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Sexual Dysfunction Pharmacy

Posted by SalArmy4me on June 14, 2001, at 12:48:10

Methylphenidate
- 5-40 mg/d
- For SSRIs or venlafaxine
- Libido, arousal, orgasm

Dextroamphetamine
- 5-40 mg/d
- Avoid night dosing (insomnia)
- Libido, arousal, orgasm

Pemoline
- 18.75-75 mg/d
- Check liver function
- Libido, arousal, orgasm

Ginkgo biloba extract
- 180-240 mg/d, tid, divided doses
- Potential increased clotting time, possible flatulence
- Libido, arousal, orgasm

Bethanechol
- 10-50 mg prn 1 hour before sex
- Used for anticholinergic side effects (TCAs, paroxetine); produces cholinergic side effects
- Arousal

Neostigmine
- 200 mg/d, tid divided doses
- Used for anticholinergic side effects (TCAs, paroxetine); produces cholinergic side effects
- Arousal

Estrogen creams or lubricants
- As needed
- For vaginal dryness, atrophy of vaginal tissue
- Arousal

Amantadine
- 100 mg bid
- Caution in patients predisposed to psychosis
- Orgasm

Cyproheptadine
- 4-12 mg qhs
- MAOIs, TCAs, SSRIs, venlafaxine; watch for reemergence of depressive symptoms; sedating
- Orgasm

Buspirone
- 30-60 mg/d, bid divided doses
-
- Libido, orgasm

Bupropion
- 75-150 mg/d, qd or bid divided doses
- For SSRIs or venlafaxine, fluoxetine may raise bupropion levels; usual precautionary measures for bupropion
- Libido, arousal, orgasm

Mirtazapine
- 15-45 mg/d
- For SSRIs, venlafaxine
- Orgasm

Nefazodone
- Start 50 mg/d, up to 150 mg/d
- SSRIs, venlafaxine
- Orgasm

Granisetron
- 1 mg prn
- ? Use of other 5-HT3 antagonists
- Orgasm

Sildenafil
- 50-100 mg/d
- Contraindicated with nitrates
- Libido, arousal, orgasm

Yohimbine
- 5.4 mg tid
- Can be anxiogenic; ? safety with MAOIs
- Libido, arousal, orgasm



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