none of them, by themselves, worked for my depression. To be fair, I only took Reboxetine about two days. Felt like my heart was going to explode and I started at a very low dose.
If you get on something that works, you might try gingko biloba and Viagra. They work pretty well.
I'd like to be the scientist that hopefully develops a med that will sidestep sexual side effects and is a kick ass AD. You think Prozac generated sales?!!
Posted by fairnymph on May 17, 2002, at 4:20:34
In reply to Re: SSRI or TCA with NO SEX side effect? » dazednconfused, posted by Phil on May 16, 2002, at 14:36:46
Phil
I haven't tried serzone, but I have tried Remeron which did nothing for me. I have also tried Reboxetine, and it did work quite well for my depression -- and it started working very quickly, which is a major bonus! As for the heart pounding, I did get that (as well as an almost recreational head buzz) the first two nights that I took it, but these effects quickly subsided. I strongly suggest that you give reboxetine another go, and try and get through a week of taking it (I presume you started at 4mg ?). I had no side effects (other than increased libido, which was nice, and a weird but very mild sneezing thing, which only occasionally bothered me), and like I said, it worked and worked quickly. No insomnia and I woke up in the morning refreshed, even when I had not slept enough.
> Serzone, Wellbutrin, Reboxetine, and Remeron. I've taken all of these with very little sexual problems but none of them, by themselves, worked for my depression. To be fair, I only took Reboxetine about two days. Felt like my heart was going to explode and I started at a very low dose.
> If you get on something that works, you might try gingko biloba and Viagra. They work pretty well.
> I'd like to be the scientist that hopefully develops a med that will sidestep sexual side effects and is a kick ass AD. You think Prozac generated sales?!!
Posted by Lia Mason on May 22, 2002, at 8:21:07
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by fairnymph on May 17, 2002, at 4:20:34
This is the million dollar question and major issue in my life. I've been on everything. I had no sexual side effects on...
Sam-e
imipramine
nortriptyline
lamictal (but I'm about to go off it due to chronic headache. I'm told that's rare)
? moclobemide - I was on this and I don't remember sexual side effetcts. But it also didn't do anything for my depression.
My hope now is imipramine, but it remains to be seen if that can treat my depression on its own. Right now i am doing well with no sexual side effects on a combo of sam-e, imipramine, lamictal, and a tiny bit of effexor. I'm very worried about losing the lamictal. I think it's doing a lot for me.
Lia
Posted by fairnymph on May 23, 2002, at 8:10:32
In reply to Re: SSRI or TCA with NO SEX side effect?, posted by Lia Mason on May 22, 2002, at 8:21:07
> to be seen if that can treat my depression on its own. Right now i am doing well with no sexual side effects on a combo of sam-e, imipramine, lamictal, and a tiny bit of effexor. I'm very worried about losing the lamictal. I think it's doing a lot for me.
>
> LiaHow much imipramine are you taking, and how long have you been taking it for? What side effects hav you noticed? Any sedation? Also, what are you taking it for - depression, OCD etc?
Thanks
fairnymph
Posted by Lia Mason on May 23, 2002, at 10:33:16
In reply to Re: SSRI or TCA with NO SEX side effect? » Lia Mason, posted by fairnymph on May 23, 2002, at 8:10:32
I'm on 150 imipramine. I went up very slowly--10 mg a week. I've been at 150 for about a month.
I went up as slowly as I did to try and bypass side effects. I think this strategy worked. I started taking it for pain but I believe it's treating my depression which is major unipolar.
Side effects generally passed. Orthostatic hypotension is minimal. Sedation seems to have passed. Constipation manageable with diet. Dry mouth I don't really notice. I had a heart racing feeling that passed. I'm doing well with imipramine and I couldn't tolerate nortriptyline at all.
Lia
Posted by fairnymph on May 23, 2002, at 18:58:38
In reply to Re: SSRI or TCA with NO SEX side effect? Â, posted by Lia Mason on May 23, 2002, at 10:33:16
> I'm on 150 imipramine. I went up very slowly--10 mg a week. I've been at 150 for about a month.
>
>
> I went up as slowly as I did to try and bypass side effects. I think this strategy worked. I started taking it for pain but I believe it's treating my depression which is major unipolar.
>
>
> Side effects generally passed. Orthostatic hypotension is minimal. Sedation seems to have passed. Constipation manageable with diet. Dry mouth I don't really notice. I had a heart racing feeling that passed. I'm doing well with imipramine and I couldn't tolerate nortriptyline at all.
>
>
> LiaThanks! :)
This is the end of the thread.
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