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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Latinlover on November 21, 2002, at 20:57:09
Have been on fluoxetine, Tegretol, Effexor, Remeron, Zyban and Rivotril. Almost all of them, with the exceptions of Remeron (extreme sexual drive and erection, but very fast ejaculation) and Zyban (a little less erection and less frequent sexual drive, but excellent, durable sex, with a capaciti to "recharge" more quickly than any other med I have taken) cause me very severe (intolerable) sexual disfunction.
In the last tho month I have been first in Remeron and right now on Zyban and Rivotril. With remeron I literally slept all day (I'm a student), eated like a pig and treated everyone like garbage. Never developed tolerance with any dose and my doc changed it to Zyban. What followed inmediately: intolerable insomnia, social fear and paranoia, incapability to eat almost anything in days, extreme nervousness and the whole time, but the whole time I'm nauceous. My doc decided to add two 0,5 Rivotril pills (one in the morning and one at night). My sleep and nervousness improved slightly. But since constant naucea continued, I took this morning my regular 75 mg. of Zyban, my 0,5 Rivotril pill and a very little piece of Remeron. I became extremely lethargic (at least I was able to eat well in days), but the worst thing is that this evening I had the worst episode of sexual impotence with my girlfriend EVER. This is puzzling: I know Remeron and Zyban alone does not cause this. Could it be the mix? Could it be the Rivotril (I have been only a few days on it and I'm not sure if it alterates sexual performance or not - I know Tegretol did that to me -)? What happened to me today? Was it the mix or the Rivotril? Don't tell me it's my own nervousness because I never buy that kind of simplistic explanation (sorry to sound a little rude here, not my intention). What happened to me? Anyone?
For the public knowledge: I have a mild case of depression and a moderately severe obsessive - compulsive disorder. My depression tends to respond very quickly and effectively to any medicine, but, because of that (words of my doc) I happen to be very sensitive to every medicine and always suffer a lot of terrible side effects. In my case, antidepressants are sometimes accompanied with mood stabilizers (have tried Tegretol for Fluoxetine and now Rivotril for Zyban), which I neither like.
If my case is only mild, why do I feel so suicidal while, not taking any med (and I have lasted in the recent past a year without meds ans without episodes), a depressive episode suddenly triggers and why, why, do I have to suffer so much with the meds?
Any opinions in the treatment that might be good for me? Because here in my country pdocs are very incompetent and don't seem to care. Furthermore, me feeling bad represents their Christmas money to buy food and presents. Sad but true. I´m not poor, but neither I'm rich and I just want all of this crap to be over for good.
Drug manufacturers are such hypocrites. They always represent their products in their flyers with a happy guy hugging his smiling guy in a garden and playing with their dog. They never represent in their pictures the sexual disfunction, the insomnia, the nervousness, the irritability, the guy hitting and yelling at his wife, the guy loosing his job because of oversleeping every morning, the nausea, the weight gain or lost, the anorexia, the worrying of friens and family, the social avoidings, the cramps and all the nasty things people have to go through because of the lack of information that you get from people that just want your money. Makes me sick. Don't get confused, I'm a very capitalist guy, It's just that that criminal kind of lying, mediocrity and hypocrisy makes me sick.
Any recomendation in my case will be very wellcomed.
Thanx and best wishes:
Latinlover.
Posted by sleepy lizard on November 22, 2002, at 22:54:17
In reply to Zyban + Remeron + Rivotril= Worst sexual disfunct., posted by Latinlover on November 21, 2002, at 20:57:09
Sorry to hear you are having such bad side effects. I have had them too on Wellbutrin (Zyban). I am now taking Remeron and have experience with the sexual side effects you mention, including erectile dysfunction, anorgasmia, and delayed orgasm. Also orgasms may not be so intense anymore if you do have them. (Male, age 49.) It sounds like you are very sensitive to medications. I had the same problem with Effexor XR and Wellbutrin SR that you mention of being anxious with only 3 hours sleep at night, and loosing weight. I have had the sleepiness and weight gain with Remeron. These are the common side effects of the meds you mentioned:
Clonazepam (Rivotril):
Drowsiness, increased salivation, behaviour problems.Bupropion (Zyban):
Agitation, dry mouth, insomnia, headache/migraine, nausea/vomiting, constipation, and tremor.Mirtazapine (Remeron):
Drowsiness, increased appetite, weight gain, and dizziness.I think you could be getting different side effects from all three at the same time. They don't cancel out. You may have to do what I have done and be very wary of anything that increases norepinephrine. It sounds like you are very sensitive to the stimulation. The doctors are just guessing at what may work for you. It is too bad they don't warn you of side effects before starting. A nasty thing too is that the withdrawals cause such horrible mood swings and depression. Good luck.
Posted by Latinlover on November 24, 2002, at 21:01:58
In reply to Re: Zyban + Remeron + Rivotril= Worst sexual disfunct. » Latinlover, posted by sleepy lizard on November 22, 2002, at 22:54:17
It is one of the disadvantages of the mediocre medical system in Latin America (where I live). I am now looking forward to homeopathic medicine or biorythm. Anyone know anything about that?
This is the end of the thread.
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