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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by BrainDamage on February 6, 2014, at 6:25:10
Hi
I'm getting on ok with Nardil, a few side effects are bothersome, most have eased with long-term useThe one side effect that really bothers me is the ongoing sexual dysfunction
Weak Orgasms & lack of "Desire"
Not to mention partial impotence
Taking Paroxetine before Nardil probably didn't help in this regard, Paroxetine can cause long-term sexual problems.......I know of many Supplements & Medications that reliable boost sex drive
Such as L-dopa/MUCUNA PRURIENS, Sellegiline, Piribedil
I hope this list might help others, but they're all contradicted with Nardil :-(
All I can think of are Dopamine Agonists, but there're expensive
Posted by bleauberry on February 6, 2014, at 7:07:48
In reply to Nardil Sexual Dysfunction-Help!, posted by BrainDamage on February 6, 2014, at 6:25:10
Viagra is the best option I know of. Anything else with nardil sounds too risky/unknown to me. Viagra works on the ability and the desire. Orgasms likely remain weak. As long as we are using tools from the psychiatric bag, sexual side effects are almost predictably part of the game.
Posted by BrainDamage on February 6, 2014, at 7:46:20
In reply to Re: Nardil Sexual Dysfunction-Help!, posted by bleauberry on February 6, 2014, at 7:07:48
Thanks, I was thinking along the lines of a PDE5 inhibitor
But they're not that easy to get hold of in the UKTestosterone Boosters & Dopamine Agonists seem like a good idea, unfortunately Dopamine Agonists are expensive
I tried Piribedil which I think is a great drug, although it causes anxiety sadly & I don't think taking a Noradrenaline re-leaser with an MAOI would be a great idea
Bromocriptine I hate, it did nothing but make me feel ill
Not sure if Ropinirole or Cabergoline would be worth a shot?
Then there's Libido Boosters Testorone based or otherwise
Maca is good, but make me anxious, would like to try Tongkhat Ali & Bulbine
Also Transdermal DHEA seemed to help in the past
Will have to order some from America
Posted by SLS on February 6, 2014, at 8:07:33
In reply to Nardil Sexual Dysfunction-Help!, posted by BrainDamage on February 6, 2014, at 6:25:10
Some people find bupropion (Wellbutrin) to be helpful for sexual side effects. It can be used in combination with Nardil, despite warnings to the contrary. Cyproheptadine (Periactin) and buspirone (Buspar) should help with achieving orgasm along with increasing libido and arousal. I don't understand how Viagra can directly influence sex-drive. I sometimes wonder if performance success and the achievement of orgasm can produce confidence and a desire to have more of these rewarding and pleasurable experiences, leading to increases in the magnitude of desire and subsequent arousals. I do not know. If anyone knows how Viagra affects sex-drive, please chime in.
Personally, I found that the sexual side effects of Nardil do mitigate with the passage of time, although orgasms may take longer to achieve. Many people find that sexual functions take three months to resolve.
- Scott
Posted by Phillipa on February 6, 2014, at 9:18:42
In reply to Re: Nardil Sexual Dysfunction-Help!, posted by SLS on February 6, 2014, at 8:07:33
Just a question. In all seriously. If one feels back to normal other than sex drive isn't that miraculous in and of itself. I understand that sex is a big part of some people's lives. But what if you had prostrate surgery or something else. What would you do then. Accept it and find other pleasurable things to take it's place. And watching TV Viagra isn't all that safe according to the manufacturers themselves. So why? Seriously? If I felt normal I would leap for joy!!!! And add taste and smell I'd be ecstatic!!! Phillipa
Posted by BrainDamage on February 6, 2014, at 10:18:45
In reply to Re: Nardil Sexual Dysfunction-Help!, posted by Phillipa on February 6, 2014, at 9:18:42
> Just a question. In all seriously. If one feels back to normal other than sex drive isn't that miraculous in and of itself. I understand that sex is a big part of some people's lives. But what if you had prostrate surgery or something else. What would you do then. Accept it and find other pleasurable things to take it's place.
Well I wish sex had been a bigger part of my life!
My Mental Health Problems have really got in the way
But I don't think that there's anything wrong with wanting to have decent sexual functioning
When I finally found a GF a couple of years ago
I found that the Sex really helped my Depression & Anxiety
It was like a powerful treatment in itselfI'm sorry, I know that sounds odd, but I've got to be honest
I don't want lots of one night stands
Just a GF I can have a normal sex life with
Doubt it will ever happen, but its not a great deal to ask I feel!
Posted by Twinleaf on February 6, 2014, at 10:42:24
In reply to Re: Nardil Sexual Dysfunction-Help!, posted by BrainDamage on February 6, 2014, at 10:18:45
I think you have made such an important point - a regular sex life with someone you truly care about is a powerful anti-depressant in its own right. Would it be possible to rely more on psychotherapy - a kind in which the relationship between you and your therapist is primary- and eventually decrease the amount of Nardil gradually over time?
Posted by BrainDamage on February 6, 2014, at 12:11:00
In reply to Re: Nardil Sexual Dysfunction-Help! » BrainDamage, posted by Twinleaf on February 6, 2014, at 10:42:24
> I think you have made such an important point - a regular sex life with someone you truly care about is a powerful anti-depressant in its own right. Would it be possible to rely more on psychotherapy - a kind in which the relationship between you and your therapist is primary- and eventually decrease the amount of Nardil gradually over time?
Thanks Twinleaf, you made an excellent point
Thats a really intriguing idea
I don't want to be on Nardil for ever.......I just not sure where I would find a Therapist like that or how I would pay
My Anxiety is very severe & is partly brain damage induced, I think
Ideally I'd have a good Therapist & Medical Cannabis
I think I would function best on this combination
Needless to say Cannabis helps sexual dysfunction, but it is very illegal in the UK
Posted by Twinleaf on February 6, 2014, at 13:00:50
In reply to Re: Nardil Sexual Dysfunction-Help!-Twinleaf, posted by BrainDamage on February 6, 2014, at 12:11:00
While for many people, genetics are the predominant cause of depression, for many others depression is caused by either childhood or recent adult trauma (think of returning soldiers with PTSD). We are all such social beings, that anxiety and depression can readily occur in susceptible people with almost any kind of major social trauma (childhood neglect and abuse, adult losses, deaths or severe interpersonal stress). Almost any kind of nurturing, genuine interpersonal relationship can help us recover - a loving sexual relationship, supportive friends or social groups, (even supportive relationships here on Babble!) and psychotherapy, especially the kind where the relationship is very important. All of these, in addition to helping us see where we need to make changes, help us to believe in ourselves and in others, to decrease our anxiety, and to gradually achieve a good life involving work and love (as Freud said - can't believe I'm quoting him!)
Medication etc. is very important, but I personally don't think it's a long-term total solution by itself unless the depression is mainly genetic. Even then, therapy may be helpful.
Here in the US, it's not too difficult to find a good therapist; I gather that it's more difficult in the UK.
Posted by David Hanifin on February 7, 2014, at 0:50:12
In reply to Re: Nardil Sexual Dysfunction-Help!-Twinleaf » BrainDamage, posted by Twinleaf on February 6, 2014, at 13:00:50
Today is my second day on Nardil so it's too early for me to evaluate side effects however i did research Nardil before starting it so i asked my doctor for a therapeutic dose of nardil with low dose Reboxetine (NRI) to help combat side effects weight gain / sexual side effects. I found reboxetine almost obsoleted the sexual side effects of Zoloft when i was on a Zoloft / Reboxetine combination in 2012. For people in the US i imagine wellbutrin would be the ultimate balancing act for nardil however i cant imagine an overly cautious psychiatrist prescribing the combination. Im located in Australia where wellbutrin is only approved as a stop smoking drug.
Posted by David Hanifin on February 7, 2014, at 1:00:30
In reply to Re: Nardil Sexual Dysfunction-Help!-Twinleaf, posted by David Hanifin on February 7, 2014, at 0:50:12
Another point: i have just stopped parnate which actually increased my sexual desire. Viagra and cialis will not help with desire and will not help inability to orgasm. Viagra and cialis work by relaxing the cells in a penis therefore easier to maintain or get an erection. Viagra usually works for about 8 hours and cialis 36 hours. Both have similar efficiency.
Posted by BrainDamage on February 7, 2014, at 5:35:15
In reply to Re: Nardil Sexual Dysfunction-Help!-Twinleaf, posted by David Hanifin on February 7, 2014, at 1:00:30
Hi David
I read about your success with Reboxetine & Nardil a few weeks ago
The thing that puts me off is all the negative information about Reboxetine
I suppose being on a low dose reduces the chances of bad side effects......
Also do you not find Reboxetine makes you Anxious?
Thats my main concern
Posted by SLS on February 7, 2014, at 11:38:20
In reply to Re: Nardil Sexual Dysfunction-David Hanifin, posted by BrainDamage on February 7, 2014, at 5:35:15
I think it is rather uncommon for people to respond well to reboxetine. Of course, that implies that there are people who do. If you feel the need to add a selective noradrenergic agent, you could try desipramine. Personally, I prefer the way I feel on nortriptyline, which is also a NE reuptake inhibitor. I have combined Parnate with both of these tricyclics.
- Scott
Posted by David Hanifin on February 8, 2014, at 1:10:23
In reply to Re: Nardil Sexual Dysfunction-David Hanifin, posted by SLS on February 7, 2014, at 11:38:20
Guys I guess it depends on the individual and the condition/side effects. At this stage I can only comment on my experience on combination Reboxetine with Zoloft which cancelled out the sluggishness and sexual inorgasmia but it's an individual thing. With Nardil this is still a work in progress as I'm still going through withdrawal syndrome from parnate.
Posted by Cee on February 11, 2014, at 21:13:14
In reply to Re: Nardil Sexual Dysfunction-David Hanifin, posted by David Hanifin on February 8, 2014, at 1:10:23
If it stays up all the time your play mate will have a smile on all week
Posted by Lamdage22 on February 24, 2014, at 6:32:28
In reply to Nardil Sexual Dysfunction-Help!, posted by BrainDamage on February 6, 2014, at 6:25:10
Hey,
i found histidine, a precursor to Histamine to be helpful. This chemical is involved in Orgasms. You have to supplement with it for a week or more to see imrpovements.
I dont remember the dosage thats recommended for this purpose though. 1g a day?
http://anabolicminds.com/forum/supplements/106790-l-histidine-dosing.html
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