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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Chairman_MAO on October 25, 2005, at 12:27:24
As of a few days ago, my 120mg/day Parnate (which I switched back to because I thought Nardil was causing my sex problems, only to find out that now it HAS to be the buprenorphine--process of elimination) has been sliding; a while ago it was working OK for social phobia and poorly for depression. Now, I am sliding into depression. I want to leave the house to get some things done and/or go to the gym, but I am afraid to. I haven't felt like this in so long this is scaring the hell out of me, on top of the uncertainty regarding my sexual function. What if its not any of the drugs at all!??
Yesterday, I spuriously decided to take Nardil instead of Parnate. Then my g/f told me that was a bad idea because I didn't talk to my doctor. So I switched back. So I know that may be causing some of this, but man, I've missed 2-3 days of a n AD in the past and neverh ad a reaction like this!
She also equates Nardil with my not being able to have sex or complete the act, but in reality I think it is just as much or more suboxone doing that now. She keeps telling me that I do not have to worry, but I am so scared of her leaving me over this. I dont know how many times one person iss upposed to take someoneo having a breakdown or going to the hospital, or not being able to get it up...and I shudder to think where in the world I would be but for her. I am so scared.Well at least I have an appt with the dr. that prsecribes the buprenorphine on thurs and I will try to have him take blood and see if he can find out wtf is going on here.
I think I made a HUGE mistake droping Nardil; previous to switching I was doing the best I everh ad in my entire life. Ugh, I dont even know what I'm saying anymore, but I guess I just felt like talking to some people who have a chance of understanding this.
At least my parents are being nice to me for a change; of course, the tears streaming down my face at dinnertime for seemingly no reason probably have something to do with that.
Posted by Bill LL on October 25, 2005, at 12:40:41
In reply to I need some help, badly, posted by Chairman_MAO on October 25, 2005, at 12:27:24
Do you think that going back on Nardil and adding an erectile dysfunction drug like Viagra would help? That's probably what I would do.
> As of a few days ago, my 120mg/day Parnate (which I switched back to because I thought Nardil was causing my sex problems, only to find out that now it HAS to be the buprenorphine--process of elimination) has been sliding; a while ago it was working OK for social phobia and poorly for depression. Now, I am sliding into depression. I want to leave the house to get some things done and/or go to the gym, but I am afraid to. I haven't felt like this in so long this is scaring the hell out of me, on top of the uncertainty regarding my sexual function. What if its not any of the drugs at all!??
>
> Yesterday, I spuriously decided to take Nardil instead of Parnate. Then my g/f told me that was a bad idea because I didn't talk to my doctor. So I switched back. So I know that may be causing some of this, but man, I've missed 2-3 days of a n AD in the past and neverh ad a reaction like this!
> She also equates Nardil with my not being able to have sex or complete the act, but in reality I think it is just as much or more suboxone doing that now. She keeps telling me that I do not have to worry, but I am so scared of her leaving me over this. I dont know how many times one person iss upposed to take someoneo having a breakdown or going to the hospital, or not being able to get it up...and I shudder to think where in the world I would be but for her. I am so scared.
>
> Well at least I have an appt with the dr. that prsecribes the buprenorphine on thurs and I will try to have him take blood and see if he can find out wtf is going on here.
>
> I think I made a HUGE mistake droping Nardil; previous to switching I was doing the best I everh ad in my entire life. Ugh, I dont even know what I'm saying anymore, but I guess I just felt like talking to some people who have a chance of understanding this.
>
> At least my parents are being nice to me for a change; of course, the tears streaming down my face at dinnertime for seemingly no reason probably have something to do with that.
Posted by SLS on October 25, 2005, at 12:54:43
In reply to I need some help, badly, posted by Chairman_MAO on October 25, 2005, at 12:27:24
Hi C_M.
I believe I mentioned in another post addressed to you that the majority of people are able to recapture their ability to reach orgasm after being on Nardil for 2-4 months. It might very well be the buprenorphine that is acting to produce anorgasmia. Perhaps there is a synergism there between that drug and Nardil that prevents you from regaining orgasmic capacity.
I would go ahead and make the switch from Parnate to Nardil in such a way as is consistent with the avoidance of potential adverse interactions. I'm sure you know what that means. If you believe an abrupt cross-over is consistent with safety, I would not presume to suggest otherwise. Unfortunately, the physicians I have seen in the past have been adamant about waiting 14 days.
Regarding the frustrations of your significant other, I believe that if she values C_M as a person from the waist up, she would have the patience and understanding to work with you instead of against you. I guess I have more to say on this issue, but I'll leave it at that.
Good luck, my friend. We are all on your side and want to see you find your happiness.
- Scott
Posted by ed_uk on October 25, 2005, at 13:26:13
In reply to I need some help, badly, posted by Chairman_MAO on October 25, 2005, at 12:27:24
Dear Chairman,
I think you should taper the Parnate ASAP and replace it with Nardil. Nardil was a very effective antidepressant and anxiolytic for you.
>She also equates Nardil with my not being able to have sex or complete the act.....
If Nardil causes ED, Cialis should help. Anorgasmia isn't so serious, it gives you more time to 'pleasure' your girlfriend ;-)
>suboxone
I think you're right that buprenorphine could be contributing to your sexual problems. It would be a good idea to try to reduce your Suboxone dose once you're stabilised on the Nardil. You might be able to withdraw the Suboxone altogether.
Kind regards
~Ed
Posted by willyee on October 25, 2005, at 14:39:52
In reply to I need some help, badly, posted by Chairman_MAO on October 25, 2005, at 12:27:24
I feel your pain.I give my meds to my mom because when i had them i was just a mixing away the illness made it unfearfull to take whatever i could find.
Anyway i keep trying to swtch to nardil,but chicken out my moms is getting pissed having to keep changing the bottles for me.
I dont know why im scared to try nardil,but i too on parnate have a lot of trouble leaving the house,kava and xyrem help sometimes.
Posted by Declan on October 25, 2005, at 15:12:00
In reply to I need some help, badly, posted by Chairman_MAO on October 25, 2005, at 12:27:24
Hi CM
How much bupe are you on? Same dose as always? At least it's easier to stop than methadone, which kinda abolished my sex drive. I thought you'd tapered off that, but obviously not.
Declan
Posted by 4wd on October 25, 2005, at 20:53:40
In reply to I need some help, badly, posted by Chairman_MAO on October 25, 2005, at 12:27:24
> As of a few days ago, my 120mg/day Parnate (which I switched back to because I thought Nardil was causing my sex problems, only to find out that now it HAS to be the buprenorphine--process of elimination) has been sliding; a while ago it was working OK for social phobia and poorly for depression. Now, I am sliding into depression. I want to leave the house to get some things done and/or go to the gym, but I am afraid to. I haven't felt like this in so long this is scaring the hell out of me, on top of the uncertainty regarding my sexual function. What if its not any of the drugs at all!??
>
> Yesterday, I spuriously decided to take Nardil instead of Parnate. Then my g/f told me that was a bad idea because I didn't talk to my doctor. So I switched back. So I know that may be causing some of this, but man, I've missed 2-3 days of a n AD in the past and neverh ad a reaction like this!
> She also equates Nardil with my not being able to have sex or complete the act, but in reality I think it is just as much or more suboxone doing that now. She keeps telling me that I do not have to worry, but I am so scared of her leaving me over this. I dont know how many times one person iss upposed to take someoneo having a breakdown or going to the hospital, or not being able to get it up...and I shudder to think where in the world I would be but for her. I am so scared.
>
> Well at least I have an appt with the dr. that prsecribes the buprenorphine on thurs and I will try to have him take blood and see if he can find out wtf is going on here.
>
> I think I made a HUGE mistake droping Nardil; previous to switching I was doing the best I everh ad in my entire life. Ugh, I dont even know what I'm saying anymore, but I guess I just felt like talking to some people who have a chance of understanding this.
>
> At least my parents are being nice to me for a change; of course, the tears streaming down my face at dinnertime for seemingly no reason probably have something to do with that.C_M
I think you ought to go back to your Nardil. You were so happy posting here while on it and the buprenorphine.
As for the sexual dysfunction, was that worse than what you are going through now? There are other ways to make sure your girlfriend is happy. Anorgasmia is a b*tch I know, but I'd raher have that than misery.
It's your posts here that have made me think Nardil is probably the next med I need to try. Do what will save your life and give you a life to live.
Marsha
Posted by EERRIICC on October 26, 2005, at 11:19:55
In reply to Re: I need some help, badly, posted by Bill LL on October 25, 2005, at 12:40:41
I've had Parnate at this dose make me feel exactly the same way. I'd switch back to the Nardil if I were you. I did not like buprenorphine at all at 2mg per day, is there any way you could switch to a different opiate?
Girlfriend situations are terrible with depression; a person who needs you when you can't handle yourself...just tell her you need her and to stick with you and you'll feel better soon and then love her all the more for being there. I hope you feel better soon, I know you will, even if you can't believe that at the moment.Eric
This is the end of the thread.
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