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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Abby on October 29, 1999, at 22:42:35
Has anyone had any experience adding
any of the following to Zoloft (or any other SSRI)
buspar
wellbutrin
SymmetrelThanks
Posted by JohnL on October 30, 1999, at 4:14:49
In reply to Medicating SSRI sexual side effects in women?, posted by Abby on October 29, 1999, at 22:42:35
> Has anyone had any experience adding
>
> any of the following to Zoloft (or any other SSRI)
>
> buspar
> wellbutrin
> Symmetrel
>
> ThanksYes, except for the Symmetrel. Zoloft+Buspar is viewed by one doctor in Dr Bob's Pharmacology Tips as being "magical". For me it was incredibly stimulating. Too much so. Racing heart, total insomnia, panic. But that doctor must have had good results to describe it as magical. I believe this combo is pretty common. Any SSRI+Buspar 'theoretically' should provide a better response. Whether it actually does varies from person to person. Same with its potential to combat sexual dysfunction. Some find it helpful, others not.
Zoloft+Wellbutrin is also common. Adding Wellbutrin to just about anything is common. Usually added for pep, increased response, or in an effort to combat sexual dsyfunction, or to combat weight gain. Different doctors claim different results. As with anything else, ya never know till ya try. It was at one time almost marketed as a sexual stimulant. I have to admit I had wonderful sex with it. But the severe tinnitus I got from it was too much to deal with. It may or may not overcome the sexual dysfunction of an SSRI. It varies, but is a common strategy.
All I know about Symmetrel is it is often added to any AD to augment for a better response. Sometimes even when the thyroid levels are already in the normal range. I have not heard of it being used to combat sexual dysfunction.
More often than not a trial of a different AD turns out to be what works. I hope Racer will answer your post, because she has experience on this subject and she has a cure that works for her. Racer, you're up next. Take it away Racer. . .
Posted by Racer on October 30, 1999, at 13:46:45
In reply to Re: Medicating SSRI sexual, women.--Racer?, posted by JohnL on October 30, 1999, at 4:14:49
Not like there's any pressure on me now, huh? ;-)
OK, it depends on what side effects you're experiencing, and what you're trying to accomplish by augmentation. Since you didn't mention that, I'll make some general statements, and tell you about what worked for me in the bedroom.
For weight gain or other digestive troubles, you're pretty much on your own. Another drug altogether was the only thing that worked for me there.
For sleeplessness, I went the low tech way, and started taking all my drugs in the morning. Hey, it worked!
For sleepiness, that's a tougher one. Mostly I've learned to live sleepy.
If the current drug is not addressing the depression adequately, keep trying. If an SSRI isn't fixing depression, think about drugs that effect other neurotransmitters. For example, I was on Effexor, which wasn't working. So, rather than switch off the drug, we added a low dose of an SSRI. Bingo! Just the little extra worked where the one drug didn't.
If it's just sexual, all the things I've read about involve things like drug holidays, etc, which sound fishy to me, especially with the long halflife of most SSRIs. The one that works for me is an anti-histimine called cyproheptidine, or Periactin, which blocks the effects of the SSRI for a few hours. The added benefit, of course, is that it's an anti-histimine, so you sleep great, too.
If this helps, great, if not, let us know what you're trying to accomplish and someone here will have something to say...
Posted by Judy on October 30, 1999, at 14:02:36
In reply to Thanks, JohnL, posted by Racer on October 30, 1999, at 13:46:45
>
> If it's just sexual...The one that works for me is an anti-histimine called cyproheptidine, or Periactin, which blocks the effects of the SSRI for a few hours. The added benefit, of course, is that it's an anti-histimine, so you sleep great, too.
>Racer ~ How long do you have before you start sleeping, though? Me and an antihistimine? I might miss the fun entirely! ~ Judy
Posted by Racer on October 30, 1999, at 15:34:49
In reply to Re: Thanks, JohnL, posted by Judy on October 30, 1999, at 14:02:36
I dunno. I have found that the excitement keeps me awake just a little longer than what's needed: about long enough for afterglow!
This is the end of the thread.
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