Psycho-Babble Medication Thread 51668

Shown: posts 1 to 12 of 12. This is the beginning of the thread.

 

SSRIs and Male Sex Probs (add W-butrin or Viagra?)

Posted by utvols92 on January 14, 2001, at 10:08:29

i have taken zoloft, celexa and now prozac. All cause ejaculatory delay, which as many of you probably know, is VERY frustrating! My doctor said at one point that possibly adding Wellbutrin might stave off the sexual side effects. And, she also mentioned possibly trying Viagra (Even though I told her that GETTING an erection is NOT a problem, achieving orgasm IS). Does anyone have any advice, tips, etc??? HELP!!!

 

Re: SSRIs and Male Sex Probs (add W-butrin or Viagra?)

Posted by Shell on January 14, 2001, at 10:40:19

In reply to SSRIs and Male Sex Probs (add W-butrin or Viagra?), posted by utvols92 on January 14, 2001, at 10:08:29

> i have taken zoloft, celexa and now prozac. All cause ejaculatory delay, which as many of you probably know, is VERY frustrating! My doctor said at one point that possibly adding Wellbutrin might stave off the sexual side effects. And, she also mentioned possibly trying Viagra (Even though I told her that GETTING an erection is NOT a problem, achieving orgasm IS). Does anyone have any advice, tips, etc??? HELP!!!

I like the idea of adding the Wellbutrin. I haven't heard that it will actually reverse side effects when taken with an SSRI, but I imagine it may be possible. What often works is taking a smaller dose of Zoloft, Celexa, Prozac (or whatever your depression responds to best) and augmenting it with Wellbutrin. The smaller dose of the SSRI may correspond to a reduction in side effects while the Wellbutrin would compensate for the reduced antidepressant effect.

There are other antidepressants that do not seem to have these side effects; Serzone and Remeron are the ones that come to mind (I may be forgetting some others). You may want to ask your doctor about trying one of those either alone or in combination with a reduced dose of an SSRI.

Wellbutrin is now the only only antidepressant I am using and the difference in sexual side effects (there are none now) is huge. I also respond well to the antidepressant effect of Wellbutrin, so it works for me. You may have to experiment somewhat to find out what drug or combination of drugs works for you. It can be a long, frustrating process, but if you find it, the results are well worth it.

I can't comment on the Viagra suggestion. I'm female and don't know a lot about Viagra. Just based on what you have said, I'm not sure how that would help in your case (since that doesn't seem to be the problem), but your doctor certainly knows more than I. Perhaps you could ask her to explain it to you; maybe it has some beneficial effects beyond the obvious.

Good luck, and don't get discouraged. It may take a while to find what works for you, but there is no reason not to try.

Shell

 

Thanks shell! *more*

Posted by utvols92 on January 17, 2001, at 8:57:44

In reply to Re: SSRIs and Male Sex Probs (add W-butrin or Viagra?), posted by Shell on January 14, 2001, at 10:40:19

I do have one more question for you. My wife is also depressed and I was wondering what your experience has been with the SSRIs in relation to sex drive and ability to orgasm. She had a tough time on zoloft but was great on celexa (the side effects) now she is on effexor and her drive is down again. Just wanted a woman's point of view on this!

Thanks


> > i have taken zoloft, celexa and now prozac. All cause ejaculatory delay, which as many of you probably know, is VERY frustrating! My doctor said at one point that possibly adding Wellbutrin might stave off the sexual side effects. And, she also mentioned possibly trying Viagra (Even though I told her that GETTING an erection is NOT a problem, achieving orgasm IS). Does anyone have any advice, tips, etc??? HELP!!!
>
> I like the idea of adding the Wellbutrin. I haven't heard that it will actually reverse side effects when taken with an SSRI, but I imagine it may be possible. What often works is taking a smaller dose of Zoloft, Celexa, Prozac (or whatever your depression responds to best) and augmenting it with Wellbutrin. The smaller dose of the SSRI may correspond to a reduction in side effects while the Wellbutrin would compensate for the reduced antidepressant effect.
>
> There are other antidepressants that do not seem to have these side effects; Serzone and Remeron are the ones that come to mind (I may be forgetting some others). You may want to ask your doctor about trying one of those either alone or in combination with a reduced dose of an SSRI.
>
> Wellbutrin is now the only only antidepressant I am using and the difference in sexual side effects (there are none now) is huge. I also respond well to the antidepressant effect of Wellbutrin, so it works for me. You may have to experiment somewhat to find out what drug or combination of drugs works for you. It can be a long, frustrating process, but if you find it, the results are well worth it.
>
> I can't comment on the Viagra suggestion. I'm female and don't know a lot about Viagra. Just based on what you have said, I'm not sure how that would help in your case (since that doesn't seem to be the problem), but your doctor certainly knows more than I. Perhaps you could ask her to explain it to you; maybe it has some beneficial effects beyond the obvious.
>
> Good luck, and don't get discouraged. It may take a while to find what works for you, but there is no reason not to try.
>
> Shell

 

Re: My experience

Posted by buffalo1 on January 17, 2001, at 16:15:46

In reply to Thanks shell! *more*, posted by utvols92 on January 17, 2001, at 8:57:44

I tried Wellbutrin and it didn't do anything. Viagra has helped both with getting an erection and, toa lesser extent, with ejaculation. However, i recently had my testosterone levels measured and they were very low, so I have an appointment with a specialist next week -- so my results may be off off.

 

Re: My experience

Posted by utvols92 on January 17, 2001, at 22:02:46

In reply to Re: My experience, posted by buffalo1 on January 17, 2001, at 16:15:46

interesting on the testosterone levels. I hadnt thought of that. I wonder if that could be what causes the sexual side effects of the SSRIs? I havent really asked my doctor what chemically speaking causes it, so maybe that is a good question to ask her. I am also thinking wellbutrin might be a good addition for me because i am gaining weight, somthing i didnt do on wb before.

thanks!

> I tried Wellbutrin and it didn't do anything. Viagra has helped both with getting an erection and, toa lesser extent, with ejaculation. However, i recently had my testosterone levels measured and they were very low, so I have an appointment with a specialist next week -- so my results may be off off.

 

Re: Thanks shell! *more* utvols92

Posted by Shell on January 17, 2001, at 22:48:23

In reply to Thanks shell! *more*, posted by utvols92 on January 17, 2001, at 8:57:44

> I do have one more question for you. My wife is also depressed and I was wondering what your experience has been with the SSRIs in relation to sex drive and ability to orgasm. She had a tough time on zoloft but was great on celexa (the side effects) now she is on effexor and her drive is down again. Just wanted a woman's point of view on this!
>
> Thanks


Hmm, both of you with depression. I'm almost (but not quite!) jealous. Sometimes I wish (and then feel guilty for doing so) that my husband had at least some experience with depression. He just doesn't get it. At least you both understand what the other is going through. Oops, that was a MAJOR digression. Sorry about that!

Anyway, for the most part, the SSRIs have fairly similar effects on both men and women. What seems to be the case (at least from what I have heard) is that the decrease of drive is usually caused by the depression itself, and the difficulty with orgasm is caused by the medication to intended to cure the depression. There's some irony for you.

As you've noticed, these effects can also vary from drug to drug even within the same class. I had these kinds of problems with Prozac, Luvox and Effexor. I really liked Prozac and responded well to it, but I couldn't stand living with that particular side effect. My doctor switched me to Luvox. It had the same side effects but wasn't as effective as the Prozac so I quit taking any antidepressants out of frustration for nearly a year. I decided I'd rather be depressed with a sex life than happy but frustrated and resentful. Eventually, things got to a point where not taking antidepressants really was no longer an option. I started taking the Luvox again, started to feel better, then got annoyed with the side effects. My doctor then switched me to Effexor. The side effects with Effexor were much less than on any of the SSRIs (but remember, this varies by individual). I actually thought that it had no side effects. However, it didn't seem to have any positive effects either, so we added Wellbutrin to augment the antidepressant effect without adding to the side effects. I responded well to the Wellbutrin, dropped the Effexor (not fun!) and was amazed (happily) by the difference.

The same drugs, Wellbutrin, Remeron and Serzone seem to have no sexual side effects in women. Women also have the option of taking Desyrel (I'm not sure that doctors will prescribe Desyrel to men because of the risk of priapism). Some people also have less of a problem with some of the tricyclics. I think (trying to remember and might be wrong) that desipramine (Norpramin) has fewer of those effects than do some of the others. I have also heard good things about selegeline.

You didn't say what dosage of Effexor your wife is currently taking. Effexor actually seems to have fewer sexual side effects at higher dosages than at lower ones. If she is on a low dose now, oddly enough, increasing it could help. That is because Effexor affects primarily serotonin at lower dosages, but at higher doses affects serotonin, norepinephrine and dopamine.

You also said she didn't have this problem with Celexa. If there were no other problems with it and it was just not as effective for the depression, it might work well augmented with one of the drugs like Serzone or Wellbutrin.

It has taken me nearly five years to find something that works with no side effects, so don't let her get discouraged if she has to do a lot of switching around. You will both be glad you did. My personal opinion is that there is no point in taking an antidepressant with sexual side effects (or one that causes weight gain). A drug can't cure depression if it is adding to the depression with its side effects. Sometimes, unfortunately, the only drugs that seem to work for some people do cause those side effects. Then I suppose you might have to look at the side effects as a temporary trade off. You may have to put up with them until you have been depression free for several months. It does help to know that they do disappear when the drug is discontinued.

There are also things that can done to diminish the side effects. With some of the shorter-acting medications, you can skip them on the days you want to have sex (Personally, I found that suggestion pointless. You would have to schedule it a day or two in advance? What is the fun in that? Besides, if skipping doses worked, you would end up skipping your medication every day...what is the difference between that and discontinuing the medication entirely? Sorry, digressing again.)

I just happened to have read today that taking 4 mg of Periactin (cyproheptadine) before sex can be helpful. I also know that some women have similar success with Ritalin. You may want to check the archives. I know there are more things that can help, but I can't seem to remember them now.

Probably the most important thing is to find a doctor that is flexible and will work with you to find a solution. Some are much more sympathetic to the problems sexual side effects cause than are others. I was very lucky that my doctor considered sexual side effects an important complaint and was willing to keep trying until we found something that worked. I hope you are both fortunate enough to be able to do the same.

Shell

 

Re: Thanks shell! *more*

Posted by michael on January 18, 2001, at 14:25:14

In reply to Re: Thanks shell! *more* utvols92, posted by Shell on January 17, 2001, at 22:48:23

I know that there was a similar thread recently... I don't recall all the ideas offered, but I'd do a serarch (if it's back up and running) or else just go through the last two or three archives, and use the find function on your browser to search for sexual dysfunction, sex, etc. and it shouldn't take too long to find it. I know that I had posted something from medscape (I think) with a number of ideas to try.

Good luck. michael


> > I do have one more question for you. My wife is also depressed and I was wondering what your experience has been with the SSRIs in relation to sex drive and ability to orgasm. She had a tough time on zoloft but was great on celexa (the side effects) now she is on effexor and her drive is down again. Just wanted a woman's point of view on this!
> >
> > Thanks
>
>
> Hmm, both of you with depression. I'm almost (but not quite!) jealous. Sometimes I wish (and then feel guilty for doing so) that my husband had at least some experience with depression. He just doesn't get it. At least you both understand what the other is going through. Oops, that was a MAJOR digression. Sorry about that!
>
> Anyway, for the most part, the SSRIs have fairly similar effects on both men and women. What seems to be the case (at least from what I have heard) is that the decrease of drive is usually caused by the depression itself, and the difficulty with orgasm is caused by the medication to intended to cure the depression. There's some irony for you.
>
> As you've noticed, these effects can also vary from drug to drug even within the same class. I had these kinds of problems with Prozac, Luvox and Effexor. I really liked Prozac and responded well to it, but I couldn't stand living with that particular side effect. My doctor switched me to Luvox. It had the same side effects but wasn't as effective as the Prozac so I quit taking any antidepressants out of frustration for nearly a year. I decided I'd rather be depressed with a sex life than happy but frustrated and resentful. Eventually, things got to a point where not taking antidepressants really was no longer an option. I started taking the Luvox again, started to feel better, then got annoyed with the side effects. My doctor then switched me to Effexor. The side effects with Effexor were much less than on any of the SSRIs (but remember, this varies by individual). I actually thought that it had no side effects. However, it didn't seem to have any positive effects either, so we added Wellbutrin to augment the antidepressant effect without adding to the side effects. I responded well to the Wellbutrin, dropped the Effexor (not fun!) and was amazed (happily) by the difference.
>
> The same drugs, Wellbutrin, Remeron and Serzone seem to have no sexual side effects in women. Women also have the option of taking Desyrel (I'm not sure that doctors will prescribe Desyrel to men because of the risk of priapism). Some people also have less of a problem with some of the tricyclics. I think (trying to remember and might be wrong) that desipramine (Norpramin) has fewer of those effects than do some of the others. I have also heard good things about selegeline.
>
> You didn't say what dosage of Effexor your wife is currently taking. Effexor actually seems to have fewer sexual side effects at higher dosages than at lower ones. If she is on a low dose now, oddly enough, increasing it could help. That is because Effexor affects primarily serotonin at lower dosages, but at higher doses affects serotonin, norepinephrine and dopamine.
>
> You also said she didn't have this problem with Celexa. If there were no other problems with it and it was just not as effective for the depression, it might work well augmented with one of the drugs like Serzone or Wellbutrin.
>
> It has taken me nearly five years to find something that works with no side effects, so don't let her get discouraged if she has to do a lot of switching around. You will both be glad you did. My personal opinion is that there is no point in taking an antidepressant with sexual side effects (or one that causes weight gain). A drug can't cure depression if it is adding to the depression with its side effects. Sometimes, unfortunately, the only drugs that seem to work for some people do cause those side effects. Then I suppose you might have to look at the side effects as a temporary trade off. You may have to put up with them until you have been depression free for several months. It does help to know that they do disappear when the drug is discontinued.
>
> There are also things that can done to diminish the side effects. With some of the shorter-acting medications, you can skip them on the days you want to have sex (Personally, I found that suggestion pointless. You would have to schedule it a day or two in advance? What is the fun in that? Besides, if skipping doses worked, you would end up skipping your medication every day...what is the difference between that and discontinuing the medication entirely? Sorry, digressing again.)
>
> I just happened to have read today that taking 4 mg of Periactin (cyproheptadine) before sex can be helpful. I also know that some women have similar success with Ritalin. You may want to check the archives. I know there are more things that can help, but I can't seem to remember them now.
>
> Probably the most important thing is to find a doctor that is flexible and will work with you to find a solution. Some are much more sympathetic to the problems sexual side effects cause than are others. I was very lucky that my doctor considered sexual side effects an important complaint and was willing to keep trying until we found something that worked. I hope you are both fortunate enough to be able to do the same.
>
> Shell

 

Re: My experience

Posted by MarkinBoston on January 18, 2001, at 20:39:30

In reply to Re: My experience, posted by buffalo1 on January 17, 2001, at 16:15:46

> I tried Wellbutrin and it didn't do anything. Viagra has helped both with getting an erection and, toa lesser extent, with ejaculation. However, i recently had my testosterone levels measured and they were very low, so I have an appointment with a specialist next week -- so my results may be off off.

Make sure the endocrinologist gets levels for LH, FSH, testosterone, free testosterone, and estradiol as a minimum. He's likely to measure Prolactin and some others. If you have melancholic depression, a cortisol (8-9am) level is nice to know as it runs high with depression. Lipid levels are good to have for cardiac risk if you don't already have them (no eating >6pm previous night).

Many men under the age of 50 have too much conversion of testosterone to estradiol. This is the case if testosterone and LH are low and estradiol high. Only recently discovered is that estradiol is the primary negative feedback hormone measured to decide if more gonatropins are needed.

If LH were high, as in older men whose gonads can't generate as much testosterone, that's where the problem is, and not the feedback system.

The cure for the first case is just enough non-steroidal aromatase blocker like .25 mg EOD Arimidex, which will block some of the testosterone to estradiol conversion, increasing the former, decreasing the latter, and possibly increasing LH into a more midpoint value. The only thing you have to watch for is that estradiol doesn't go below 15 so your HDL stays in a good range. If estradiol is still above 50, try a quarter tablet daily. Suppliment with testosterone if it doesn't get up to range.

The cure for the second case is what most docs want to do for every case - give you testosterone. If they do that, when you go back for blood work to see if the dosage is right, make sure they get LH and estradiol levels in addition to testosterone.

I've been frustrated with endocrinologists because they don't know that feedback is via estradiol, not testosterone levels in men.

 

Success Story!! Finally! utvols92

Posted by Buffet on January 19, 2001, at 2:19:33

In reply to SSRIs and Male Sex Probs (add W-butrin or Viagra?), posted by utvols92 on January 14, 2001, at 10:08:29

> i have taken zoloft, celexa and now prozac. All cause ejaculatory delay, which as many of you probably know, is VERY frustrating! My doctor said at one point that possibly adding Wellbutrin might stave off the sexual side effects. And, she also mentioned possibly trying Viagra (Even though I told her that GETTING an erection is NOT a problem, achieving orgasm IS). Does anyone have any advice, tips, etc??? HELP!!!


I recently had the same problem as can be read by my threads back a month or so ago. I was placed on Luvox and my sex drive dropped completely. I couldn't get an erection and if I did, I wasn't able to maintain it. I called the pdoc up and told him that these symptoms had to be changed and changed soon (I'm married). He order 100mg wellbutrin SR a day and lowered the luvox. This helped a little and there were a couple of times sex actually worked. I soon dropped the luvox altogether and the doc gave me 3 100mg wellbutrin sr tabs a day. Now, I must say there is a definite improvement, especially with erection. Not a problem at all. Also, I have found that alcohol (while on wellbutrin) will incapacitate erection.

The orgasm thing is still strange though. I can't seem to get it to go near as much as normal. It used to go everytime, but now its maybe 50%. Still, its an improvement, and my mood suprisingly has been much better than when I was on SSRI's - prozac, zoloft, luvox (which didn't work at all). I had no problems with elavil before but still have some sexual problems from the benzos I'm also taking, especially right near the time I dose.

Basically, try wellbutrin and completely ween off the ssri's. Get on a decent dose, like 200-400mgs and you should have no problems.

Now if I could only find out how to get my wife to have an orgasm each time we have sex, and she's not on anything.....but thats a different topic in and of itself. Anybody know a url for tips?? : )

Buffet

 

Re: thanks again shell and everyone Shell

Posted by utvols92 on January 19, 2001, at 17:48:40

In reply to Re: Thanks shell! *more* utvols92, posted by Shell on January 17, 2001, at 22:48:23

I really appreciate the advice. I totally agree that while it feels good not to be so depressed, on the other hand, it would be nice to enjoy sex again! I guess I am somewhat lucky in the way that i have no issue with erections and can actually have an orgasm 80% of the time, albeit after a LONG time!

Thanks!

> > I do have one more question for you. My wife is also depressed and I was wondering what your experience has been with the SSRIs in relation to sex drive and ability to orgasm. She had a tough time on zoloft but was great on celexa (the side effects) now she is on effexor and her drive is down again. Just wanted a woman's point of view on this!
> >
> > Thanks
>
>
> Hmm, both of you with depression. I'm almost (but not quite!) jealous. Sometimes I wish (and then feel guilty for doing so) that my husband had at least some experience with depression. He just doesn't get it. At least you both understand what the other is going through. Oops, that was a MAJOR digression. Sorry about that!
>
> Anyway, for the most part, the SSRIs have fairly similar effects on both men and women. What seems to be the case (at least from what I have heard) is that the decrease of drive is usually caused by the depression itself, and the difficulty with orgasm is caused by the medication to intended to cure the depression. There's some irony for you.
>
> As you've noticed, these effects can also vary from drug to drug even within the same class. I had these kinds of problems with Prozac, Luvox and Effexor. I really liked Prozac and responded well to it, but I couldn't stand living with that particular side effect. My doctor switched me to Luvox. It had the same side effects but wasn't as effective as the Prozac so I quit taking any antidepressants out of frustration for nearly a year. I decided I'd rather be depressed with a sex life than happy but frustrated and resentful. Eventually, things got to a point where not taking antidepressants really was no longer an option. I started taking the Luvox again, started to feel better, then got annoyed with the side effects. My doctor then switched me to Effexor. The side effects with Effexor were much less than on any of the SSRIs (but remember, this varies by individual). I actually thought that it had no side effects. However, it didn't seem to have any positive effects either, so we added Wellbutrin to augment the antidepressant effect without adding to the side effects. I responded well to the Wellbutrin, dropped the Effexor (not fun!) and was amazed (happily) by the difference.
>
> The same drugs, Wellbutrin, Remeron and Serzone seem to have no sexual side effects in women. Women also have the option of taking Desyrel (I'm not sure that doctors will prescribe Desyrel to men because of the risk of priapism). Some people also have less of a problem with some of the tricyclics. I think (trying to remember and might be wrong) that desipramine (Norpramin) has fewer of those effects than do some of the others. I have also heard good things about selegeline.
>
> You didn't say what dosage of Effexor your wife is currently taking. Effexor actually seems to have fewer sexual side effects at higher dosages than at lower ones. If she is on a low dose now, oddly enough, increasing it could help. That is because Effexor affects primarily serotonin at lower dosages, but at higher doses affects serotonin, norepinephrine and dopamine.
>
> You also said she didn't have this problem with Celexa. If there were no other problems with it and it was just not as effective for the depression, it might work well augmented with one of the drugs like Serzone or Wellbutrin.
>
> It has taken me nearly five years to find something that works with no side effects, so don't let her get discouraged if she has to do a lot of switching around. You will both be glad you did. My personal opinion is that there is no point in taking an antidepressant with sexual side effects (or one that causes weight gain). A drug can't cure depression if it is adding to the depression with its side effects. Sometimes, unfortunately, the only drugs that seem to work for some people do cause those side effects. Then I suppose you might have to look at the side effects as a temporary trade off. You may have to put up with them until you have been depression free for several months. It does help to know that they do disappear when the drug is discontinued.
>
> There are also things that can done to diminish the side effects. With some of the shorter-acting medications, you can skip them on the days you want to have sex (Personally, I found that suggestion pointless. You would have to schedule it a day or two in advance? What is the fun in that? Besides, if skipping doses worked, you would end up skipping your medication every day...what is the difference between that and discontinuing the medication entirely? Sorry, digressing again.)
>
> I just happened to have read today that taking 4 mg of Periactin (cyproheptadine) before sex can be helpful. I also know that some women have similar success with Ritalin. You may want to check the archives. I know there are more things that can help, but I can't seem to remember them now.
>
> Probably the most important thing is to find a doctor that is flexible and will work with you to find a solution. Some are much more sympathetic to the problems sexual side effects cause than are others. I was very lucky that my doctor considered sexual side effects an important complaint and was willing to keep trying until we found something that worked. I hope you are both fortunate enough to be able to do the same.
>
> Shell

 

Re: My experience

Posted by buffalo1 on January 20, 2001, at 23:23:27

In reply to Re: My experience, posted by MarkinBoston on January 18, 2001, at 20:39:30

interesting... my PCP measured all of the levels you metioned and FSH, LH & Prolatin were normal. Lipids were very high, 220, and that is very unusual for me b/c in the past my total levels have always been 110 (I'm 29 yrs old). Now that I think about it he didn't measure estrodial. I mention this to the specialist. Thanks.


> > I tried Wellbutrin and it didn't do anything. Viagra has helped both with getting an erection and, toa lesser extent, with ejaculation. However, i recently had my testosterone levels measured and they were very low, so I have an appointment with a specialist next week -- so my results may be off off.
>
> Make sure the endocrinologist gets levels for LH, FSH, testosterone, free testosterone, and estradiol as a minimum. He's likely to measure Prolactin and some others. If you have melancholic depression, a cortisol (8-9am) level is nice to know as it runs high with depression. Lipid levels are good to have for cardiac risk if you don't already have them (no eating >6pm previous night).
>
> Many men under the age of 50 have too much conversion of testosterone to estradiol. This is the case if testosterone and LH are low and estradiol high. Only recently discovered is that estradiol is the primary negative feedback hormone measured to decide if more gonatropins are needed.
>
> If LH were high, as in older men whose gonads can't generate as much testosterone, that's where the problem is, and not the feedback system.
>
> The cure for the first case is just enough non-steroidal aromatase blocker like .25 mg EOD Arimidex, which will block some of the testosterone to estradiol conversion, increasing the former, decreasing the latter, and possibly increasing LH into a more midpoint value. The only thing you have to watch for is that estradiol doesn't go below 15 so your HDL stays in a good range. If estradiol is still above 50, try a quarter tablet daily. Suppliment with testosterone if it doesn't get up to range.
>
> The cure for the second case is what most docs want to do for every case - give you testosterone. If they do that, when you go back for blood work to see if the dosage is right, make sure they get LH and estradiol levels in addition to testosterone.
>
> I've been frustrated with endocrinologists because they don't know that feedback is via estradiol, not testosterone levels in men.

 

Re: SSRIs and Sex Probs

Posted by Neal on January 21, 2001, at 16:36:50

In reply to SSRIs and Male Sex Probs (add W-butrin or Viagra?), posted by utvols92 on January 14, 2001, at 10:08:29

Something to try that's easy to come by is Yohimbine. My personal experience is that it did something for me, but is no wonder drug and doesn't work for everyone.

BTW, I have heard from a doc on another board; it's his opinion that the longer you're on an SSRI, the less chance your sex drive will come fully back. His name is Dr. Stuart Shipko and he runs the Panic Disorders board at: http://www.algy.com/pdi/BBS/index.html.

I personally don't have a high opinion of the SSRI's. I think if you can get it done with Wellbutrin, Remeron, Serzone, Effexor or some of the other things mentioned on this board, so much the better.


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