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Re: MAOIs--JD, Eliz, Dysthymia

Posted by JD on June 4, 1999, at 8:43:28

In reply to Re: MAOIs--JD, Eliz, Dysthymia, posted by John on June 3, 1999, at 19:15:35

Hardly meant to make you feel "guilty", John, though I guess maybe this would put you a few notches back into the melancholia camp! ;-)

As for numerous postings, I'm hardly one to talk, though typically I'm shooting off my amateur-psychopharmacologist mouth to people like you to offset my own multiple frustrations over meds. Believe me when I say that I''m as interested in MAOIs as you are, and for many of the same reasons. Dysthymia is a "tough beast" indeed; fortunately it's starting to get some attention as its own entity and not just as a kind of "junior depression". MAOIs may well be worth a shot if you've been through some previous rounds without much success. There are also some newer meds that show promise in dysthymia but that haven't been released in the US yet: amisulpride, tianeptine, and reboxetine come to my mind, the last one hopefully to be available soon. I hope you find something that works for you, and that spares your sex life at the same time, of course!

Best wishes,

> Thanks all for responses. Yeah JD, I'm guilty, I have had a few postings recently. I am between medicines and researching hard before jumping again into the next move, whatever it is. According to your descriptions, I was wrong in categorizing myself as melancholic. My primary symptom, and it is big, is anhedonia/lowered mood/non-interest/non-joy. So I guess that's dysthymia. In any case, what a tough beast it is. Thanks Eliz for pointing out the difference. As lifelong medicine looks very likely to protect from the severe downs that overlap the dysthymia at times, it is crucial to find a med that will allow me to enjoy some kind of sex life the rest of my life, as I have an active wife who is patient, so far. How to beat dysthymia and retain a sex life. That's a tough one. John.
> >
> >
> > > Hi all. I am considering an MAOI after trying lots of other stuff and counseling. I gather MAOIs are good for chronic stubborn melancholic depression like mine. Anyone who knows, two questions: 1)Are they good for melancholic depression (dysthymia/anhedonia)? 2)Most important, are they known to cause sexual dysfunctin with guys, specifically lack of interest, inability, or genital anesthesia, or all of the above? We all know the SSRIs almost universally cause sex problems, but what about MAOIs? Thank you for your time and replies. John.




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