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Re: Effexor: Notable Facts

Posted by paulk on May 29, 2001, at 12:48:09

In reply to Re: Effexor: Notable Facts, posted by DebbieLynn on May 28, 2001, at 9:30:58

> That is my problem. Cannot reach orgasm. This is extemely frustrating. For me...not to mention my spouse. It is almost like it is **Dead** (lol)
> Any suggestions??? Should I talk to pdoc about this. I have told him that my libido has diminished, but that can be overcome, it just takes a bit longer, but just when I feel like actually having sex, I cannot have an orgasm...believe I have tried. HELP!!!!!
> Thanks for the info
> Debbie

Sometimes lowering the dose a bit can help – going to 50 mg instead of 75 would make it possible – but it might take an hour and a half.

There is a new seritonin blocker for IB that in theory might help. It s called Lotronex (alosetron hydrochlorine). It didn’t help me – but there are reports of it (actually a sister drug given for nausia) helping women over come the sex side effect. Be aware that it may cause the emergent of symptoms and/or other side effects of it’s own.

There are stimulants that help some folks, I think there is an FAQ somewhere on Medline that lists about 10 drugs which have been use in attempts to counter this nasty side effect.

The worst part for me – is once I was on Effexor, my wife suddenly found me attractive and sweet – I could get emotionally close and sex was better than ever except it wouldn’t work. – For you it sounds like you can’t get started. My hunch is that the sexual dysfunction side effect is probably a group of side effects that may interfere in a number of different responses that all have to work correctly for folks to enjoy sex. It is nice of you to be concerned for you husband.

Talk to your doctor about it – I’m going to try an MAOI. Other than the bother with the diet restrictions many people think they have less side effects than the SSRIs. (And many of the restrictions tend to be weight gaining foods so it doubles as a bit of a diet plan< grin >)




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