Posted by JohnL on January 4, 2000, at 13:51:58
In reply to Switching from Prozac (?) Please inform/advise, posted by lynn on January 4, 2000, at 12:46:24
As a fellow Prozac user, I can sure understand. I have found my sex life in all areas (interest, ability, sensation) are normal to slightly enhanced at 20mg. But at 40mg all the troubles you mentioned take over. So I stay at 20mg but will take 40mg or 60mg every three days or so. I am currently in the mode of trying to enhance the Prozac's effectiveness on symptoms of apathy/anhedonia. This week I will see my doc and he is likely to add a psychostimulant to my Prozac. The stimulants apparently have the potential to increase antidepressant response and counter sexual side effects also. We'll see. My hopes aren't very high, but this approach seems to be quite popular in literature.
Adding Wellbutrin would be similar. I can't take Wellbutrin because of the severe tinnitus it causes me. I'm worried a stimulant will do the same.
Anyway, I think you are on the right track. Add either Wellbutrin or a stimulant. But I think with the combination you should be able to lower the Prozac dosage down to 20mg which should help even more. That sounds like a reasonable way to treat the apathy and the sex simultaneously. It works for others. Hope it works for you and me! JohnL
poster:JohnL
thread:17987
URL: http://www.dr-bob.org/babble/20000101/msgs/17996.html