Posted by omegon on January 29, 2004, at 16:42:17
In reply to Effexor Dosage and sexual side effects, posted by Dirtylowdown4 on January 29, 2004, at 10:05:25
I am also male and was on efexor for something like 2.5 - 3 months. (Memory loss was one side effect for me.) I had somewhat delayed orgasm, but was never unable to get there; I actually considered it an advantage. I was on paroxetine before, which was much more of a problem; it made achieving orgasm an epic quest - took 50 minutes on occasion, which was extremely frustrating since it increased desire and _decreased_ pleasure!
The effect was much the same with all doses of efexor I was on. 225mg was the highest, and this actually increased desire several times compared to how I was without medication - though this probably says more about my depression than about the drug. No decrease in sensation/pleasure - if anything it was increased. It was almost worth putting up with the problems it was causing - primarily major mood swings, blurred thinking and lack of energy.
If it does cause you sexual problems, you might wait a few weeks before you abandon it if it's working well otherwise: I've seen quite a few reports that suggest the side effects, including the sexual effects, decrease after a few months at the same dose. (People have said anything from 2-6 months, which is admittedly not much of a comfort for something as urgent as sex!)
You might try (cautiously) taking 500mg of tyrosine. (Amino acid: a nutritional supplement available over-the-counter - in the UK at least - and a precursor of dopamine and noradrenaline.) This should help a lot with desire and pleasure. You should wait until any anxiety effects from the efexor have gone, though, since the adrenaline increase it causes can be very unpleasant otherwise.
> I am a male who has been on 75mg of Effexor XR for several weeks. Has anyone had any experience with increased dosage and the effects on sexual orgasm? Since being on Effexor I have personally experienced delayed orgasm and to a lesser extent the inability to ejaculate. Since I have been plagued with premature ejaculation my entire adult life the delayed ejaculation is a very desirable side effect. I am considering asking my doctor to increase my dosage to combat my depression but am concerned that the increased dosage may result in increased frequency of no ejaculation. Desire and ability to obtain and maintain erection has not been a problem since being on the medication. Any comments would be greatly appreciated!
poster:omegon
thread:13781
URL: http://www.dr-bob.org/babble/20040127/msgs/306984.html