Posted by cache-monkey on January 8, 2005, at 21:21:27
In reply to Re: Klonopin and Sexual Function... » cache-monkey, posted by jasmineneroli on January 8, 2005, at 0:23:36
Hi Jas,
Celexa destroyed my sexual function completely, too. (Quicker than for you: it took about 10 days at 20 mg.) It did work well, though. Possibly too well.
I actually think one version of my DX is pretty close to yours, from what I've seen you post elsewhere: GAD a lot of the time, recurrenty dysthymia. Also some low-grade OCD -- more the the C than the O, and that seems actually anxiety-driven; e.g. compulsively engaging in hypochondriacal research. The other DX is some form of low-grade BP with lots of anxiety (posibly dysphoric mania) -- the Celexa did induce some genuine hypomania in combo with Wellbutrin.
So, given that maybe our DX is similar, I'm interested in hearing about how Klonopin+Tryptophan is working for you. (I'd actually been planning on starting Tryp after the Klon starts kicking in. I'm actually just getting off of BuSpar since I can't get on a high enough dose (dizziness) and even at the low dose I'm on, I feel like I get certain extra physical anxiety symptoms instead and maybe a small reduction in panicy-ness.)
Another thing I'm thinking about adding, though is low-dose Selegiline for the dysthymic (lethargy, possibly ADD, but maybe that's from being anxious all the time!) side of my symptoms. Have you any experience with this?
Thanks,
cache-monkey> Hey:
> I feel very qualified to answer this query!
> I have been on Klonopin at the following doses: 1mg per day (with.5mg as needed, extra)
> .5mg daily, and now
> .25mg daily.
> I took this as mono-therapy for about 2 months. Zero sexual problems.
> Reduced dosage to .5mg, added Buspar. Zero sexual problems, no improved therapuetic effect.
> Dropped Buspar, added Moclobemide(varying doses) to the Klonopin, zero sexual s/e's. AWFUL OTHER s/e's.
> Dropped Mocolobemide.
> Added Celexa (10mg)to the Klonopin. After 6 weeks...and BINGO! Sexual side effects...all of them, decreased sensitivity, followed by complete anorgasmia, later joined by no libido!!!!
> 3 months later, dropped Celexa.
> Substituted tryptophan into my Klon. combo. previous sexual side effects started to diminish...libido came back, then sensitivity increased (slowly). Now pretty much back to pre-Celexa, I guess.
> Moral of this long tale:
> Klonopin caused NO sexual S/E's (in fact I found it a little uninhibiting, because I wasn't worried about performance - I'm female, we worry about that too).
> Celexa absolutely DID cause them.
> Hope that helps a bit.
> Jas
poster:cache-monkey
thread:439193
URL: http://www.dr-bob.org/babble/20050108/msgs/439589.html