Posted by Tosca on May 12, 2009, at 13:40:41
I have been doing really well on Lexapro (40 mg) and Wellbutrin XL (300 mg) for depression and anxiety the last 4 months, after being on the med rollercoaster for months before that.
Everything now is really hunky dory, except for sex. I'm a 42 year old woman who has never had sexual issues of any kind, and I've now got the double whammy of anorgasmia and genital numbness. My libido is good, I'm definitely still interested. So,this sucks. No other side effects other than that. Right now I'm taking yohimbine HCL, and it's helped a *bit*, but not much.
So, I had a pdoc appointment this morning, and we talked about it. He presented a number of options:
1. Lower the Lex to 20 and increase the WB to 450.
2. Change the Lex to either Effexor or Pristiq, keep the WB.
3. Add Mirapex to the current Lex/WB combo. I'd start the Mirapex at .25 and increase it to .5 if necessary.
I'm really hesitant to change my current Lex/WB set up. I'm doing well and don't want to mess with it if I don't have to. So, it looks like we will try option #3 first. He said that what's going on is a dopamine thing. He did acknowledge that the WB is already hitting dopamine, but that the mirapex (which he said is at a pretty low dose) would help it along.
When this problem first showed up I didn't care- I was just SO relieved to be feeling myself again. Now I'm realizing that I don't want to live like a nun at 42.
poster:Tosca
thread:895379
URL: http://www.dr-bob.org/babble/20090505/msgs/895379.html