Posted by Rick on August 28, 2001, at 21:40:59
In reply to Re: Rick: alt.panic(Caution: REAL babbling within), posted by Thrud on August 28, 2001, at 6:38:42
Thrud -
>Yes. That is exactly what I found out too. Problem is that very few used Xanax as monotherapy and those who did used it at low, PRN doses. Makes the culprit difficult to determine.That’s an excellent point and a real hot button for me. Why is everyone so ready to blame the benzo part of a combo for sexual dysfuntion, fatigue and cognitive problems? Probably because of what they hear from unenlightened docs, an because the SSRI makers have spent zillions touting the safety and low side effects of their meds, while benzos still have that damn stigma attached to them! It’s amazing how long it took for it to become widely known – and for SSRI’s to start admitting – that these drugs cause mucho sexual dysfunction.
> > If that or some of the other ideas don't work, I'd still look into low-dose stimulant augmentation. If you do, there have been so many experiences in Babble-Land alone of sexual stimulation from selegiline that I really think you should consider it.
>
> I see my pdoc in three weeks. Just today I mailed him a letter with some literature I pulled off the net asking him to consider selegine augmentation (at less than 10mg per day). Should be an interesting session. I also sent him information on inositol.I don’t want to “mental malpractice” you (a phrase Christian Scientists use) into a bad reaction, but 10mg/day of selegiline would likely be very anti-Xanaxic in terms of PD therapy. For someone with an anxiety disorder, just 5mg/day is A LOT of selegiline! Believe me, I learned the hard way when I was using it (pun not intended but appropriate). The activation stays with you a l-o-o-n-g time. Maybe you could start at 5 mg, but after a few weeks 2.5 mg/day would probably be MORE than enough! I can’t emphasize this enough.
> > BTW, I looked for sexual dysfunction in the RXlist monograph for selegiline, too. It made me wonder if you and I were looking at the same site, given that you say you saw sexual dysfunction plastered all over the place.
>
> My apologies. I checked it again and I must have been looking at a different drug. "transient anorgasmia" and "lack of penile sensation" was reported by an unknown number of people out of a sample >900 and *only* at doses >10mg/day. Again, I will blame my oversight on Xanax (lovely scapegoat)That’s OK, I forgive the Xanax. I only searched for 2 or 3 hours to find info about seligiline’s anti-sexual effects ;)
Rick
poster:Rick
thread:76063
URL: http://www.dr-bob.org/babble/20010828/msgs/76771.html