Posted by not exactly on January 26, 2003, at 15:21:10
In reply to Re: buspirone and ssri s/e's, posted by jflange on January 26, 2003, at 9:37:26
Thanks for the refs. Interesting reading. I'm struck by the extreme variability in _all_ of the remedies. A sobering reminder of what an inexact science this is!
SSRI's never diminished my libido (I suspect it would take high dose cyanide to do that), but it sure caused "delayed" orgasms. This might be a plus for young guys, but in my case, I wasn't sure I'd outlive the delay. :-)
BTW, I know what you mean by the "serotonin bliss-stupor" syndrome. That's why I gave up on Paxil. The world became so beautifully perfect that there was obviously no need to change anything. So I did nothing. Not sedated, just awe-inspired. Fortunately I noticed that my motivation had vanished before anyone else (like my employer) did. Fixing this SSRI s/e would be a real plus.
So I may try the SSRI + Buspar combo. But I think I'll do it "backwards". Start with the Buspar, let it do its thing (I've heard it can take weeks for full effect, kinda like an AD), optimize the dose. Anxiety is one of my problems, and maybe this will help w/o dulling my edge the way Neurontin and the benzo's have done in the past. If it works, then I'll add a pinch of SSRI (I still have some Prozac & Paxil left from previous failed attempts) and see if my orgasms go away again.
Trial-and-error is a bitch. Bad enough there as so many psychoactive meds to try. But the number of combinations is infinite!
- Bob
poster:not exactly
thread:137341
URL: http://www.dr-bob.org/babble/20030125/msgs/137628.html