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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Pluto on December 11, 2004, at 22:38:44
Hi
In my 10 years long experience with various psychiatric medications, I found SSRIs are the worst in the case of sexuality. They destroy libido, ability to have orgasm, needless to say, there are no areas of sexuality these medications don't harm. So my suggestion is to try a tricyclic first (definitely with the exception of clomipramine) and reserve SSRIs as the last resort. SSRIs can be great medications for the elderly, because they are more prone to the cardiac side effects of Tricyclics. But for youths with active sexual life, docs should take care not to disrupt their basic and ultimate enjoyment. That is sexuality.
Posted by anxiety_free on December 11, 2004, at 23:57:10
In reply to SSRIs are the worst sexual offenders. Agree?, posted by Pluto on December 11, 2004, at 22:38:44
SSRIs+sex= NO SEX. Sucks more that lots of young people are on SSRIs and have no libido or orgasm because of it. A lot of times, when something is brand spaking new, it gets over-RXd and then problems show up AND THEN docs see the value of the old meds. Personally, I dig tricyclics. They may be old, but they work and they work well, even when SSRIs can't do the trip.
Posted by tensor on December 12, 2004, at 5:23:45
In reply to SSRIs are the worst sexual offenders. Agree?, posted by Pluto on December 11, 2004, at 22:38:44
Hi,
i agree, but don't forget effexor and edronax. Do you know about a TCA(not clomipramine!!) that doesn't destroy ones sexuality? Please let me know, clomipramine is the only TCA i've tried.
regards,
Mattias
Posted by King Vultan on December 12, 2004, at 12:25:02
In reply to Re: SSRIs are the worst sexual offenders. Agree?, posted by tensor on December 12, 2004, at 5:23:45
> Hi,
>
> i agree, but don't forget effexor and edronax. Do you know about a TCA(not clomipramine!!) that doesn't destroy ones sexuality? Please let me know, clomipramine is the only TCA i've tried.
>
> regards,
> Mattias
Nortriptyline, which I've tried, seems to be about the best of the TCAs in the sexuality department, and clomipramine is probably the worst (I have only read about it). Desipramine is supposed to have a minimum of sexual effects also, but I found that in my own case, it definitely lowered my libido. Protriptyline caused me erectile dysfunction due to its severe anticholinergic effects. I've read that this particular effect is also not uncommon with imipramine, but as with so many of these various side effects, susceptibility varies depending on the particular individual.In general, however, because the TCAs tend to be more noradrenergic than serotonergic, they do not seem to generally cause severe orgasm problems, with the possible exception of clomipramine. Because so many of them are anticholinergic, however, many have the potential to cause erectile dysfunction in susceptible male individuals, and I believe this side effect also correlates with certain blood flow and lubrication issues in women.
Todd
Posted by linkadge on December 12, 2004, at 20:40:28
In reply to Re: TCA sexual effects, posted by King Vultan on December 12, 2004, at 12:25:02
You're right about young people on SSRI's.
I've been on citalopram since before anything sexually ever developed. Personally, I think I've missed my chance.
Don't miss much. I suppose some of my other sences are more attuned to compensate :)
The whole idea of sex seems so barbaric, and lower brainstem to me. Why? Whats the point of an individual doing so much work for a little activity in the neucleus accumbens??
Don't mean to be disrespectful, but I guess breathing would seem silly too If it wasn't a requirement.
Linkadge
Posted by sdjeff on December 12, 2004, at 20:44:43
In reply to Re: TCA sexual effects, posted by King Vultan on December 12, 2004, at 12:25:02
Cymbalta has caused me to have erectile dysfunction and anorgasmia. It is just as bad as SSRIs in this regard. Any ideas why?
Posted by ed_uk on December 12, 2004, at 20:52:18
In reply to Re: Cymbalta, too, posted by sdjeff on December 12, 2004, at 20:44:43
Men are supposed to peak sexually when they are about 19. I was most interested in sex when I was 14. When I was 14-15 I started Paxil and it's been downhill from there. I still find people attractive but sex gets boring after about 30 seconds!
Ed.
Posted by Pluto on December 12, 2004, at 22:31:21
In reply to Re: SSRIs are the worst sexual offenders. Agree?, posted by tensor on December 12, 2004, at 5:23:45
For me Amitriptyline was the best TCA which didn't cause any problem in the sexual department.
I have heard similar stories and even found an article on the net stating Bupropion, nefazodone and amitriptyline are the only medications that don't harm sex.Amitriptyline is way far superior to bupropion and nefazodone in terms of efficacy, but unfortunately it is very sedating and anticholinergic.
But sedation will not be a problem after a couple of weeks and dry mouth lessens withing a couple of months. Surprisingly, I didn't gain any weight on it, although there was a stubborn craving for sweats. It didn't make me emotionally numb like the SSRIs do. Or I dare say it increased my sexuality and ability to enjoy sex with lifting the burden of depression very very effectively.
After six months of use, there were no noticable side effects however. It is all about getting to that point. I became tolerant to almost all of it's side effects within a month. It increased physical activity, sociablity, made me self confident, I enjoyed music better than ever while I was under the influence of AMIT.
Needless to say more, there is nothing bad I want to tell you about Amitriptyline. But resuming it once again and getting used to those sedative side effects is what makes me stranded. I want to find some off work days and do it.
Cardiotoxicity ? I don't care and remember the fate of Pen-Fen. Who knows how SSRIs will end up in that department?
Lol.
Posted by lew on December 13, 2004, at 10:01:09
In reply to Re: SSRIs are the worst sexual offenders. Agree?, posted by tensor on December 12, 2004, at 5:23:45
> Hi,
>
> i agree, but don't forget effexor and edronax. Do you know about a TCA(not clomipramine!!) that doesn't destroy ones sexuality? Please let me know, clomipramine is the only TCA i've tried.
>
> regards,
> Mattias
Looking for the right combo! edronax sounds perfect for me.
is edronax legal in the US and does it make you gain wt? lew
Posted by tensor on December 13, 2004, at 10:09:26
In reply to Re: SSRIs are the worst sexual offenders. Agree?, posted by lew on December 13, 2004, at 10:01:09
> Looking for the right combo! edronax sounds perfect for me.
> is edronax legal in the US and does it make you gain wt? lewHi lew, no i didn't gain weight with edronax. Beats me if it's legal in the US i live in Finland. But i'm sure someone else here on the board can answer that.
best wishes,
Mattias
Posted by francesco on December 14, 2004, at 16:36:16
In reply to Sex ?? What Sex ??, posted by linkadge on December 12, 2004, at 20:40:28
>The whole idea of sex seems so barbaric, and >lower brainstem to me. Why? Whats the point of >an individual doing so much work for a little >activity in the neucleus accumbens??
This was exactly my idea when I was on Anafranil. The problem is that if you don't have sexual desire you don't miss sex. But not having sexual desire is not *normal*, if 'normal' means anything.
This is the end of the thread.
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