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BobTheSpy
Feb 12, 2012


(Some backstory: I was on Zoloft for over a year to treat OCD, then went through a wide variety of different medications due to sexual side effects)

Goons, I need your advice. Well, I just need someone who will listen to my bitching because I doubt any of my friends will. Basically this is a follow-up to my previous post "Choosing between sex and sanity." So basically, I went off the medication (with the consent of my psychiatrist) because the sexual side effects were too severe. Unfortunately, my sex drive didn't come back instantly - I am probably suffering from Post-SSRI Sexual Dysfunction (my psychiatrist agrees with this, and is looking into a "sex doctor" of some kind to rule out any physical causes, or to suggest medication etc. etc.) Over the past 4 1/2 months I have been seeing improvement (including rare moments of super horniness), and I was hopeful that eventually, with time, I'd get my sex drive back.

Which brings me to a few days ago. So the reason I was on the medication in the first place was because of my OCD, right? Well, about four days, my anxiety came back. But not in the form of OCD - just generalized, fearful anxiety. I felt like I could barely breath, my chest was tightened, I was dizzy and sweating - and most of all, incredibly fearful. So I called up my psychiatrist and she prescribed me xanax, but only as an emergency measure for when my anxiety got too high (she wouldn't prescribe me anything else because, sexual side effects.) Problem is, I haven't been taking it as an emergency measure... yesterday I wolfed down three of them, which is way more than my prescribed dose. Stupid, I know.

So this is just a lovely situation for me. My anxiety comes back out of nowhere and just loving attacks me, and my sex drive still isn't what it was before I took the SSRIs. I really worry that to stop my anxiety I'll have to go back on... medication. And my sex drive will disappear again. Look, I want to be calm AND horny. Is this possible? Can generalized anxiety that appears to have no trigger (I have no anxious thoughts, just physical symptoms) be treated through CBT therapy? It's worth nothing that my psychiatrist is, I think, a generally good person - she's not treating me just so she can prescribe medication, and she IS licensed to do therapy - so we might do CBT. I'm seeing her on friday so she'll probably help a lot more than you goons, but I just felt like writing this all down anyway. Thanks guys. :/

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EXTREME INSERTION
Jun 4, 2011

oh yeah


Ssris are pretty sex drive killing. They are otherwise pretty good and safe drugs though. If this is that big a deal to you, there are some other classes if drugs out there that are not as sex killing as the ssris. You could ask your doctor about trying a drug with less sexual side effects. However, each class has its own set of side effects. You may be trading low libido for high blood pressure or major dietary restrictions. There is also no guarantee a different compound would work.

Personally I would take low sex drive over crippling anxiety. But be vocal about your concerns and see what your doctor says. They can be smart sometimes and think up a solution. She may be able to figure something out that could minimize this particular side effect if you absolutely cannot deal with it. In the end though, depending on your body chemistry you may have to make a choice, which sucks, but I'd personally rather have a low libido and be functional than the other way around

EXTREME INSERTION fucked around with this message at Oct 13, 2013 around 18:03

Griff Lee
Sep 4, 2011

"Mega Lolz"


Zoloft killed my sex drive almost completely as well, and it was awkward as hell bringing it up to my doctor, but once I did she prescribed me something and sure enough, the side effect was gone. It's trial and error, but I'm finally on a combo that seems to work! Talk to your doctor, they know their stuff.

Fuck da Mods
Jun 27, 2013
Probation
Can't post for 30 days!


Go off your meds and hop a train going straight to Plow Town, USA

Wickerman
Feb 26, 2007

Boom, mothafucka!

BobTheSpy posted:

(Some backstory: I was on Zoloft for over a year to treat OCD, then went through a wide variety of different medications due to sexual side effects)

Goons, I need your advice. Well, I just need someone who will listen to my bitching because I doubt any of my friends will. Basically this is a follow-up to my previous post "Choosing between sex and sanity." So basically, I went off the medication (with the consent of my psychiatrist) because the sexual side effects were too severe. Unfortunately, my sex drive didn't come back instantly - I am probably suffering from Post-SSRI Sexual Dysfunction (my psychiatrist agrees with this, and is looking into a "sex doctor" of some kind to rule out any physical causes, or to suggest medication etc. etc.) Over the past 4 1/2 months I have been seeing improvement (including rare moments of super horniness), and I was hopeful that eventually, with time, I'd get my sex drive back.

Which brings me to a few days ago. So the reason I was on the medication in the first place was because of my OCD, right? Well, about four days, my anxiety came back. But not in the form of OCD - just generalized, fearful anxiety. I felt like I could barely breath, my chest was tightened, I was dizzy and sweating - and most of all, incredibly fearful. So I called up my psychiatrist and she prescribed me xanax, but only as an emergency measure for when my anxiety got too high (she wouldn't prescribe me anything else because, sexual side effects.) Problem is, I haven't been taking it as an emergency measure... yesterday I wolfed down three of them, which is way more than my prescribed dose. Stupid, I know.

So this is just a lovely situation for me. My anxiety comes back out of nowhere and just loving attacks me, and my sex drive still isn't what it was before I took the SSRIs. I really worry that to stop my anxiety I'll have to go back on... medication. And my sex drive will disappear again. Look, I want to be calm AND horny. Is this possible? Can generalized anxiety that appears to have no trigger (I have no anxious thoughts, just physical symptoms) be treated through CBT therapy? It's worth nothing that my psychiatrist is, I think, a generally good person - she's not treating me just so she can prescribe medication, and she IS licensed to do therapy - so we might do CBT. I'm seeing her on friday so she'll probably help a lot more than you goons, but I just felt like writing this all down anyway. Thanks guys. :/



It doesn't sound like you have your priorities straight.

1) Be stable, eliminate anxiety.
2) Sex drive improvement.

Now, try going on a different medicine until you find one that doesn't obliterate your sex drive as much.

Wickerman fucked around with this message at Oct 13, 2013 around 19:07

booshi
Aug 14, 2004

||||||||||

BobTheSpy posted:

(Some backstory: I was on Zoloft for over a year to treat OCD, then went through a wide variety of different medications due to sexual side effects)

Goons, I need your advice. Well, I just need someone who will listen to my bitching because I doubt any of my friends will. Basically this is a follow-up to my previous post "Choosing between sex and sanity." So basically, I went off the medication (with the consent of my psychiatrist) because the sexual side effects were too severe. Unfortunately, my sex drive didn't come back instantly - I am probably suffering from Post-SSRI Sexual Dysfunction (my psychiatrist agrees with this, and is looking into a "sex doctor" of some kind to rule out any physical causes, or to suggest medication etc. etc.) Over the past 4 1/2 months I have been seeing improvement (including rare moments of super horniness), and I was hopeful that eventually, with time, I'd get my sex drive back.

Which brings me to a few days ago. So the reason I was on the medication in the first place was because of my OCD, right? Well, about four days, my anxiety came back. But not in the form of OCD - just generalized, fearful anxiety. I felt like I could barely breath, my chest was tightened, I was dizzy and sweating - and most of all, incredibly fearful. So I called up my psychiatrist and she prescribed me xanax, but only as an emergency measure for when my anxiety got too high (she wouldn't prescribe me anything else because, sexual side effects.) Problem is, I haven't been taking it as an emergency measure... yesterday I wolfed down three of them, which is way more than my prescribed dose. Stupid, I know.

So this is just a lovely situation for me. My anxiety comes back out of nowhere and just loving attacks me, and my sex drive still isn't what it was before I took the SSRIs. I really worry that to stop my anxiety I'll have to go back on... medication. And my sex drive will disappear again. Look, I want to be calm AND horny. Is this possible? Can generalized anxiety that appears to have no trigger (I have no anxious thoughts, just physical symptoms) be treated through CBT therapy? It's worth nothing that my psychiatrist is, I think, a generally good person - she's not treating me just so she can prescribe medication, and she IS licensed to do therapy - so we might do CBT. I'm seeing her on friday so she'll probably help a lot more than you goons, but I just felt like writing this all down anyway. Thanks guys. :/

I have GAD, and I would say that CBT alone may help, but finding the right medications is also a big component of mental health. I had some of the same issues as you with zoloft, and tried a few other meds before finding out that lexapro had pretty much no side effects for me, except for the sexual side effect of it taking longer for me to orgasm and then when I do... it's better. Basically my point is do not write-off your mental health for anything. If something isn't working, talk to the doctor, and try something new. Maybe an SNRI would work better?

EXTREME INSERTION
Jun 4, 2011

oh yeah


Another point; I am not trying to be an rear end and I realize that side effects suck, but you do realize that having a high sex drive is not going to matter much if you are crippled by anxiety to the point where you can't function and get panic attacks. There is pretty much no medication out there that will not have some sort of side effect. I mean, its up to you what you are willing to tolerate, but low libido vs major loss of function is kind of a no brainer. How are you going to go out and have sexy relationships if you are not functional.

Ideally your doc will be able to prescribe you something that doesn't kill your drive as much, or give you something to counteract it, but your priority really needs to be your functionality if you want to get and stay better. Everything is going to have a potential side effect. Some people will take medications that have horrific side effects (weight gain, HBP, glucose issues, vomiting, heart risks, and worse) because their issues (like schizo and really bad BP) are bad enough to warrant the risk. I'm not saying you have to tolerate horrible side effects to fix your anxiety, but you do need to think about your priorities. You have to really ask yourself how badly you want to get better, and be more realistic about medications to a certain extent. I take from your history that Zoloft worked well for you and you didn't have any other medical issues from it? You may have to ask yourself if you would be willing to take a less effective or less safe medication that doesn't have the sex drive issues. Again, will you be upset if your new medication gives you headaches, or makes you tired, or makes you gain weight, or comes with dietary restrictions? If your doctor gives you an adjunct with the zoloft to counteract the libido issues, will you be okay with the potential side effects from the adjunct? Are these potential side effects better or worse for you than low libido? Are you willing to accept the risk that this new drug may not work, and that you may have to try a whole bunch of them before you find one that does, depending on your individual chemistry?

All stuff to think about and bring up with your doctor. I think its really good to talk to her and let her know if side effects are becoming intolerable, because she can't read your mind. You guys may be able to find something that totally works. But if you end up in a worst case scenario only responding to the Zoloft, and can't take an adjunct, you have to decide what your priorities are. You will probably never escape side effects entirely no matter what you take unless you are very lucky. But always talk to your doctor; if they are a good doctor they will listen to you and take in new information before making a decision. Good luck

Stormageddon
Jan 16, 2008
I am actually just a sentient program made to shitpost, and am still getting my human speed calibration down.

Is there issue taking ED stuff while on SSRIs? Like Viagra or Levitra?

BobTheSpy
Feb 12, 2012


Stormageddon posted:

Is there issue taking ED stuff while on SSRIs? Like Viagra or Levitra?

No, as far as I can tell. And yeah, Viagra works for me very well. So I suppose the ultimate back-up plan could be just to go back on Zoloft and just use viagra. Problem is - your sex drive isn't just boners (although obviously it impacts that) it's also desire. Viagra can't produce that.

I'm going to do my own research into alternative medications I could take, and I'm going to talk to my therapist about it. I'm sure together we can find some solution that is ideal for me. But it's worth noting I didn't have any anxiety this summer - possible it's just the fact that I was on anxiety medications for so long, and my anxiety is now just resurfacing, but there's another possibility: I smoked a LOT of weed this summer, and I'm not smoking at all at the moment. It could be that I was self-medicating for my anxiety without really realizing it, and that marijuana is very effective for me in managing my anxiety. But again... I'll talk to my psychiatrist. I'm sure we can work something out.

And yeah, if I am actually forced to choose, I'll pick not having anxiety. But it would kind of suck to basically be like "Welp, due to my mental disorder, I am unable to be in a relationship with anyone, my whole life."

Oh, and one more thing: If you guys know of anti-anxiety medications without libido-decreasing side effects, could you please let me know? Because I'm not sure if my psychiatrist knows either.

EXTREME INSERTION
Jun 4, 2011

oh yeah


BobTheSpy posted:

No, as far as I can tell. And yeah, Viagra works for me very well. So I suppose the ultimate back-up plan could be just to go back on Zoloft and just use viagra. Problem is - your sex drive isn't just boners (although obviously it impacts that) it's also desire. Viagra can't produce that.

I'm going to do my own research into alternative medications I could take, and I'm going to talk to my therapist about it. I'm sure together we can find some solution that is ideal for me. But it's worth noting I didn't have any anxiety this summer - possible it's just the fact that I was on anxiety medications for so long, and my anxiety is now just resurfacing, but there's another possibility: I smoked a LOT of weed this summer, and I'm not smoking at all at the moment. It could be that I was self-medicating for my anxiety without really realizing it, and that marijuana is very effective for me in managing my anxiety. But again... I'll talk to my psychiatrist. I'm sure we can work something out.

And yeah, if I am actually forced to choose, I'll pick not having anxiety. But it would kind of suck to basically be like "Welp, due to my mental disorder, I am unable to be in a relationship with anyone, my whole life."

Oh, and one more thing: If you guys know of anti-anxiety medications without libido-decreasing side effects, could you please let me know? Because I'm not sure if my psychiatrist knows either.

Your psych should know. They are a doctor

Wickerman
Feb 26, 2007

Boom, mothafucka!

When you start taking a medicine that is proving best for your anxiety, the sexual side effects will lessen in severity as your body comes accustom to it over the course of 2-3 months.

You will be fine. Your anxiety is probably making this seem more scary and problematic than it actually is. Just taper on to the right med and find the right dosage, and it'll all work itself out.

Chobdab
Aug 16, 2003

You don't know me James, you never did. I am not seeking forgiveness.

BobTheSpy posted:

Oh, and one more thing: If you guys know of anti-anxiety medications without libido-decreasing side effects, could you please let me know? Because I'm not sure if my psychiatrist knows either.

Effexor and Cymbalta have significantly less potential for sexual side-effects. Talk to your doctor, why wouldn't your psychiatrist know about other options?

The Whole Internet
May 26, 2010



Chobdab posted:

Effexor and Cymbalta have significantly less potential for sexual side-effects. Talk to your doctor, why wouldn't your psychiatrist know about other options?

I was prescribed cymbalta for a while for depression and anxiety. Worked pretty well. I felt no sexual side-effects at all. But every individual is different and there's no guarantee the same would happen for the OP.

Chobdab
Aug 16, 2003

You don't know me James, you never did. I am not seeking forgiveness.

The Whole Internet posted:

I was prescribed cymbalta for a while for depression and anxiety. Worked pretty well. I felt no sexual side-effects at all. But every individual is different and there's no guarantee the same would happen for the OP.

I don't remember saying it would absolutely help the OP. All those medications can have widely different effects in different people, that's why he should talk to his psychiatrist instead of assuming he's helpless in treating the matter.

Egglands Worst
Nov 11, 2012



I was in a similar situation with both Prozac and Zoloft in the past. I had decided that I wanted to try an alternative medication for anxiety that wouldn't affect my sex drive. I tried Gabapentin at first. I heard it worked a lot for some people, but for me it didn't end up doing too much. Eventually I was prescribed Ativan; while it worked wonders for my anxiety it came with a load of other problems and it isn't recommended for long term treatment. I just recently was prescribed Buspar (Buspirone) and so far it's been doing wonders for me.

There are many alternatives out there, you just need to talk them over with your psych and find which one works best for you. It may take a while to find the right medication and dosage, but it's worth it in the end.

I should also note that I'm in CBT as well and that's always been pretty helpful for me. It just took finding the right medication in addition to CBT. Now my anxiety seems almost non-existent.

Good luck OP!

SybilVimes
Oct 29, 2011


Been on SSRIs for 8 years now for anxiety and depression...

My sex drive was untouched when I was on escitalapram (given the difference between escitalapram and regular citalapram, this isn't surprising), when I was switched to paroxetine it plumetted for a couple of years, but then we upped my dosage (from 30mg to 60mg) and my sex drive returned in spades.

So the moral is, ask your doctor to try changing dosage or meds - there are many SSRIs and not every one affects everyone the same, even increasing dosage isn't a guarantee of it having no affect or reducing sex drive - as my case shows. Don't fiddle with doses/changing-meds on your own tho, some have pretty gnarly side effects (paroxetine for example will make you suicidal if you stop it - I get suicidal if I miss a dose at all)

Stormageddon
Jan 16, 2008
I am actually just a sentient program made to shitpost, and am still getting my human speed calibration down.

Interesting timing on this thread, too, as I'm starting on Lexapro with adderall and have been wondering about the impacts there.

BobTheSpy
Feb 12, 2012


Wickerman posted:

When you start taking a medicine that is proving best for your anxiety, the sexual side effects will lessen in severity as your body comes accustom to it over the course of 2-3 months.

You guys don't realize that I have been on a bunch of SSRIs for a long time. My psychiatrist won't prescribe them to me now, because of the sexual side effects. SO SSRIS ARE NOT AN OPTION. So no to effexor or cymbalta.

EXTREME INSERTION
Jun 4, 2011

oh yeah


BobTheSpy posted:

You guys don't realize that I have been on a bunch of SSRIs for a long time. My psychiatrist won't prescribe them to me now, because of the sexual side effects. SO SSRIS ARE NOT AN OPTION. So no to effexor or cymbalta.

Those are snris

Chobdab
Aug 16, 2003

You don't know me James, you never did. I am not seeking forgiveness.

BobTheSpy posted:

You guys don't realize that I have been on a bunch of SSRIs for a long time. My psychiatrist won't prescribe them to me now, because of the sexual side effects. SO SSRIS ARE NOT AN OPTION. So no to effexor or cymbalta.

So what suggestions does your psychiatrist have? Doesn't seem to have been helpful to you so far.

Beginning of thread: "Goons I need your advice"
Now: "YOUR ADVICE IS WRONG THEY AREN'T AN OPTION"

Has your psychiatrist literally refused to prescribe you an SSRI or do you refuse to take them? Buspar is not an SSRI and can do well for generalized anxiety. I'm a little confused about what your psychiatrist is doing to help you at this point considering you are going to the internet for advice on medication.

edit: As the above poster mentioned cymbalta and effexor aren't SSRIs in the strict sense

Chobdab fucked around with this message at Oct 14, 2013 around 01:08

EXTREME INSERTION
Jun 4, 2011

oh yeah


As someone just mentioned buspar/wellbutrin is not an ssri/snri at all but in a little class all by itself. the snris like cymbalta and effexor have some serotonin action but they are not the same as ssris in terms of side effects and are really different compounds. Some people have some dysfunction on them but not to prozac or zoloft levels usually.

There is also a lot of difference between each snri and ssri itself and side effect profiles. Some people will get problems on prozac but not on lexapro or paxil. they are all ssris but are different drugs

We can't really tell you what meds to take. Your doctor should be doing this. You need to be talking to her. There are many different classes of anti anxiety and anti depressant drugs

EXTREME INSERTION fucked around with this message at Oct 14, 2013 around 01:14

Ytlaya
Nov 13, 2005


Chobdab posted:

Effexor and Cymbalta have significantly less potential for sexual side-effects. Talk to your doctor, why wouldn't your psychiatrist know about other options?

While it obviously varies to some extent by individual, SNRIs like Effexor and Cymbalta generally have far more harsh discontinuation/withdrawal symptoms than SSRIs. I was on both medications in the past (at different times of course) and had a really tough time come off both times. And this is coming from someone who has dealt with opiate withdrawal (not that it's nearly as bad as that, but it was still bad enough that I had trouble functioning for a few days and felt like my brain was shorting out or something). I would probably try some other things with fewer potential side effects before going that route. It's also important to keep in mind that many doctors/psychiatrists are really ignorant about what they prescribe and wouldn't/couldn't tell you about this sort of thing.

Don't interpret this post as "Don't take Effexor or Cymbalta"; just keep in mind that they're much harder to discontinue than SSRIs.

Lareine
Jul 22, 2007


Wellbutrin is some good poo poo and is actually used to alleviate SSRI-induced sexual dysfunction.

Hydrolith
Oct 30, 2009



BobTheSpy posted:

You guys don't realize that I have been on a bunch of SSRIs for a long time. My psychiatrist won't prescribe them to me now, because of the sexual side effects. SO SSRIS ARE NOT AN OPTION. So no to effexor or cymbalta.

Look, that's nonsense. What degree of side effects you are prepared to put up with is your decision, not your psychiatrist's.

Anyway, if you've tried a variety of drugs and had the same bad effects, I sympththise, as I've been recently switching to different meds to try to find one that I didn't get certain side effects with.

For what it's worth (and for others in the thread), I've found escitalopram doesn't diminish my sex drive, but does make it more difficult to orgasm. That's been sometimes frustrating and sometimes beneficial. Of course, with all drugs and side effects, your mileage may vary.

edit: the thought occurs: have you tried tricyclics, MAOIs or other non-SSRI antidepressants? To my knowledge, MAOIs aren't favoured except as a last resort because of some potentially lethal drug interactions, but if they aren't going to apply to you then it might be worth looking into. Tricyclics have been superseded, but I recently spoke to a psychiatrist who said they work really well for some people. Again, as with all drugs, side effects vary from person to person and you never know what you're going to get until you try it; for me, amitriptyline makes me extremely drowsy, well below the theraputic dose for depression/anxiety (100-200mg or so) but apparently, for some people, they don't experience that drowsiness.

You could also try St John's Wort, and see if that works. Again, if you do, you are rolling the dice and hoping that you don't get side effects (or rather, hoping your side effects are tolerable). The thing about St John's Wort, at least in Australia, is that you can get it at any pharmacist without prescription, despite the fact that it absolutely is psychoactive - it affects " nonspecific inhibition of neurotransmitter uptake (such as serotonin, norepinephrine, dopamine)" (see notes).

Anyway, the upshot is you can probably get ahold of it without a prescription, so you don't need to go to the hassle of seeing your GP to get a script before trying it, but you probably should come off any drugs you are taking first to avoid the risk of serotonin poisoning. Also, I should mention that when I tried St John's Wort, I was only able to find 2700mg tablets, which is three times the 900mg amount that is all I've found clinical trials for. That said, when I tried quarter tabs, I found the effect was like having a hangover minus the fun of getting drunk first.

At the end of the day, this is really a conversation you need to have with your psychiatrist, or possibly your GP. It boils down to "I'm not satisfied with the meds I'm on", to which I think the answer is more than likely going to be "keep trying different ones until you hit one that works".

Hydrolith fucked around with this message at Oct 14, 2013 around 07:36

Stormageddon
Jan 16, 2008
I am actually just a sentient program made to shitpost, and am still getting my human speed calibration down.

Hydrolith posted:

Look, that's nonsense. What degree of side effects you are prepared to put up with is your decision, not your psychiatrist's.


Not entirely true, as your doc would stop you if you were experiencing arrhythmia or hallucinations and poo poo. What it sounds like is OP is saying "I will not do it unless you promise my junk will still work" and the psych is obliging that.


It's also not the same because I'm a week into ADD/LEX and my drive seems to be increased. I can't get to sleep at nights...

cocaine dad show
Jul 2, 2010




I found that swapping to imipramime which is a tricyclic antidepressant has worked very well for this situation. I've heard very good things about Welbutrin/bupropion as well. Neither of these are SSRIS. After starting the imipramine I went from waking up every day in complete panic to being far more calm so far, and it hasn't affected my libido at all. I'd say what you are looking for is possible and to ask for a non SSRI. There is an antidepressant thread in the goon doctor thread I believe, which has a bunch of info on different meds.

Rhonyn Peacemaker
Sep 21, 2007


Low-dose Lexipro (10mg-20mg) is a fantastic anti-anxiety and hasn't created any sex drive issues.

In fact, I would say that by being not-depressed, I am more likely to want to have sex. So, net positive.

Lexipro has been a godsend and I give it a Grade A.

Been on lexipro for over a year and a half. Life is Great.

Noblesse Obliged
Apr 7, 2012

damn dirty ape


Have you tried LSD?

Hydrolith
Oct 30, 2009



Rhonyn Peacemaker posted:

Low-dose Lexipro (10mg-20mg) is a fantastic anti-anxiety and hasn't created any sex drive issues.

In fact, I would say that by being not-depressed, I am more likely to want to have sex. So, net positive.

Lexipro has been a godsend and I give it a Grade A.

Been on lexipro for over a year and a half. Life is Great.

That's what I'm on - escitalopram. This is a great example of what I was getting at, which is that different people react differently to the same drug (and you don't know how you're going to react until you try it).

Freeze_Dried_Chives
Jul 22, 2007

I will not go down the hole again good sir.

I have been on a crap ton of different drugs for anxiety over the past 10ish years, and I found the only ones that did not cause the loss of sex drive to be Wellbutron (Which made me unable to orgasm), Buspar (Which I am on now, and I don't seem to have any side effects) and Lexapro which was a hell drug of a whole different type. Sure it got rid of the anxiety and didn't have sexual side effects but it made me out of control angry all the time. I've never had anger problems before or since, but while taking that drug I was screaming at people and punching holes in walls and poo poo.

PleasantDirge
Sep 7, 2009
ASK ME ABOUT HOW NOT BEING A FUCKING ASSHOLE ON THE ROAD IS JUST LIKE BEING A JEW AT A NAZI GATHERING BECAUSE I CAN NOT UNDERSTAND HOW TO NOT BE A FUCKING ASSHOLE AND WHEN PEOPLE TREAT ME LIKE I'M A FUCKING ASSHOLE THAT IS JUST LIKE GENOCIDE


I just got put on Viibryd a few months ago and it has been doing wonders for my anxiety with 0 sexual side effects. To be fair it is like eating battery acid every night even when I am eating with the meds like you are supposed to but I am glad to deal with a little tummy ache in exchange for being sane enough to work and still have my normal sex drive. It's a new medication but you might want to talk to your doc about if he thinks it might help you.

party hat
Apr 22, 2010


Ytlaya posted:

While it obviously varies to some extent by individual, SNRIs like Effexor and Cymbalta generally have far more harsh discontinuation/withdrawal symptoms than SSRIs.

Just want to kinda say that I found/find this, too. I was on Effexor many years ago and the withdrawal was pretty frightening. Now I'm on Cymbalta and if I so much as take a dose a couple hours late, I'm having withdrawal symptoms. The brain zaps, oh god the brain zaps. However, Cymbalta was the one thing that worked for me after many other medications, so I'll deal with it.

Araenna
Dec 27, 2012


party hat posted:

Just want to kinda say that I found/find this, too. I was on Effexor many years ago and the withdrawal was pretty frightening. Now I'm on Cymbalta and if I so much as take a dose a couple hours late, I'm having withdrawal symptoms. The brain zaps, oh god the brain zaps. However, Cymbalta was the one thing that worked for me after many other medications, so I'll deal with it.

Yeah, I have withdrawal symptoms with Cymbalta as well, usually if I'm about 6 hours late or more. But it's so good for my fibro and depression, I am willing to be careful to take it regularly. Even tapering off is hell though. I have no idea how it works for anxiety, though. It definitely affects my libido. But for one, I'm a bio-female, so that may be different than for a male. And for another, I have an annoyingly strong libido, so I don't mind. I can get horny if I want, and achieve orgasm, so it works out fine for me.

Lareine
Jul 22, 2007


I'm one of the odd ones who have never had withdrawal symptoms with either Effexor or Cymbalta. I've missed entire doses with no ill effect.

Rhonyn Peacemaker
Sep 21, 2007


I don't see why people worry about discontinuation symptoms. I plan on taking lexapro till the day I die. Why? Cause depression and anxiety ain't loving worth it. Put me in the grave before you put me down that path again. (Aka gimme more lexapro)

Chobdab
Aug 16, 2003

You don't know me James, you never did. I am not seeking forgiveness.

Rhonyn Peacemaker posted:

I don't see why people worry about discontinuation symptoms. I plan on taking lexapro till the day I die. Why? Cause depression and anxiety ain't loving worth it. Put me in the grave before you put me down that path again. (Aka gimme more lexapro)

I take it you haven't ever suffered extreme discontinuation symptoms.

Hydrolith
Oct 30, 2009



The severity of withdrawal depends on the person, how much you were on to begin with, and how much you step down by (or if you go cold turkey). I've missed one 10mg dose of lexapro and been fine, but two or three doses and I get brain zaps. It's serotonin withdrawal, as far as I understand, so that would make the withdrawal depend on how much serotonin you're withdrawing from rather than the antidepressant or its dose, since different antidepressants affect brain chemicals at different rates (why you can take 10mg of escitalopram (Lexapro) and it's effective, but you need to take something like 100mg of amitriptyline (Endep) to get the same effect).

Hydrolith fucked around with this message at Oct 18, 2013 around 02:50

pringledingle
Apr 3, 2013


I'm currently on SSRIs (20 mg Lexapro) and I masturbate at least twice daily- so it's possible to have a masturbation addiction and be on antidepressants

Lupe
Oct 13, 2013

by Debbie Metallica


Prozac has killed my sex drive and I don't miss it. I have accepted the fact that my fate in life is to be a (sane) sexless hermit.

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The Goon
Sep 11, 2001



Do some research into Tianeptine. It's supposed to be equivalent to Paroxetine but actually increase libido in some cases.

The only issue is actually being able to acquire it, as it isn't readily available in North America.

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