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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by poser938 on May 10, 2011, at 0:05:40
so when an antipsychotic decreases libido, what helps?
Posted by jms600 on May 10, 2011, at 11:41:26
In reply to antipsychotics and libido, posted by poser938 on May 10, 2011, at 0:05:40
> so when an antipsychotic decreases libido, what helps?
When Zyprexa decreased my libido I took Cialis. I know it takes time to kick in, but I found that it did work.
Posted by desolationrower on May 10, 2011, at 17:28:28
In reply to Re: antipsychotics and libido, posted by jms600 on May 10, 2011, at 11:41:26
Well, probably not a lot.
there might be something about d1/d2 selectivity or testosterone but i can't say for sure.
-d/r
Posted by poser938 on May 10, 2011, at 18:54:03
In reply to antipsychotics and libido, posted by poser938 on May 10, 2011, at 0:05:40
would a stimulant work?
Posted by Christ_empowered on May 10, 2011, at 19:58:35
In reply to antipsychotics and libido, posted by poser938 on May 10, 2011, at 0:05:40
Maybe a new antipsychotic? Abilify won't raise prolactin, and I don't think seroquel does either. The prolactin increase can cause erectile dysfunction and I think dampen your libido.
Posted by floatingbridge on May 10, 2011, at 20:53:50
In reply to Re: antipsychotics and libido, posted by Christ_empowered on May 10, 2011, at 19:58:35
So AP's affect the endocrine system? Just reading along and trying to make sense...
fb
Posted by Christ_empowered on May 11, 2011, at 11:21:31
In reply to Re: antipsychotics and libido, posted by floatingbridge on May 10, 2011, at 20:53:50
some of them do, I think. I'm not an expert or a doctor or anything, but some of the atypicals (Risperidone in particular) and a lot of the "conventional" antipsychotics can cause pretty intense elevations in prolactin levels. Abilify avoids this entirely b/c of its partial D2 agonism. The other atypicals I think tend to not raise prolactin for other reasons (serotonin activity, transient D2 blockade, that kind of thing), but I seem to recall reading that if you push the dose of many "atypicals" high enough, they'll also start raising prolactin. Its kind of like how if you ramp up an "atypical" to the point that it causes the same level of D2 receptor blockade as, say, Haloperidol, you start to see comparable EPS.
Anyway, I read online that they sometimes add Abilify to the offending neuroleptic to lower prolactin levels. I personally wouldn't jump at the chance to take 2 antipsychotics, but I guess its an option. I imagine there are other ways to lower prolactin, too.
This is the end of the thread.
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