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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by mickapoo on August 1, 2008, at 21:12:15
I apologize if this is a duplicate post. I posted it earlier and refreshed the main page but I don't see it. It may be possible it did not go through.
In any event, I am new here, and currently on Nardil. I was wondering if anyone has had success with any herbs or medications to reverse anorgasmia. Thank you!
Posted by dcruik518 on August 4, 2008, at 8:09:30
In reply to Anorgasmia from Nardil- any solutions?, posted by mickapoo on August 1, 2008, at 21:12:15
Cyproheptadine works well for Nardil-induced anorgasmia.
Posted by mickapoo on August 5, 2008, at 9:24:47
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by dcruik518 on August 4, 2008, at 8:09:30
> Cyproheptadine works well for Nardil-induced anorgasmia.
I looked it up and it seems that 4mg is the standard. How many times a week or a day do you take it? My dr will probably know very little about it.
Also, is it something like Viagra where you just take it right before, or do you take it on a regular basis so you're good to go anytime?
Thank you!
Posted by dcruik518 on August 5, 2008, at 16:03:21
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by mickapoo on August 5, 2008, at 9:24:47
I'd be surprised if your psychiatrist isn't familiar with it. Generally it works fine if you take it about an hour before sex. If you find it makes you too tired for sex, have a cup of coffee or one of those energy drinks after you've taken it. Also, if it doesn't work that way and you still have the anorgasmia, some p-docs recommend taking it regularly. If that's the case, you might try taking it each night, since it makes most people sleepy.
Anyway, I know it works well with Nardil and the SSRI's. It doesn't work with certain other drugs though, only the serotonergic ones.
Posted by desolationrower on August 5, 2008, at 20:47:07
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by dcruik518 on August 5, 2008, at 16:03:21
Very low dose risperdal will do the same thing. It costs more, but docs love prescribing APs so might be easier to get.
Posted by Mickapoo on August 18, 2008, at 16:26:41
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by dcruik518 on August 4, 2008, at 8:09:30
> Cyproheptadine works well for Nardil-induced anorgasmia.
But it's an antihistamine and I thought you weren't supposed to take an antihistamine with Nardil. No?
Posted by desolationrower on August 19, 2008, at 19:06:08
In reply to Re: Anorgasmia from Nardil- any solutions? » dcruik518, posted by Mickapoo on August 18, 2008, at 16:26:41
Theres two or three antihistamines that cause enough 5ht reuptake to theoretically cause serotonin syndrome...cyp. is fine to take.
Posted by Mickapoo on August 19, 2008, at 20:04:37
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by desolationrower on August 19, 2008, at 19:06:08
> Theres two or three antihistamines that cause enough 5ht reuptake to theoretically cause serotonin syndrome...cyp. is fine to take.
Thanks for your input. Seeing as it's OTC and rather inexpensive I'd love to try it. I am also on Lamictal though. Wonder if there are any interactions there.
Posted by SLS on August 20, 2008, at 5:25:11
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by desolationrower on August 19, 2008, at 19:06:08
> Theres two or three antihistamines that cause enough 5ht reuptake to theoretically cause serotonin syndrome...cyp. is fine to take.
I believe cyproheptadine works via blockade of serotonin 5-HT2c receptors. Geodon is an even more potent antagonist at this receptor. One might speculate that 20-40mg would do the trick. I'm not too sure someone would want to take an antipsychotic to remediate sexual side effects unless they need to be on one anyway. Of course, Geodon can be a potent augmenter of antidepressants.
For me, my ability to achieve orgasm took several months to return on Nardil. Others have reported the same thing. No guarantees, though.
- Scott
Posted by mickapoo on August 20, 2008, at 13:46:38
In reply to Re: Anorgasmia from Nardil- any solutions?, posted by SLS on August 20, 2008, at 5:25:11
> For me, my ability to achieve orgasm took several months to return on Nardil. Others have reported the same thing. No guarantees, though.
>
>
> - ScottScott, you didn't try cyproheptadine for your anorgasmia?
Posted by SLS on August 20, 2008, at 16:16:40
In reply to Re: Anorgasmia from Nardil- any solutions? » SLS, posted by mickapoo on August 20, 2008, at 13:46:38
> > For me, my ability to achieve orgasm took several months to return on Nardil. Others have reported the same thing. No guarantees, though.
> Scott, you didn't try cyproheptadine for your anorgasmia?
I haven't used cyproheptadine, so I can't attest to its utility. Many others have reported success with it, though. I think the idea is to take it immediately before sex so that the sedating antihistamine effects don't start too soon. The other thing that I don't know is what the ideal dosage is.
Sorry I couldn't be more helpful.
- Scott
Posted by Mickapoo on August 20, 2008, at 20:00:32
In reply to Re: Anorgasmia from Nardil- any solutions? » mickapoo, posted by SLS on August 20, 2008, at 16:16:40
> > > For me, my ability to achieve orgasm took several months to return on Nardil. Others have reported the same thing. No guarantees, though.
>
> > Scott, you didn't try cyproheptadine for your anorgasmia?
>
> I haven't used cyproheptadine, so I can't attest to its utility. Many others have reported success with it, though. I think the idea is to take it immediately before sex so that the sedating antihistamine effects don't start too soon. The other thing that I don't know is what the ideal dosage is.
>
> Sorry I couldn't be more helpful.
>
>
> - Scott
>I'm going to try it and I'll post back here and let you know if it works!
Thanks!
Mickapoo
This is the end of the thread.
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