Posted by jb on March 12, 2001, at 19:13:22
In reply to Re: Anorgasmia continued, posted by amuse on March 11, 2001, at 16:45:41
Hi, Mary. Unfortunately, I have no experience with Lithium. I did try Parnate (tranylcypromine), with is a non-selective MAOI. I found it activating with little or no impact on my sexual function. It's more stimulating than Nardil (phenelzine). However, I found it not to work as well for my social phobia. Phenelzine is a hydrazine MAOI, and has a greater impact on the GABA receptor complex.
That said, I think MAOI's are way underprescribed. My experience and others I know of is that there is that the dietary restrictions are quite overblown. I avoid very aged cheeses, aged wine (red), and anything pickled (also aged). I eat loads of pizza, drink lite beer, and white wine. I do avoid certain cold medications, and I do tell any other doc that I'm taking and MAOI.
By the way, I was first prescribed an MAOI in addition to Klonopin by the University of Michigan Anxiety Disorders Program chief doc. He did so without a second thought. I've since changed to a private doc, for insurance purposes, but one the university recommended. This once I'm seeing is also a true psychopharmacologist, and feels very comfortable with MAOI's as well as certain "cocktail" drug combinations.
Lastly, when I was taking Selegiline, 15 mg/day, my sexual functioning improved way beyond what it normally was, in terms of desire, intensity of orgasm, etc. You may inquire about taking this to augment whatever you end up taking. Also, you'll also find that certain AD's, particularly the newer non-SSRI's are less likely to cause sexual dysfunction. I think Remeron and Celexa may be in this category.
Good luck and let me know if I can answer any other questions.
John
poster:jb
thread:55665
URL: http://www.dr-bob.org/babble/20010310/msgs/56321.html