Posted by fairnymph on April 17, 2003, at 21:46:26
In reply to Re: my boyfriend has dysthymia -- what meds to try? » fairnymph, posted by Eddie Sylvano on April 17, 2003, at 15:45:27
He hasn't actually tried SSRIs, we are just fearful of them because of their known sexual side effects...
I have no faith in tianeptine....I tried that stuff for a while for OCD/depression and I consider it useless...I know that is just my personal experience but I don't know a single person who has actually had any response to it!
The only dopaminergic he has tried was Wellbutrin...I definitely think that other dopaminergic meds would be worth pursuing.
I've been thinking about the MAOIs too...they seem worth looking into...
Thanks for sharing your experience...it sounds quite similar to my bf's. And yeah, we are young, he is in his mid twenties...We have talked about it endlessly and it's pretty obvious that it is something beyond purely psychological stuff (i.e. it's not a matter of him being sexually repressed or undeveloped). I am, not to boast, an extremely attractive young woman. Considering that he is sure of his heterosexuality, there is really no way he could not want to have sex with me and be mentally healthy! (hey, at least I know it's not me, right?) Plus, he gets hard very easily...but still doesn't feel horny...thus I doubt it's a testosterone issue or something along those lines.
Thanks for the advice...
> > Other options? Of course, whatever meds are recommended CANNOT have libido effects...and preferably should have minimal non-libido sexual side effects.
> If he's tried SSRIs and dopaminergics without success, you might investigate tianeptine, a serotonin reuptake *enhancer*. This should theoretically lower serotonin and increase dopamine. There are some decent studies to be found...
> I've also read that moclobemide has stimulant and pro-sexual effects, though I've never tried it. Hope you guys find something that helps. I'm very similar to your boyfriend, so I can appreciate the frustration you both feel. I'm pretty passsive and meek, and never really dated during my early years, so sexuality always intimidated me. Just talking with my girlfriend helped me a lot to change my perspective, loosen up, and live in the moment. It can be a complex problem, and one that a lot of doctors don't really seem to care about (especially if you're young).
> If it's any consolation, I'll wager that it has nothing to do with you, and frustrates him just as much.