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Re: Sex addication and SSRI's - Naltrexone ?

Posted by SLS on March 13, 2001, at 8:50:47

In reply to Re: Sex addication and SSRI's, posted by SLS on March 12, 2001, at 21:43:37

> > I'm a longtime compulsive sex addict who is using Celexa now. In some ways it is helping dramatically, in other ways it is putting me at greater "risk."

> I can't offer any personal experience for you, but I am very curious as to in what ways Celexa is putting you at greater risk.


I had a thought that may be relevant. A drug called naltrexone (Revia) has been found to be effective for a broad number of addictive behaviors. It sort of prevents the opium-like reward that the gratification of an addictive behavior can elicit. Otherwise, if the approach to treatment is to consider it more of an OCD (obsessive-compulsive disorder), there are a few other antidepressants that are often used successfully. Of the SSRIs, Luvox (fluvoxamine) is sold specifically for OCD. For very stuborn cases, Anafranil (clomipramine) is used, although its side effects are more bothersome.

If the "greater risk" for you represents an increase in the number of attempted encounters or a greater persistance to offset the lowering of libido and anorgasmia produced by Celexa, I would think that naltrexone is a reasonable alternative. Combining an SSRI with naltrexone might be ideal.

Good luck.


- Scott

 

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