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Re: Simcha, Can We Splilt the XR?

Posted by Kaysey on October 3, 2001, at 9:17:35

In reply to Re: Sex on Meds PDoc's Solution!!!, posted by Simcha on October 3, 2001, at 8:31:13

> I met with my pdoc yesterday. He says that the ginko and the ginseng can't hurt even if they don't help.
>
> The good news is that the current cocktail is a wonderful maintenance cocktail for me. The bad news is that all SSRI's have some sexual side-effects.
>
> He's decided to tweak the levels of my current cocktail.
>
> I will now take the following:
>
> 20mg of Celexa/day (1/2 of the original dose)
> 100mg of Wellbutrin SR 2x/day (adding 50mg of Welbutrin and splitting the dose into a morning dose and an afternoon dose)
>
> I like this pdoc. He is leaving me to monitor myself. Basically he believes that I have become stable enough and that I am very in tune with my body and my emotions.
>
> He says that I may take a break from the Celexa on days where I am planning to have sex. He also says that if my compulsion flares I may up myself back to the 40mg dose. Basically he is allowing me to control the levels of the Celexa.
>
> I like his slow and easy approach to upping the Wellbutrin SR. When I added this drug initially it made me spacey and I had a terrible "high" feeling. I will monitor this aswell.
>
> I am so relieved that I do not need to change meds at this time. The last change really sent me in a loop. YIKES! It was enough to make me see how unbalanced my life was before the medication. I see now that I will need something to balance me for the rest of my life. I also see that this combination is good for me and that I feel better having more control over it.
>
> My hypnotherapist will like it that I can take charge of my medication therapy. I still use the pdoc to help me to make decisions but I have to tell him about how the meds affect me. That is how I take charge..
>
> Thanks for all the support!
>
> Love,
> Simcha
>
>
>
> > Ok, Here is my personal coctail for the past 2 months:
> >
> > 40mg Celexa
> > 150mg Wellbutrin SR
> >
> > Sex is so much better on this combo than it was on Effexor XR 150mg/day. I can at least have feeling down there now.
> >
> > The trouble is that it takes forever and a day to climax. This is not a problem always and can be an asset sometimes. Yet it is a hell of a lot of work for the both of us to make me have an orgasm now. This was not the case before meds.
> >
> > I also have diminished sex drive. This is OK but my partner is highly sexual and I'd like to be able to keep up with him a little bit better. Before meds I had greater frequency and enjoyed it.
> >
> > The trick is that this combo seems to work well for my depression and my compulsion. I do not feel as much anxiety anymore.
> >
> > I am taking ginko biloba and ginseng to attempt to increase sex drive and to make it easier to have an orgasm.
> >
> > I've seen several posts on alternative meds that may or may not inhibit sexual relations. My pdoc suggested Serzone before if the Celexa did not work. Will Serzone be as effective as Celexa in treating my depression/anxiety and my compulsion?
> >
> > I've read about Remeron too. It seems to aid sexual function too. Yet I've also read that it is a very weak SSRI too.
> >
> > Could my pdoc give me something else to help me out sexually? (Not viagra, I'm terrified of it.) I'm seeing him this afternoon and I would like to be a bit more informed on what other people have done to be able to treat their depression while having a good sex life.

Hi Simcha!
I recently (8 days ago) added Wellbutrin XR (100mg) to my daily dosage of Effexor XR (300mg) for the various reasons most people do. I was advised and I read that you could not split the pills, because unlike most XR meds, they are not capsules with 'beads' to divy up--i.e breaking the coating would cause instant release. I too would prefer to divide the doses if possible, but I don't want to use the instant release to achieve that. I was very surprised--and hopeful--when you said your pdoc told you to split them. I am doing okay with the Wellbutrin, but I still seem to get an initial "bam" of side effects. I have always done better taking meds in divided does--even XR meds.

Could you confirm that this has been no problem with you? I am interested in passing this along to the Dr.

Thanks,
Kaysie


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