Posted by medlib on February 4, 2002, at 17:35:27
In reply to Venting about various stuff--meds, sex,dbt therapy, posted by Roo on February 4, 2002, at 13:44:20
Hi Roo--
This thread probably should be on PB, but...
You mentioned trying Wellbutrin and Serzone, but did you try these meds by themselves or as augmenters with SSRIs? The link below is to a slide in a med school CME presentation; it summarizes rxs for sexual dysfunction common in SSRIs.http://www.cme.wisc.edu/online/depression/tsld015.htm
Some have suggested that escitalopram, [the S enantiomer of citalopram (Celexa) just released by Forest Labs], may have fewer sexual (and other) side effects than Celexa. This is based on one clinical study which found that, while 6% of males on Celexa experienced delayed ejaculation, those on escitalopram reported this side effect at a rate no greater than placebo (1%). Might be worth asking your pdoc about.
BTW, I don't think Remeron has had much success as a stand-alone AD; it's usually used as an augmenter (often with Effexor). Starting dose should be 30 mg. if weight gain is a concern, because lower doses are associated with increased appetite more often than higher doses.
Well wishes---medlib
poster:medlib
thread:17787
URL: http://www.dr-bob.org/babble/social/20020202/msgs/17791.html