Psycho-Babble Medication Thread 81597

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effexor and sex

Posted by dave40252 on October 18, 2001, at 15:53:55

Hi all,
I have tried many A.D.s The one that works the best is effexor. Four days after i start i feel tremendously better. Unfortunatly, four days after that my sex life goes down the drain. Does any body have any experiance augmenting anything with effexor to counteract this side effect? I tried gingko with no benefit.
Thanks

Re: effexor and sex

Posted by geno on October 18, 2001, at 21:16:13

In reply to effexor and sex, posted by dave40252 on October 18, 2001, at 15:53:55

> Hi all,
> I have tried many A.D.s The one that works the best is effexor. Four days after i start i feel tremendously better. Unfortunatly, four days after that my sex life goes down the drain. Does any body have any experiance augmenting anything with effexor to counteract this side effect? I tried gingko with no benefit.
> Thanks

Try welbutrin, yohimbine, or a ne alpha 2 antagonist med. yohimbine is such. Welbutrin hits dopamine also involved in sexual enhancement. May cause anxiety.

Re: effexor and sex » geno

Posted by kregpark@yahoo.com on October 20, 2001, at 16:22:23

In reply to Re: effexor and sex, posted by geno on October 18, 2001, at 21:16:13

I only tried Effexor briefly, however.

A serotonin antagonist and DA/NE agonist in combo is most effective.
Ritalin could safely be added.
Wellbutrin I believe also (I did not check PDR but pretty sure)
Serzone about 50-100mg, or Remeron 7.5mg may be very effect, especially with above dopaminergic.
HOWEVER, SERZONE OR REMERON MAY BE CONTRAINDICATED (concern would likely be serotonin syndrome)
Can check PDR for contrindication, and also medline for cases.

I do know that serzone + ritalin or wellbutrin is very effective for serotonin based sexual sysfunction in general.

kregpark@yahoo.com
http://www.socialfear.com/

> > Hi all,
> > I have tried many A.D.s The one that works the best is effexor. Four days after i start i feel tremendously better. Unfortunatly, four days after that my sex life goes down the drain. Does any body have any experiance augmenting anything with effexor to counteract this side effect? I tried gingko with no benefit.
> > Thanks
>
> Try welbutrin, yohimbine, or a ne alpha 2 antagonist med. yohimbine is such. Welbutrin hits dopamine also involved in sexual enhancement. May cause anxiety.

Re: effexor and sex

Posted by dave40252 on October 22, 2001, at 16:34:39

In reply to Re: effexor and sex » geno, posted by kregpark@yahoo.com on October 20, 2001, at 16:22:23

> A serotonin antagonist and DA/NE agonist in combo is most effective. > I do know that serzone + ritalin or wellbutrin is very effective for serotonin based sexual sysfunction in general.

Thanks for the input. Can you tell me what a DA/NE agonist is? I have tried serzone alone. Absolutly no sexual side effects but it didn't do squat for my depression.

> > Try welbutrin, yohimbine, or a ne alpha 2 antagonist med. yohimbine is such. Welbutrin hits dopamine also involved in sexual enhancement. May cause anxiety.

I have tried yohimbine, unfortunatly that makes me very nervous, agitated and a little quesy - are there other ne alpha antagonists?

thanks again

Re: effexor and sex

Posted by petters on October 23, 2001, at 0:01:32

In reply to Re: effexor and sex, posted by dave40252 on October 22, 2001, at 16:34:39

> > A serotonin antagonist and DA/NE agonist in combo is most effective. > I do know that serzone + ritalin or wellbutrin is very effective for serotonin based sexual sysfunction in general.
>
> Thanks for the input. Can you tell me what a DA/NE agonist is? I have tried serzone alone. Absolutly no sexual side effects but it didn't do squat for my depression.
>
> > > Try welbutrin, yohimbine, or a ne alpha 2 antagonist med. yohimbine is such. Welbutrin hits dopamine also involved in sexual enhancement. May cause anxiety.
>
> I have tried yohimbine, unfortunatly that makes me very nervous, agitated and a little quesy - are there other ne alpha antagonists?
>
> thanks again

Hi...

Try Remeron as an add on to efexor. It is often very successfull.

Best Wishes//Petters

Re: effexor and sex » dave40252

Posted by kregpark@yahoo.com on October 23, 2001, at 2:16:00

In reply to Re: effexor and sex, posted by dave40252 on October 22, 2001, at 16:34:39

I use DA to represent dopamine and NE to mean norepinephrine.
The primary ones of benefit in the US which are da + ne agonists are Wellbutrin and Ritalin (there are a few other stimulants but these are the best short acting prn DA/NE prosexual meds).
As I mentioned earlier Serzone and Remeron are also useful in many cases for serotonin induced sexual dysfunction.
All of these meds may interact dangerously with some drug regimens, but with effexor I believe all should be ok, though still always good to go through a doctor.

The post just made sounds like one from experience and makes sense. Remeron will essentially block serotonin, possibly increase DA, and will increase NE.
I think low dose may be best, 7.5 perhaps at first try.

Serzone alone 50-150 also.
Wellbutrin 100 or so.
Ritalin not as sure, maybe 2.5 - 10.

I like the last posters Remeron suggestion best as a starter. A single med and could be very effective. I would keep dose very small though at first.
Don't go high dose 15 or more at first, actually serotonin syndrome could be possible (unlikely but possible).

The other meds at the above doses should be safe, though I'd recommend Serzone alone first. Wellbutrin alone 2nd, and if all fails Serzone + Wellbutrin or SErzone + Ritalin.

Viagra usually never hurts either. :)

I think I went a little overboard but oh well ...

kregpark@yahoo.com
http://www.socialfear.com/

> Thanks for the input. Can you tell me what a DA/NE agonist is? I have tried serzone alone. Absolutly no sexual side effects but it didn't do squat for my depression.
> I have tried yohimbine, unfortunatly that makes me very nervous, agitated and a little quesy - are there other ne alpha antagonists?
>

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