Posted by Chairman_MAO on September 13, 2005, at 9:25:51
In an effort to remedy my sexual dysfunction, I discontinued my buprenorphine. As of now, it's working! I barely have any sexual dysfunction whatsoever except somewhat delayed orgasm (good, IMHO) and minor loss of sensation (about 50% or less of what I'd experience on an SSRI). Also, I had been taking Cialis fairly regularly, and my doctor informed me that it actually can IMPAIR ORGASM! Thus now I have to wait two weeks for it to completely wash out of my system before he's comfortable treating the sexual dysfunction. If it returns despite my bupe discontinuation, I am confident I'll be able to remedy it.
BTW, if anyone is near New Brunswick, NJ, with treatment-resistant depression, etc. I can refer to you a doctor @ the University of Medicine and Dentistry of NJ that has many years of experience prescribing MAOIs and no qualms about using them.
There is also another doctor there who is a specialist in treating medication-induced sexual dysfunction whom my pdoc said he'd refer me to if he could not successfully treat the sexual problems I'm having with the Nardil.Another note: I have been up and down the dosage range of 60-90mg, and although I didn't spend much more than a week or so at any dose less than 90mg, only 90mg seems to work completely. Considering I am 86kg, this seems to back up the 1mg/kg dosage cited in the literature. Thus, if anyone's trying Nardil, one cannot say a complete trial has been conducted unless they take 1mg/kg bodyweight for 6-8 weeks. For some folks this could require going up to 105mg/day or perhaps more.
Also, most of my side effects have waned to tolerable levels except water retention, which is treated with 50mg hydrochlorothiazide/day.
I'm a happy camper right now. If this abatement of my sexal problems continues, I'll be able to say something that I never thought I'd be able to: my illness is in remission! I have started training with a personal trainer--may end up doing a triathalon or a marathon! Previous to taking Nardil I never did anything althletic in my life (that would've required effort) nor was ever in shape.
Note I met this trainer who offered to train me for only $30/session all because I was comfortable being social and not isolating.
poster:Chairman_MAO
thread:554608
URL: http://www.dr-bob.org/babble/20050909/msgs/554608.html