Posted by PhoenixGirl on April 18, 2001, at 18:04:58
In reply to Re: remeron + antipsychotic (or what else?), posted by ChrisK on April 17, 2001, at 16:44:18
Hi Matze,
I've struggled with that problem for years, with many different medications. For me, the more a medication increases serotonin, the worse sexual dysfunction it causes. For example, SSRI's and the tricyclic Anafranil (clomipramine) extinguished all of my sex drive and physical sexual sensation. I am now on desipramine, the least serotonin-enhancing drug, and have a sex drive and feeling down there. I think that it has caused some sexual dysfunction, but it's not as severe as many other drugs. If you want to try tricyclics, I would try desipramine first, then nortriptyline. I would not try Anafranil. Remeron is an atypical antidepressant, which does not cause as much dysfunction as other meds, even though it did for me. I'm still trying to bring all of my sexual function back, and will probably try something like Mirapex or selegiline next. By the way, the highly serotonin-enhancing drugs not only caused bad sexual dysfunction for me, but they made me almost unable to cry, even when I was extremely
depressed. They dulled my emotions, and sadness was the only emotion they let me feel intensely. So in my experience, serotonin meds suck, and the more noradrenyline-affecting drugs like desipramine are better. Good luck.
> Matze,
>
> From my own experience only - Mirapex helped me out the most with anhedonia. Zyprexa is great for ruminating thoughts or clearing up really cloudy thinking. I haven't tried Lamictal.
>
> If anhedonia is the problem I would suggest either a Dopamine med like Mirapex or a stimulant like Adderall.
>
> I know the frustration of feeling numb and Mirapex has worked for me for 4 months now.
>
> Chris
poster:PhoenixGirl
thread:59949
URL: http://www.dr-bob.org/babble/20010417/msgs/60372.html