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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 jimmygold70 on December 21, 2002, at 11:59:28
I had sexual problems with all the SSRIs. I'm bipolar, so sex comes and goes. Since I'm on Lamictal (NO SIDE EFFECTS!) I'm just too stable. Thus, effexor and all kinds of SSRIs killed my sex life. Completely. I've stopped dating women. I have the best college position - many ladies try picking me up, and I'm just apathetic. Injecting Testosterone didn't help either.
Then, I started Remeron. I've been on it for 2 months now, and sex is simply nonexistent... I went up 15->30->45mg, no change!!!
Well, doing some Medline research I've run into a well designed research called "Prevalence of sexual dysfunction among newer antidepressants". I'm a researcher so I can testify that this article (J Clin Psych 63:4 Apr 2002) is very well written and the design is appealing.
Bottom line: All newer ADs are about the same concerning sexual side effects.
Paxil=Remeron=Effexor XR=Zoloft=Celexa=Prozac>Serzone>Wellbutrin SR>Wellbutrin IRThe only drug with considerable variance of sexual side effects is Remeron, so I can believe folks here that it does better for them. On the other hand for many others it does sexual deprivation.
The only reason I'm concerned with my loss of libido is that I can't get into relationships. Women want sex, and I can't give it to them or to myself.
Your opinion?
Jimmy
Posted by linkadge on December 21, 2002, at 12:44:01
In reply to Remeron kills sex - now it's scientific!, posted by jimmygold70 on December 21, 2002, at 11:59:28
I've been on Both remeron and Celexa,
I found that Remeron was better in that
I wasn't completely numb but I still
just didn't have the drive or interest.
On Celexa I find it is the reverse,
I am usually fairly interested but completely numb.I honestly found St. Johns wort to be the best
all around - but it was just strong enough for
my mood. If they could synthesize the active
ingredient, then they'd have something.
Linkadge
Posted by McPac on December 21, 2002, at 13:27:40
In reply to Remeron kills sex - now it's scientific!, posted by jimmygold70 on December 21, 2002, at 11:59:28
Jimmy,
Might the lamictal by itself be enough to keep you well?
Posted by jimmygold70 on December 21, 2002, at 16:20:48
In reply to Re: Remeron kills sex - now it's scientific!, posted by McPac on December 21, 2002, at 13:27:40
Lets hope so... I started Serzone half an hour ago, and I'll give it a couple of weeks. If it doesn't work, I'll try to stop it completely. Wellbutrin seems to be the best, but my helath insurance doesn't cover that. $150-$300 is far too much for me, I'll try to manage with Serzone or nothing at all...
Thanks,
Jimmy
Posted by rayww on December 21, 2002, at 21:51:47
In reply to Remeron kills sex - now it's scientific!, posted by jimmygold70 on December 21, 2002, at 11:59:28
> I'm bipolar, so sex comes and goes.
Are you suggesting that if I was married to a person who came on sexually every 48 hours just like clock work, and I didn't, I wouldn't need to feel guilty?many pregnancies and several sexual melt downs later, I finally find out it's normal for bipolars to have sexual swiiiiiinnnngs? Way up one time and not even possible to think about it another?
Even the thought of this triggers memories. Is it ok to release on this board the extreme pain I have suffered in trying to figure this one out?
Posted by LyndaK on December 24, 2002, at 0:14:50
In reply to Remeron kills sex - now it's scientific!, posted by jimmygold70 on December 21, 2002, at 11:59:28
With the SSRI's (Zoloft, Paxil, etc.) it was anorgasmia. I have to admit that I'm quite apathetic about sex on the Remeron even though I know I can climax. But my marriage is a key psychosocial issue too. Hard for me to know what to attribute the apathy to.
Posted by jimmygold70 on December 25, 2002, at 11:15:46
In reply to move this to the sex board » jimmygold70, posted by rayww on December 21, 2002, at 21:51:47
> > I'm bipolar, so sex comes and goes.
>
>
> Are you suggesting that if I was married to a person who came on sexually every 48 hours just like clock work, and I didn't, I wouldn't need to feel guilty?Not at all... though in my case it comes for a couple of months and goes. I wanes in and out so slowly that you can't even put your finger, and you try to blame the environment and yourself (" I had terrible sex with that lady", "I overdosed sex", blah blah blah). I would like to hope that these libido cycles will response to mood stabilizers, though I fell quite bad on most of them...
> many pregnancies and several sexual melt downs later, I finally find out it's normal for bipolars to have sexual swiiiiiinnnngs? Way up one time and not even possible to think about it another?Tell me about that...
> Even the thought of this triggers memories. Is it ok to release on this board the extreme pain I have suffered in trying to figure this one out?More than OK. I know I made quite a few ladies suffer from my state. They felt they've become unattractive, and even if I could rationally comprehend that they are attractive, I had no libido and this would ruin the relationship. This is one of the reasons that at the age of 26 I was able to date many ladies, but never able to hold more than 3 months. It stinks and I'm working on that...
This is the end of the thread.
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