Posted by paxvox on August 8, 2001, at 11:37:26
In reply to Re: Sexual Problems on Celexa WellbutrinSR? :-( » Ted, posted by Simcha on August 7, 2001, at 14:37:59
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> I told him that I'd rather not be depressed and that I would rather increase the Celexa to 40mg and not be depressed. He also said that the sexual side effects are cut by the Wellbutrin and that I could take my Wellbutrin at 3pm to be able to have better sex at night. He even said that if I have trouble with the 40mg dose of Celexa that I could cut it back to 20mg on the days where I anticipate that I will be sexual.
exception gained significant weight when taking Remeron. He offered me the choice. I turned it down (for now).
Say Ted,This sounds kind of "whack" to me. SSRIs can clearly cause sexual side effects when given at "normal" dosage, and almost ALWAYS WILL when given at the higher dose range. Case in point: I took Prozac for 3 years at 20mg. I had a few ejaculatory problems, more of a weird feeling than anything else. However, when it was pushed up to 40mg when I started seeing my Pdoc, it totally wiped out my sexual performance. Now I'm not the expert like Cam W. or SalArmy4me, but I respect their objective reports. Wellbutrin does not cause me any sexual side effects at all, and actually seems to increase my sex drive. WEllbutrin alone can be an effective AD. Why does your Pdoc want the SSRI combo? Has he given you a diagnosis? Look on your "form" you get and see what diagnosis code he is using (if he will not tell you specifically, or you just don't want to ask). Then go to your DSM III or IV and look up the code. E.G. 300.3 is OCD. If your Pdoc is diagnosing you one way, but treating you another, ask why. Some use "other codes" in an attempt to keep your medical records "cleaner" in case someone supenas them, etc...That seems to me to be an old school philosophy that does not address the negative stereotypes well must confront. Or it can be done for insurance purposes, so that the mega-billion dollar companies won't scrutinize your $100 claim. Either way, you have a need to know what he thinks is wrong with you, and his anticipated course of action. Don't be square-pegged by the guy. We all have individual reactions to meds. What may work great for one person may cause terrible problems with others. I have found this to be true subjectively as well as objectively. My 2 cents? It's the Celexa. If you MUST take it, go to the smaller dose range. Wellbutrin should be taken at least 7-8 hours before you want to go to sleep. To my knowledge,it has no untoward effects at up to 300mg per day.
poster:paxvox
thread:73747
URL: http://www.dr-bob.org/babble/20010804/msgs/74145.html