Posted by King Vultan on March 15, 2004, at 10:17:20
In reply to Male Issues, posted by Cheraw on March 14, 2004, at 20:36:00
> > Okay, I started out on this medication and it really calmed me down. However, I am constipated and my libido has went into the crapper. Anyone, having problems with erections? I know this is personal but I need to know. Thanks,
> > Forest
>
> Forest,
>
> I'm there with you, brother. Beyond the libido, orgasms are bizzare to say the least! Almost painful. I'm not sure this medication is worth all of the negative side effects. I haven't slept in days.
Based on my experiences last year with three tricyclics and Strattera, one thing I would suggest is considering adding an alpha-1 blocker, such as Hytrin or Flomax. This will tend to counteract the adrenergic agonist effects that NE reuptake inhibitors can have in the penis and prostate. My experience was that this improved erection quality and made ejaculation vastly more comfortable. You might also consider adding trazodone instead, which has a built in alpha-1 blockade and will also tend to counteract the insomnia problems you are experiencing.Beyond this, and as I've mentioned before, my experience was that desipramine had very similar therapeutic effects to Strattera and much fewer side effects. The insomnia was not nearly as bad, and desipramine also did not cause me drowsiness during the day. It was also much cheaper.
Todd
poster:King Vultan
thread:133458
URL: http://www.dr-bob.org/babble/20040313/msgs/324584.html