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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by zmg on December 18, 2004, at 22:40:58
I am planning to talk to my health care provider regarding persistent depression. My question is what AD have people had good results with that don't increase lethargy (I've got *more then enough of that* and I'm changing careers right now, its probably a problem in itself) and no negative sexual side-effects (between my anxiety and general sluggishness the last thing I need is to drop to zero libido, my wife would probably leave me).
Any help would be appreciated. I was originally looking at Effexor or Strattera, but it seems like there are some sexual side effects (among others). I've also looked at Lyrica and Gabitril, but honestly at this point I feel like I've looked at so many I'm back to square one.
Thanks in advance.
Posted by King Vultan on December 19, 2004, at 1:10:48
In reply to Sexual/Lethragy-free antidepressants?, posted by zmg on December 18, 2004, at 22:40:58
I would suggest Wellbutrin. In a recent Consumer Reports article, it had the lowest amount of sedation, weight gain, and sexual side effects. It was also rated the least effective of the antidepressants surveyed, the others being Effexor, Celexa, Zoloft, Prozac, and Paxil. However, Wellbutrin was only a couple of points below Paxil, and this survey should certainly not be considered a definitive one. Wellbutrin is well known, however, for being rather activating and having a minimum of sexual side effects. In essence, it might almost be considered a very weak stimulant (compared to the amphetamines, for instance), but with no abuse potential.
Todd
Posted by francesco on December 19, 2004, at 5:31:02
In reply to Re: Sexual/Lethragy-free antidepressants?, posted by King Vultan on December 19, 2004, at 1:10:48
I agree with King Vultan. There aren't many antidepressants free of sexual side effects and lethargy, and Wellbutrin seems to be your best choice. I found it too activating though, but it could be just me. Best Wishes
Posted by KikiCabell on December 19, 2004, at 9:03:36
In reply to Sexual/Lethragy-free antidepressants?, posted by zmg on December 18, 2004, at 22:40:58
zmg:
This was going to be the subject of my next post! I am taking Lexapro and it seems to be the cause of my inability to orgasm so I need to switch. Re: Wellbutrin, I took it and did not have sexual side effects. However, it is being blamed by the docs for a series of seizures I had last summer, so do keep that possibile side effect in mind.
> I am planning to talk to my health care provider regarding persistent depression. My question is what AD have people had good results with that don't increase lethargy (I've got *more then enough of that* and I'm changing careers right now, its probably a problem in itself) and no negative sexual side-effects (between my anxiety and general sluggishness the last thing I need is to drop to zero libido, my wife would probably leave me).
>
> Any help would be appreciated. I was originally looking at Effexor or Strattera, but it seems like there are some sexual side effects (among others). I've also looked at Lyrica and Gabitril, but honestly at this point I feel like I've looked at so many I'm back to square one.
>
> Thanks in advance.
Posted by zmg on December 19, 2004, at 12:51:13
In reply to Re: Sexual/Lethragy-free antidepressants? » zmg, posted by KikiCabell on December 19, 2004, at 9:03:36
I see there is a small (but certainly stressed) risk of seizure. It also appears to increase anxiety. What about in combination with something to help with the anxiety?
Or what about reversible MAO inhibitors?
Thanks for all the feedback. Bumping Wellbutrin up towards the top of my list.
Posted by linkadge on December 19, 2004, at 19:51:02
In reply to Sexual/Lethragy-free antidepressants?, posted by zmg on December 19, 2004, at 12:51:13
This is the end of the thread.
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