Posted by Chairman_MAO on September 22, 2005, at 20:29:29
In reply to PROZAC: is there a sex-safe low dosage?, posted by jgm on September 21, 2005, at 20:19:06
The author of "Healing the Soul in the Age of the Brain", Elio Frattaroli, suggests that the "sexual side effects" of SSRIs may be in fact one of their PRIMARY effects; that is, you suppress libidinal energy, and you eliminate a lot of neuroses/intrapsychic conflict/frustrations/etc. The whole picture obviously involves several different metaphysical and physical substrates, but I think there is something to this ...
It would be better to augment the SSRI with a dopamine agonist like cabergoline/ropinirole/pramipexole/bromocriptine/apomorphine/piribedil(sp?)
/lisuride, amphetamine, methylphenidate, bupropion, etc, instead of seeking a lower dose. In fact, the dopaminergic drug will probably profoundly enhance its antidepressant effect.I recommend full D2 agonists like the cabergoline/ropinirole/etc because they suppress prolactin, which is increased by SSRIs. Cabergoline is most efficient at this, and you may be able to get away with only 0.5mg TWICE WEEKLY. However, 2.5mg/day of it is a robust antidepressant au gmentation dose (I can provide case report).
poster:Chairman_MAO
thread:557866
URL: http://www.dr-bob.org/babble/20050921/msgs/558296.html