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Re: Sexual side effects and depression.... » CLK

Posted by SalArmy4me on August 11, 2001, at 8:58:55

In reply to Sexual side effects and depression...., posted by CLK on August 11, 2001, at 8:15:07

There are a lot of solutions to this problem. I firmly believe in Remeron as the sovereign remedy: http://www.dr-bob.org/tips/split/Mirtazapine-for-SSRI-ADRs.html
http://www.dr-bob.org/tips/split/SSRI-sexual-dysfunction.html

Other ideas:

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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poster:SalArmy4me thread:74596
URL: http://www.dr-bob.org/babble/20010809/msgs/74599.html