Psycho-Babble Medication Thread 66506

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effexor and sex

Posted by Chet on June 14, 2001, at 17:56:18

i've only been on effexorxr for 3 weeks, and i'm haveing problems acheiveing orgasm, my erection is great and can last for hours during sex but i cain't get off, doe anyone else have this problem? and does it get better with more time?
, my wife loves the long sex sessions but i'm getting furustrated that i cain't get off after a few hours of non-stop action, any input is appriated

Re: effexor and sex » Chet

Posted by Cam W. on June 14, 2001, at 19:05:05

In reply to effexor and sex, posted by Chet on June 14, 2001, at 17:56:18

Chet - What dose of Effexor are you taking? Quite a few people have sexual dysfunction with serotonergic antidepressants (eg SSRIs). Effexor acts like a SSRI at lower doses (< 225mg). Sometimes increasing the dose above this level can help to alleviate the anorgasmia, but not always. SSRIs actually help premature ejaculators.

There are several things that you can try to help with anorgasmia. SalArmy has listed them on this page under the title "Sexual Dysfunction Pharmacy". None of the methods work 100% in everyone. Print off the list Sal and take it to your doctor. The two of you can decide if any of the treatments would be right for you.

Good luck and keep us posted. - Cam

Sexual Dysfunction Remedies » Cam W.

Posted by SalArmy4me on June 16, 2001, at 0:26:37

In reply to Re: effexor and sex » Chet, posted by Cam W. on June 14, 2001, at 19:05:05

Methylphenidate †
- 5-40 mg/d
- For SSRIs or venlafaxine
- Libido, arousal, orgasm

Dextroamphetamine †
- 5-40 mg/d
- Avoid night dosing (insomnia)
- Libido, arousal, orgasm

Pemoline †
- 18.75-75 mg/d
- Check liver function
- Libido, arousal, orgasm

Ginkgo biloba extract †
- 180-240 mg/d, tid, divided doses
- Potential increased clotting time, possible flatulence
- Libido, arousal, orgasm

Bethanechol †
- 10-50 mg prn 1 hour before sex
- Used for anticholinergic side effects (TCAs, paroxetine); produces cholinergic side effects
- Arousal

Neostigmine †
- 200 mg/d, tid divided doses
- Used for anticholinergic side effects (TCAs, paroxetine); produces cholinergic side effects
- Arousal

Estrogen creams or lubricants
- As needed
- For vaginal dryness, atrophy of vaginal tissue
- Arousal

Amantadine
- 100 mg bid
- Caution in patients predisposed to psychosis
- Orgasm

Cyproheptadine
- 4-12 mg qhs
- MAOIs, TCAs, SSRIs, venlafaxine; watch for reemergence of depressive symptoms; sedating
- Orgasm

Buspirone †
- 30-60 mg/d, bid divided doses
-
- Libido, orgasm

Bupropion †
- 75-150 mg/d, qd or bid divided doses
- For SSRIs or venlafaxine, fluoxetine may raise bupropion levels; usual precautionary measures for bupropion
- Libido, arousal, orgasm

Mirtazapine †
- 15-45 mg/d
- For SSRIs, venlafaxine
- Orgasm

Nefazodone †
- Start 50 mg/d, up to 150 mg/d
- SSRIs, venlafaxine
- Orgasm

Granisetron †
- 1 mg prn
- ? Use of other 5-HT3 antagonists
- Orgasm

Sildenafil
- 50-100 mg/d
- Contraindicated with nitrates
- Libido, arousal, orgasm

Yohimbine †
- 5.4 mg tid
- Can be anxiogenic; ? safety with MAOIs
- Libido, arousal, orgasm

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