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Re: Any Hope For Sex Life With Effexor XR? » TommyIsland

Posted by King Vultan on November 16, 2004, at 12:18:32

In reply to Re: Any Hope For Sex Life With Effexor XR?, posted by TommyIsland on November 14, 2004, at 14:18:08

> So from what you know.........what actually causes this low libido and anorgasmia in the Effexor? Is it too much Serotonin that causes the lack of libido or what?
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> Tommy!!!!!!


Stahl in "Essential Psychopharmacology" feels that the stimulation of serotonin-2A receptors in the brain's pleasure centers depletes dopamine, reducing libido. He also says that stimulation of serotonin-2A receptors in the spinal cord is responsible for the orgasm problems. What cyproheptadine and some other drugs, such as Remeron, do to counteract these negative sexual effects is to blockade these particular receptors. It's something that seems to work better in theory than in practice, however, as it seems to be very much hit and miss whether drugs like this wind up helping the problem for a particular individual.

Todd


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poster:King Vultan thread:415705
URL: http://www.dr-bob.org/babble/20041113/msgs/416695.html