Posted by SLS on November 23, 2015, at 8:31:40
In reply to Re: 75mg Nortriptyline induces anorgasmia, posted by Christ_empowered on November 23, 2015, at 6:06:52
> no, it isn't. At first there was some jittery-ness, but that subsided. I feel mildly stimulated, but nothing too crazy.
I wish that I would respond to Wellbutrin that way. Instead, it slows me down and makes me feel significantly more dysphoric. I have taken as much as 900 mg/day. A friend of mine is in remission for having combined Wellbutrin with Pristiq. From what I see in others, Wellbutrin is more of an energizer than it is an anti-anhedonic. I would love to hear from others to see if they report the same thing. I think that's why Wellbutrin can augment SNRIs so well. For the right people, Wellbutrin provides improvements in mental energy and cognition while Effexor/Prisiq/Cymbalta yield a brighter mood with a return of interest, pleasure, and reward in doing things. I don't know if Wellbutrin is as effective when combined with SSRIs. I don't know why it shouldn't be.
A clarification request of Lamdage: Your subject line indicates your concern with anorgasmia, not erectile dysfunction. Your posts indicate otherwise. Which is it? These drugs don't necessarily affect both equally. In my estimation, SSRIs tend to produce more anorgasmia than ED. SNRIs, less so. Nortriptyline and desipramine are less likely to produce anorgasmia than ED. There is a better chance of your recovering erectile function with nortriptyline or desipramine than recovering orgasmic function with SSRIs. With me, Nardil produces anorgasmia for the first 2 - 3 months, whereafter I regain function gradually. I don't recall why you keep your dosage of Effexor so low. Generally speaking, with more severe, non-psychotic depressions, 300 mg/day is often necessary. Does your potential for experiencing psychosis factor into your decision to take only 37.5 mg/day? Side effects? as an aside, Luvox is supposed to be better than the other SSRIs for treating psychotic depression. I don't know what its reputation is for producing sexual side effects. However, adding buspirone might help if necessary.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1083983
URL: http://www.dr-bob.org/babble/20151119/msgs/1084144.html