![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 10 to 34 of 34. Go back in thread:
Posted by JerseyGirl on June 25, 2006, at 3:45:39
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia?, posted by Phillipa on June 24, 2006, at 14:50:06
Dear Phillipa~
I am SO sorry about the lack of libido, and I certainly hope that it will improve wayyyyyy before a "cane will be your companion"!
As they say though...be careful what you wish for, because you don't want to be like me either. Being on overdrive all the time, without the ability to orgasm...is enough to drive a girl insane all by itself! :~(
Yes, the "Libido Gone Wild" is great for my husband! And upon rare occasion I do reep the benefit..but aside from that.. being constantly aroused is really distracting.
Alas...it is better than being depressed. It's just difficult to deal with this, at the cost of being happy..and now... VERY FRUSTRATED. *sigh*
Hugs from Faith~
Posted by JerseyGirl on June 25, 2006, at 3:54:59
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia?, posted by Karen44 on June 24, 2006, at 22:30:55
Hi Karen~
Thanks for replying...Well, as tempting as your description of Remeron does sound...the weight gain concerns me..as does ANY added "horney-ness"! The orgasmic effect is a nice side effect, though.
UGH!!! Why, oh why can't there just be a perfect drug ? I mean...the trade off on Effexor for me is happy and horny..with no orgasm. :~(
With Remeron,, the trade off is horny and orgasmic, but chubby?? It just s*cks!
Best of luck to you and good health, as you continue to wean off of Parnate.
Thanks Karen....Faith~
Posted by Maximus on June 25, 2006, at 12:43:40
In reply to Re: Really Interesting .. » Racer, posted by JerseyGirl on June 25, 2006, at 3:03:04
IMHO cyproheptadine isn't that great. It's a dirty drug. You can't make love during the morning or you will sleep during the day. You have to sleep soon after you take this pill. Very drowsy...
Posted by Maximus on June 25, 2006, at 12:55:39
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia? » Maximus, posted by JerseyGirl on June 25, 2006, at 3:30:16
Hi JerseyGirl,
No sorry. Ginkgo was in fact a waste of time. A placebo effect.
I'm not anymore on Remeron. But it worked like a CHAMP in the bed department. I wasn't gaining on it, but i was very irritable. But i'm bipolar, so maybe you won't get this side effect?
I think your best bet is to try and see. Unfortunately there is no miracle solution for this plague. In order...
1- Periactin
2- Remeron
3- Loratadine
Posted by Declan on June 25, 2006, at 13:43:44
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia? » JerseyGirl, posted by Maximus on June 25, 2006, at 12:55:39
Hey Maximus
Could you explain what mirtazepine and cyproheptadine have in common, in the way they affect receptors.
Also, how come they are both good for sex and sleep?
I wish there was a short acting form of either. They are good while you're asleep, and bad when you get out of bed.
Declan
Posted by Maximus on June 25, 2006, at 14:27:54
In reply to Remeron and Periactin » Maximus, posted by Declan on June 25, 2006, at 13:43:44
> Hey Maximus
Hi Declan,
> Could you explain what mirtazepine and cyproheptadine have in common, in the way they affect receptors.To my knowledge, H1 and 5HT2a antagonists (blockers).
> Also, how come they are both good for sex and sleep?H1 antagonist induces somnolence. SSRIs/SNRIs are strong agonists (stimulators) of the 5HT2a receptors in the spinal cord. The orgasm reflex. So an antagonist just restore that function. Keep in mind that SSRIs are also vasoconstrictors. It means less blood in the penis/clitoris. Alpha 2 receptor antagonists like Remeron are vasodilatators. It promotes excitation.
> I wish there was a short acting form of either. They are good while you're asleep, and bad when you get out of bed.Yes, to my taste, Remeron has too much punch on histamine.
Bye.
Posted by JerseyGirl on June 25, 2006, at 17:33:13
In reply to Remeron and Periactin » Maximus, posted by Declan on June 25, 2006, at 13:43:44
Thanks for the questioning..and answering ...I was wondering the same thing about these 2 drugs. Seems so bizarre that 2 completely different drugs would react on the same receptor.
I guess I'll just ask for the Periactin, and hope for a miracle? I think that for a male...The timing , spontaniaty and sleepiness would be a whole different situation than for me as a female, if the drug works.
As frustrating as this situation is for me...I can see how it would very much effect a male's relationship in a whole other light, with a lot more pressure in the marriage...just guessing, but I can only imagine. ;~(
Hugs, Faith~
Posted by Maximus on June 25, 2006, at 18:03:18
In reply to Re: Remeron and Periactin » Declan, posted by JerseyGirl on June 25, 2006, at 17:33:13
> As frustrating as this situation is for me...I can see how it would very much effect a male's relationship in a whole other light, with a lot more pressure in the marriage...just guessing, but I can only imagine. ;~(
> Hugs, Faith~Hi Faith,
Your imagination is correct. In the long run, if you do nothing to fix this problem, it kills slowly but surely your couple. Period. I've known a lot of couples who simply lived like brother and sister. Pathetic ;-(
Hey, good luck with your quest and hail to your lucky spouse ;-)
Posted by Declan on June 25, 2006, at 18:27:30
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia? » Karen44, posted by JerseyGirl on June 25, 2006, at 3:54:59
Well, I'd like someone to invent a Remeron without the appetite thing, but mainly one with a halflife of 8 hours, rather than 40 to 60.
Declan
Posted by JerseyGirl on June 26, 2006, at 3:17:07
In reply to Re: Remeron and Periactin » JerseyGirl, posted by Maximus on June 25, 2006, at 18:03:18
...and from the previous posts that I read of yours...YOUR spouse is just as lucky!! My husband is "lucky" because he's been reeping the benefit of this weird side effect!
O.k., O.k., it is a little bit fun...but there is a limit to the fun, and then it's just plain annoying for both of us. My husband is only 38, thank God..but still..he can only do so much..and it's never enough, because he's not a miracle worker. :~(
You are obviously a very caring, attentive husband. I can see that you have gone to great lengths to fix a REALLY BAD side effect of a med. that we need to keep us "happy and functional" in our daily lives, and Effexor truly has done wonders for me in that department.
I too..wish you the best of luck in you continued quest!
Hugs, Faith~
Posted by JerseyGirl on June 26, 2006, at 3:23:06
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmi, posted by Declan on June 25, 2006, at 18:27:30
Wow..Remeron stays on your system for 40-60 hours? Yikes!
That's one thing you can definately say about Effexor. You can pretty much set your watch to it. I never have to worry about forgetting to take it, because after 24 hours...It reminds me! Some people are bothered by that..I actually prefer it that way ..Just what works for me, I suppose.
Best wishes, Faith~
Posted by Karen44 on June 26, 2006, at 22:58:09
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia? » Karen44, posted by JerseyGirl on June 25, 2006, at 3:54:59
> Hi Karen~
> Thanks for replying...Well, as tempting as your description of Remeron does sound...the weight gain concerns me..as does ANY added "horney-ness"! The orgasmic effect is a nice side effect, though.
> UGH!!! Why, oh why can't there just be a perfect drug ? I mean...the trade off on Effexor for me is happy and horny..with no orgasm. :~(
> With Remeron,, the trade off is horny and orgasmic, but chubby?? It just s*cks!
> Best of luck to you and good health, as you continue to wean off of Parnate.
> Thanks Karen....Faith~
>Thanks for your words of encouragement. I am not sure about the weaning off of the Parnate; have been feeling somewhat more depressed but still want to take a wait and see approach. I know the next notion is to try Lamictal, and I don't want to try another "new" drug. I have had so many bad reactions to everything other than the Parnate that I also used years ago. Then, it helped a lot; now, not so much. Maybe I just need to exercise more and get the endorphens going. I am not liking being back on antidepressant medication. I was off of it for about 10 years. I wonder if just a small dose of Remeron added to Effexor is a possibility??? I have no idea as I am not a physician or pharmacist. Guess that is one to ask the doctor. Take care.
Karen
Posted by JerseyGirl on June 27, 2006, at 1:32:13
In reply to Re: Really Interesting .. » JerseyGirl, posted by Racer on June 25, 2006, at 3:37:39
Racer~
Thanks so much for all you help and advice so far...I'm just curious as to what dosage of the Periactin works for you.. I see that it comes in 4mg. tabs. and from ALL that I've read...(been reading alot)..."1-4 tabs". is the trial and error dosage, taken like an hour before the "event"? Trust me..I could care less if I sleep for 4 hours afterwards...That's the least of my problems!Anyway, I am PRAYING that this works..I just have to pick up the script and I will certainly be the first to shout from the rooftops if it does it's thing!
Thanks again for your help!!!
Faith a.k.a. JerseyGirl~
Posted by Racer on June 27, 2006, at 2:19:59
In reply to Re: Just one more question : ) » Racer, posted by JerseyGirl on June 27, 2006, at 1:32:13
I took one 4mg tablet, about an hour before The Main Event. It always worked for me, but again -- your milage may vary.
Good luck to you with it! I know how frustrating it is, but your posts have made me smile. Thank you.
Posted by joslynn on June 27, 2006, at 14:21:08
In reply to Re: Remeron and Periactin » Declan, posted by Maximus on June 25, 2006, at 14:27:54
Thanks for the info. I was just lurking and noticed this. I am on a 10 lexapro a.m./15 remeron p.m. combo (at times I have been just on lex) and this is good incentive for me to stick with it, in spite of the weight gain, which is not huge but annoying. I am not sexually active now, but I hope to be in the future, so this info is helpful and you explained it well. My pdoc said the same thing you did, but didn't explain HOW it counteracts the SSRI side fx re: sex. Now I know how! thanks.
Posted by JerseyGirl on June 27, 2006, at 19:22:16
In reply to Re: Thanks Maximus » Maximus, posted by JerseyGirl on June 26, 2006, at 3:17:07
Maximus~
I had no idea that Clariten also has the same or similar effect of the Libido/Orgasm area of the brain,that the AD's block....Similar to Periactin.
It seems so logical that it should work...Oh, please, please, please let it be this easy!
Hugs, Faith~
Posted by Maximus on June 27, 2006, at 19:43:14
In reply to Re: Maximus....Claritin? » JerseyGirl, posted by JerseyGirl on June 27, 2006, at 19:22:16
> Maximus~
> I had no idea that Clariten also has the same or similar effect of the Libido/Orgasm area of the brain,that the AD's block....Similar to Periactin.
> It seems so logical that it should work...Oh, please, please, please let it be this easy!
> Hugs, Faith~Hi Faith,
Yes Claritin works too. It's the less powerfull of the 3. You have to take at least 20 mg a day (2 pills). And it does not work overnight, you're going to wait at least 2 or 3 days. It doesn't have the same mechanism of action of the others. But when it works, it works ;-)
Posted by JerseyGirl on June 27, 2006, at 19:46:28
In reply to Re: Just one more answer ; ) » JerseyGirl, posted by Racer on June 27, 2006, at 2:19:59
Racer~
Thanks for the dosage info. I am soooooo hopeful that this will help.....
If my posts made you smile...I'm glad! It helps to keep a sense of humor...and *TRY* to make light of a REALLY frustrating situation!
My husband just walks around saying..."Be careful what you wish for." He's referring to my "enhanced libido". However from my perspective, the song , "I Can't Get No Satisfaction" comes to mind. *sigh*
Hugs, Faith~
Posted by JerseyGirl on June 30, 2006, at 5:17:36
In reply to Re: Maximus....Claritin? » JerseyGirl, posted by Maximus on June 27, 2006, at 19:43:14
...to one of my very good male friends, whom I know has taken Prozac for quite some time...AND has NO SEXUAL PROBLEMS.
Unknown to me, until the other day...was that he has ALWAYS TAKEN CLARITEN...every single day, because he has really bad allergies!
So, there ya go..."Something" obviously works for him..>Could it beeeeeeee Claritin??
Hugs, Faith~
Posted by Jerseygirl on July 1, 2006, at 14:20:57
In reply to Re: ENHANCED Sex Drive on Effexor...BUT Anorgasmia?, posted by Karen44 on June 26, 2006, at 22:58:09
Ohhhhh...I am SO disappointed! O.K., I got the Periactin AND Claritin....Well, not only am I still in the land of anorgasmia, but the meds. BOTH made me not tired...not hungry....but HYPER...like run around and clean your whole house 4 hours later...hyper!!!
I should have known this would happen, because the only anti~histimine that has ever NOT made me nutso, is Benydryl. Everything else that makes normal people sleepy....puts me in overdrive. :~(
So.....would you try a higher dosage of Periactin....because I do have a high tolerence to meds. , and obviously this one is the same story? Or, would you just call it a day...and learn to live in the land or perpetual horney.....but "happy", people...Oh how sad.
Thanks and hugs, Faith~
Posted by Maximus on July 1, 2006, at 14:56:03
In reply to Re: Periactin 4mg. :o( Racer .....Maximus...Help, posted by Jerseygirl on July 1, 2006, at 14:20:57
Hi Faith, (beautiful name from a french point of view, indeeded;-)
Well, sorry for the side effects ;-( I would say, don't waste your time and go straithforward to the orgasm's land, i named it Remeron. BUT don't panic! Be prepared to be a little bit hungrier and sleepy for the first week. That's all.
I know you're due for the big release ;-) lol
Bye xx
Posted by JerseyGirl on July 2, 2006, at 4:32:18
In reply to Re: Go for the REM :o( » Jerseygirl, posted by Maximus on July 1, 2006, at 14:56:03
Thanks Maximus~
Hey, thanks for the compliment on my name...I happen to like it too, and as I got older..It definately took on more meaning. :~)
Remeron, huh? I just don't know Max..That one scares me. I'm not sure why...but it does. I am TRULY happy that it works for you, though!!
Thanks so much for replying..and ALL your help, with this most frustrating subject.
Hugs, Faith~
Posted by pulse on July 2, 2006, at 6:56:22
In reply to Re: Go for the REM :o( » Maximus, posted by JerseyGirl on July 2, 2006, at 4:32:18
i echo maximus re: remeron - regarding only - the issue you're concerned with. i'm female, and went into full meno 8 years ago. i always had a low-ish sex drive, due to moderately severe to quite severe mdd, typical type - before ads. worse after all other ads, in all classes, and most combos. also worse, of course, after meno. hormone rt made my mdd MUCH worse, also, and at 3 days on, tops. so, remeron in this way, for me, was nothing short of a miracle.
remeron, in small dose from 3.75 mg. all the way up to 15 mg. tops, used for GREAT sleep ONLY (that's the last several times i've taken remeron) overcame both prozac's sexual blahs, and prozac's even more renowned poor sleep quality and insomnia.
remeron as a stand alone ad, worked very well for me within 1 wk.; even better at 2 wks, but in the end - of several long trials - it never gave me a full remission, and, at over 30 mg., i got the infamous factors of 1) irritability to rage 2) no more anxiety or sleep help.
be prepared, imo, especially in females, for substantial weight gain. (even when just used at very small dosage for sleep.) for me, this got even WOSRE at over 30 mg, despite europeans being started at 60 mg. to avoid said gain. ditto carb cravings and nocturnal eating, the latter i'd never had before or since.
YMMV.
pulse
Posted by Maximus on July 2, 2006, at 20:59:53
In reply to Re: Go for the REM :o( » JerseyGirl, posted by pulse on July 2, 2006, at 6:56:22
I tried for the first time Periactin yesterday. I just think it is the worst scrap ever created by the human mankind. For dogs only and still...
Ok, le bilan. I took 8 mg of cyproheptadine to counteract the anorgasmia created by 150 mg of Effexor. I got Zero, 0, niet, nada, none positive effects. BUT i got a lot of side effects: weekness, anergia, extreme hunger and irritability.
So, don't waiste your time and stay away from this s**t. Yuck ;-(
Posted by JerseyGirl on July 3, 2006, at 3:22:22
In reply to Re: Ok! I just tried Periactin..., posted by Maximus on July 2, 2006, at 20:59:53
*sigh* I know....I know. It DOES su*k...but atleast it works for Racer....I guess it's just luck and how our bodies react differently? I really have no clue.
I'm just too afraid of the possible Remeron weight gain...AND also messing with the Effexor, in general..because aside from this glitch, I am truly thankful for this drug. So...what do we do?
Well...I hate to say, live with it?
It's really funny, though..almost ironic...in that for me personally, I want SEX, SEX SEX!!! So...if THAT part of my brain is obviously working on Effexor..WHY won't the other part just kick in??? GRRRRR...Sooooo, not fair!
C'est le vie...Atleast my husband is happy.*sigh*
Hugs, Faith~
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.