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Re: More suggested solutions for Side Effects

Posted by JohnL on October 16, 2000, at 4:22:35

In reply to Some suggested solutions for Side Effects , posted by shar on October 15, 2000, at 21:29:13


Other solutions not listed that are sometimes helpful (gathered from Dr Bob's Tips, my own doc, personal experience, and other medical resources on the net)

Sexual side effects: (as needed)
Gingko biloba herb (high dose, at least a month)
Yohimbe herb
Ritalin
Bromocriptine
Serzone, either as monotherapy or as an add-on
Remeron, either as monotherapy or as an add-on
Buspar, clinically shown to be most helpful to women, not so much with men
Prozac is the least sexual offender in its class, and is worth comparing if it hasn't been tried

Anticholinergic side effects (dry mouth, blurred vision, slow urination, etc):
My doc prescribed me a cholinergic enhancing medication to counter these side effects when I was on Nortriptyline. I can't remember the drug's name. ??? It isn't common, but it sure works.

Drowsiness that doesn't go away: (small dose add-ons)
Small dose Protriptyline
Small dose Desipramine
Small dose Wellbutrin
Ritalin
Adderall
Dexedrine
Adrafinil
If on SSRIs, try switching to Prozac

Insomnia: (small dose add-ons)
Serzone
Remeron
Clomipramine
Nortriptyline
Xanax
Ambien
Zyprexa
Stelazine

As with all possible lists of remedies, mileage will vary. (Darn! I hate that part!)

It's also worth mentioning that sometimes side effects are completely eliminated by just switching to another med within the same class. Prozac for example in a review of clinical studies shows the least amount of sexual side effects in its class, and actually has shown a significant amount of sexual enhancing benefits instead. Or for example if someone is too sedated on Paxil or Effexor, a switch to Prozac or Zoloft might be better, as these are usually more activating.
John



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