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Looking for Nortriptyline Alternative

Posted by SFY on September 11, 2006, at 11:15:46

I've been taking Nort for a little over a year and it has been effective in providing a floor for my depression, i.e., it keep my lows manageable. (I added Emsam a few months ago to try and alleviate my anhedonia and amotivation.)

However, having recently begun my first romantic relationship in quite some time, I've realized that the Nort is causing some annoying sexual side effects. (In retrospect, these have been evident for quite some time and so predate the Emsam.) I've been dealing with a somewhat lowered sex drive, anorgasmia, some loss of sensation, and dimunition of erectile strength.

My current plan is to reduce or eliminate the Nort and continue the Emsam for a few more weeks to see if the side effects fade and if the Emsam kicks in (which it isn't clear it has done yet).

But I'd like to find some med which has a similar profile to Nort but with less potential for sexual side effects. Or, barring that, some augmenting agent which can help alleviate these effects.


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