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Re: Fluoxetine = 5-HT2c Potent antagonist ? ..conf » atmlady

Posted by Marty on August 7, 2008, at 22:28:32

In reply to Re: Fluoxetine = 5-HT2c Potent antagonist ? ..conf, posted by atmlady on August 7, 2008, at 21:13:16

> Huh. Well, my (new) pdoc says that I shouldn't just *assume* that I will have sexual side effects from *all* SSRI's, only because I've experienced them with the (only) two I've taken (Effexor and Leapro). I'm having a hard time believing that. What do you guys and gals think? ----
I think it partly depends on how much (severity and extent) you've suffered from those sexual side effects. Lexapro being the SSRI who's usually is the easier on the sexuality and Effexor XR being one of the worst for woman I think your chances of finding one with no sexual side effect are pretty much near ZERO. But med trial being the art (not the science) that it is who knows ? If sexual side effects is your problem I suggest you look at (if it's not already done):

- Wellbutrin (not a SSRI, act on dopamine and NE. good for sex and can be added to an SSRI to help a little)

- Tianeptine (not a SSRI, more anxiolitic than Wellbutrin)

- Serzone (SSRI with no sexual side effects)

- Parnate (and old MAOI, good for sex, bad for many other side effects and comes with a diet)

Also there's the antidote game. Example: Cyproheptadine. You can google "sexual side effects +antidote" and find a couple proposed antidotes. It doesn't work for everyone and it's far from being perfect but it has helped some.

Good luck,
/\/\arty


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