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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by Tepiaca on January 7, 2003, at 16:46:30
Hi , Im looking for another alternative to the Zoloft because my sexual desire is completely gone. Is there another SSRi that could help without that effect?
Im taking the Zoloft due to SP and depression.
What other medicienes could I try besides the
SSRI?
Thank you
Posted by Caleb462 on January 7, 2003, at 22:24:30
In reply to Wich SSRI does not cause lost of sex drive???, posted by Tepiaca on January 7, 2003, at 16:46:30
All SSRIs are likely to cause loss of sex drive.
You have other options though.You could take Wellbutrin alone or along with the Zoloft, Wellbutrin usually reverses SSRI-induced sexual dysfunction and may actually cause improved sexual function.
You could take a 5-HT2 antagonist, maybe a low dose of Risperdal. SSRI induced sex problems come from increased activity at 5-HT2 sites. Of course, taking an anti-psychotic solely to treat a side effect may not be the most desirable idea.
Personally, I've found that Effexor - a SNRI - does not cause any signifigant change in sex drive. So you might wanna try Effexor, but there is still the chance it will dampen your libido.
Posted by ace on January 7, 2003, at 23:01:44
In reply to Wich SSRI does not cause lost of sex drive???, posted by Tepiaca on January 7, 2003, at 16:46:30
> Hi , Im looking for another alternative to the Zoloft because my sexual desire is completely gone. Is there another SSRi that could help without that effect?
I personally can't recommend any SSRI due to what I deem as their lack of efficacy and, for some people, terrible withdrawal syndromes. I was on Sertraline (Zoloft). I had no sexual dysfunction.
> Im taking the Zoloft due to SP and depression.
> What other medicienes could I try besides the
> SSRI?I would recommend Phenelzine (Nardil). It is excellant for depression and SP.
> Thank you
Posted by Tepiaca on January 7, 2003, at 23:51:18
In reply to Re: Wich SSRI does not cause lost of sex drive??? » Tepiaca, posted by ace on January 7, 2003, at 23:01:44
Hi ,thank you for your response .
What kind of drug is nardil? is it a MAOI?
does nardil cause sexual disfunction?
Wich side effects have nardil?
Thank you
Posted by Tepiaca on January 8, 2003, at 0:01:30
In reply to Re: Wich SSRI does not cause lost of sex drive???, posted by Caleb462 on January 7, 2003, at 22:24:30
hi , thank you for your response
You said i should try efexor . Ive read that
efexor is one drug that has the biggest problems
of sexual disfunction. Am I wrong? are you taking
this medicine right now?
Do you think that is possible that other ssri
like prozac does not cause sexual disfunction
on me ?? is this possible?
Thank you
Posted by ace on January 8, 2003, at 2:35:46
In reply to Re: Wich SSRI not cause lost of sex drive???ace, posted by Tepiaca on January 7, 2003, at 23:51:18
>
> Hi ,thank you for your response .
> What kind of drug is nardil? is it a MAOI?
Yes, Nardil is an MAOI. It is actually called an irreversible MAOI.
> does nardil cause sexual disfunction?
> Wich side effects have nardil?I am a male and it has caused sexual dysfunction for me. It doesn't necessarily cause it for everybody and it goes away in time. The most common side effects of Nardil are...
1. Weight gain
2. constipation
3. Dry mouthSometimes they do go away. Remember when you use Nardil you need a special diet. But the drug works very well and is definately worth it. If you try it it may take some time to work. Depending on your individual metabolism you may require a high dose (90mg)
> Thank you
All the best!
Posted by Dysfunk on January 11, 2003, at 13:12:51
In reply to Wich SSRI does not cause lost of sex drive???, posted by Tepiaca on January 7, 2003, at 16:46:30
My doctor tried adding in Ritalin at the time of sex. Sometimes it helps stimulate the sex drive. There is also Viagra. If the doctor says it is ok to combine meds, there is no stigma in using it.
Posted by Kam on January 12, 2003, at 20:09:55
In reply to Wich SSRI does not cause lost of sex drive???, posted by Tepiaca on January 7, 2003, at 16:46:30
> Hi , Im looking for another alternative to the Zoloft because my sexual desire is completely gone. Is there another SSRi that could help without that effect?
> Im taking the Zoloft due to SP and depression.
> What other medicienes could I try besides the
> SSRI?
> Thank you
I recently switched from Paxil for the same reason, I am currently on Lexapro close to two weeks now and yes, I have a smile again!! lol
I did try the Welbutrin but I had an allergic reaction to it.Good Luck,
Kathie
Posted by Lia Mason on January 12, 2003, at 21:19:21
In reply to Wich SSRI does not cause lost of sex drive???, posted by Tepiaca on January 7, 2003, at 16:46:30
Oh, this has been such a problem for me. I'm on imipramine now (a tricyclic) with no sexual side effects. In the past I took Sam-e without sexual side effects but it was expensive. Someone mentioned adding ritalin. I took Prozac with ritalin and the sex stuff improved. Many people say effexor is better than SSRI's as sexual stuff goes. I did not find this to be true. Two friends of mine took it with no trouble, so... maybe worth a shot. I couldn't handle wellbutrin but many do and it's reputed to be without sexual side effects. Don't give up. My doc has in the past mixed meds so I could keep doses down and bypass side effects. Maybe a tricyclic with a little effexor? They say Serzone is better as far as sex goes, but it sedated me a lot. Sometimes med "cocktails" are the answer. Just be wary of docs who say it can't be improved upon because there are lots of things to try. People have added buspar to SSRI's to improve libido. Didn't work for me, but I may not have taken enough.
Best,
Lia
Posted by ace on January 13, 2003, at 21:55:07
In reply to Re: Wich SSRI does not cause lost of sex drive???, posted by Lia Mason on January 12, 2003, at 21:19:21
Never lost wny sex drive at all on Zoloft. But Zoloft was a poor drug, like all SSRIs. MY opinion.
This is the end of the thread.
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