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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 875 to 899 of 8406. Go back in thread:
Posted by maririp on October 17, 2002, at 7:41:17
In reply to Re: 20%?, posted by shakingoscar on October 17, 2002, at 1:16:02
> Here here. I couldnt have worded that better myself.
>
> I have been on ssri's for two years and Im thinking of trying Remeron solely to see if I get a sex life back!
>
> Where sex is concerned, ssri's absolutely suck.
>
>
> > Once again anecdotally, because I am not citing any structured study here, I have seen hundreds of people on SSRI's from their outset. I agree that Paxil, and I think Zoloft too, are at the top when it comes to sexual s/e's. However, it is a rare occurrence when someone does NOT have sexual s/e on an SSRI in my observation. I do ask about prior experiences with sexual response, always asking "Is this a change from normal for you?" I'm actually being conservative saying 80%, but considering the people who were sexually dysfunctional previously, or for whom sexual response is not an issue, almost all people experience a decrease in sex drive and ability to have an orgasm/ejaculate. And when you say that decreasing sexual s/e is not the point, come into the ranks with me. That is definitely the main reason that people want to take something else! When people suffering from depression have to chose between decreasing their symptoms of depression and having orgasms, it becomes a very difficult choice! I am not hostile here, I just wish I could tell you exactly how many times I have struggled with that issue with clients, and they have longed for an antidepressant that worked without often severe impact on their sex life. --Gail
>
It would be nice if they could invest all the money they make on these drugs on how to improve the sexual side effects. I took remeron for a while and frankly I didnt want to even kiss my boyfriend..it also put weight on me faster than any pill I have ever taken..I must have gained 15 pounds in two months. Its too early for me to tell what effects lexapro will have on my orgasms, but every other antidepressant I have taken, especially paxil ruined orgasms. Its so true too, its nice to feel better but to have to choose between that and sharing an orgasm with someone you love is not an easy choice. I didnt take any for about 3 years because i grew too frustrated.
Posted by maririp on October 17, 2002, at 7:47:41
In reply to Re: Who said anything about sex?, posted by Phil on October 17, 2002, at 6:15:35
> Just because someone is discussing orgasms, it doesn't necessarily mean they're with someone else at the time.
>
> If you're lucky enough to have sex but can't orgasm, you aren't going to be happy for long.Amen to that.I never thought sex had anything to do with luck. Its sharing intimacy with someone with the goal of orgasms. Not having any time after time does cause a great deal of frustration. Its not just about the person who can't have one its about the person that loves you as well and thinks it must have something to do with him/her. People who love each other want their partner satisfied.
Posted by shakingoscar on October 17, 2002, at 7:59:35
In reply to sex and orgasms, posted by maririp on October 17, 2002, at 7:41:17
Hi Maririp,
you said you didnt want to kiss your boyfriend whilst taking remeron...But... could you orgasm?? Does it affect males the same way do you know?
> > Here here. I couldnt have worded that better myself.
> >
> > I have been on ssri's for two years and Im thinking of trying Remeron solely to see if I get a sex life back!
> >
> > Where sex is concerned, ssri's absolutely suck.
> >
> >
> > > Once again anecdotally, because I am not citing any structured study here, I have seen hundreds of people on SSRI's from their outset. I agree that Paxil, and I think Zoloft too, are at the top when it comes to sexual s/e's. However, it is a rare occurrence when someone does NOT have sexual s/e on an SSRI in my observation. I do ask about prior experiences with sexual response, always asking "Is this a change from normal for you?" I'm actually being conservative saying 80%, but considering the people who were sexually dysfunctional previously, or for whom sexual response is not an issue, almost all people experience a decrease in sex drive and ability to have an orgasm/ejaculate. And when you say that decreasing sexual s/e is not the point, come into the ranks with me. That is definitely the main reason that people want to take something else! When people suffering from depression have to chose between decreasing their symptoms of depression and having orgasms, it becomes a very difficult choice! I am not hostile here, I just wish I could tell you exactly how many times I have struggled with that issue with clients, and they have longed for an antidepressant that worked without often severe impact on their sex life. --Gail
> >
> It would be nice if they could invest all the money they make on these drugs on how to improve the sexual side effects. I took remeron for a while and frankly I didnt want to even kiss my boyfriend..it also put weight on me faster than any pill I have ever taken..I must have gained 15 pounds in two months. Its too early for me to tell what effects lexapro will have on my orgasms, but every other antidepressant I have taken, especially paxil ruined orgasms. Its so true too, its nice to feel better but to have to choose between that and sharing an orgasm with someone you love is not an easy choice. I didnt take any for about 3 years because i grew too frustrated.
>
>
Posted by mills on October 17, 2002, at 9:08:07
In reply to Re: Who said anything about sex?, posted by maririp on October 17, 2002, at 7:47:41
Imagine the money we could make if we could come up with an SSRI that did not cause sexual side effects. Zowee! You've got to know "they" are working on it, and if not, pharmrep should be banging on his President's office door and forwarding them these posts.
Posted by johnj on October 17, 2002, at 9:10:19
In reply to Re: sex and orgasms, posted by shakingoscar on October 17, 2002, at 7:59:35
I could have an orgasm while on remeron, but they were not satisfying at all. Something was blunted, well everything was blunted on remeron. Sometimes I think having an orgasm on remeron was more frustrating than not having sex. That crap about remeron not affecting orgasm is bull. Yes, you might have them, but they felt like nothing.
johnj
Posted by pharmrep on October 17, 2002, at 10:27:40
In reply to Re: Drug company / Tobacco company. » Gaillardia, posted by Phil on October 16, 2002, at 19:29:27
Just because someone is discussing orgasms, it doesn't necessarily mean they're with someone else at the time.
If you're lucky enough to have sex but can't orgasm, you aren't going to be happy for long.
> Nicotine's not addictive and our products aren't harmful.
> Our SSRI's don't cause over 9-5-2% sexual side effects. It's false and it's a major, major lie to the AD consumer. Tell us the real story on everything, period.** one step at a time Phil..."real" story...it's no secret that many ad's have sexual side effects, the people that have them often have a tough balance, but would rather be able to get out of bed, have a life, keep a job, and actually have sex (with somebody)....why are you ripping on me? Im here to help, not be your punching bag.
Posted by trmpqwn on October 17, 2002, at 10:54:45
In reply to Re: sex and orgasms » shakingoscar, posted by johnj on October 17, 2002, at 9:10:19
note my earlier post...I am not having sexual side effects on Lexapro!!!!! I did initially but after a few weeks, back to normal. Have hope....and patience.
Posted by maririp on October 17, 2002, at 11:29:51
In reply to Re: sex and orgasms » shakingoscar, posted by johnj on October 17, 2002, at 9:10:19
> I could have an orgasm while on remeron, but they were not satisfying at all. Something was blunted, well everything was blunted on remeron. Sometimes I think having an orgasm on remeron was more frustrating than not having sex. That crap about remeron not affecting orgasm is bull. Yes, you might have them, but they felt like nothing.
> johnjI agree with john completely, I had orgasms but they were not good ones and frankly at times i would think is that it?? I also had no desire for allot of forepay. On remeron all i did was eat constantly...too bad that doesnt give orgasms..hahaha..anyway..I would not recommend remeron.
Posted by pharmrep on October 17, 2002, at 12:11:19
In reply to Re: sex and orgasms, posted by maririp on October 17, 2002, at 11:29:51
*** anyone heard of this one? I asked this one DR what hid did for people having difficulty w/ orgasms...and he told me that for guys, he would give an injection once a month of testosterone (250-500mg)...he said that after that his male pts did have ejac. probs anymore.
Posted by meow mary on October 17, 2002, at 12:12:12
In reply to Re: Who said anything about sex?, posted by Phil on October 17, 2002, at 6:15:35
Boy, you really can't say anything around here without getting into trouble with someone. Of course I realize the tragedy of inability to orgasm on SSRI's--I experience it myself. Maybe I meant it's all a matter of perspective--if you're with someone who's caring about whether you do or don't orgasm I still think you're lucky. And having sex with yourself isn't the worst thing in the world either.
Posted by pharmrep on October 17, 2002, at 12:12:46
In reply to orgasms, posted by pharmrep on October 17, 2002, at 12:11:19
> *** anyone heard of this one? I asked this one DR what hid did for people having difficulty w/ orgasms...and he told me that for guys, he would give an injection once a month of testosterone (250-500mg)...he said that after that his male pts did have ejac. probs anymore.
*** correction..."didnt" have probs anymore
Posted by Phil on October 17, 2002, at 12:15:44
In reply to Re: 20%?, posted by Caydi on October 16, 2002, at 20:00:52
It doesn't matter if you think about it or not. If you get the side effect, you can't think your way thru it. I wish it was that easy.
Posted by Phil on October 17, 2002, at 12:56:27
In reply to Re: raw boy/see bottom » Phil, posted by pharmrep on October 17, 2002, at 10:27:40
Posted by mills on October 17, 2002, at 13:00:50
In reply to Re: orgasms, posted by pharmrep on October 17, 2002, at 12:12:46
no, but I just made an appointment with my doc for my first monthly testosterone injection
> > *** anyone heard of this one? I asked this one DR what hid did for people having difficulty w/ orgasms...and he told me that for guys, he would give an injection once a month of testosterone (250-500mg)...he said that after that his male pts did have ejac. probs anymore.
>
> *** correction..."didnt" have probs anymore
Posted by Phil on October 17, 2002, at 15:11:17
In reply to Re: orgasms, posted by mills on October 17, 2002, at 13:00:50
If your girlfriends voice drops or she develops more facial hair, that will get interesting.
The dose pharmrep recommends may be small, I don't know, but guys taking testosterone therapy have often seen their g.f. or spouse change a little.
Double check with your doc and don't take "some docs" advice.my 2 bits
Posted by mills on October 17, 2002, at 15:30:24
In reply to Re: orgasms » mills, posted by Phil on October 17, 2002, at 15:11:17
What the...?
> If your girlfriends voice drops or she develops more facial hair, that will get interesting.
> The dose pharmrep recommends may be small, I don't know, but guys taking testosterone therapy have often seen their g.f. or spouse change a little.
> Double check with your doc and don't take "some docs" advice.
>
> my 2 bits
Posted by Dinah on October 17, 2002, at 15:58:10
In reply to Re: orgasms, posted by pharmrep on October 17, 2002, at 12:12:46
Couldn't testoterone injections potentially cause adverse mood effects?
Posted by Phil on October 17, 2002, at 17:50:18
In reply to Re: orgasms... Huh?????, posted by mills on October 17, 2002, at 15:30:24
Men being treated for low testosterone, especially with a patch they used to use that was applied in the pubic area, noticed wives or girlfriends absorbing a little too much of the dose. Look it up. : )
I don't think it's real smart to get on testosterone injections without your doc doing a blood workup and seeing what your level is.
If you have a normal level of testosterone and want injections, you may be making a mistake. Talk to your doctor.
Posted by ajclucky on October 17, 2002, at 18:54:03
In reply to Anyone switched to Lexapro? « ggrrl, posted by Dr. Bob on June 11, 2002, at 7:52:48
i just started taking lexapro 4 days ago and noticed i am getting migrains. is this associated with lexapro
Posted by Phil on October 17, 2002, at 19:10:45
In reply to Re: orgasms... Huh?????, posted by Phil on October 17, 2002, at 17:50:18
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9934946&dopt=Abstract
Posted by pharmrep on October 17, 2002, at 19:38:44
In reply to Re: Anyone switched to Lexapro? « ggrrl, posted by ajclucky on October 17, 2002, at 18:54:03
> i just started taking lexapro 4 days ago and noticed i am getting migrains. is this associated with lexapro
** it has been posted here, and I have heard doctors say they see some nausea, dizziness, and headache with some people (usually in the 1st wk or so...then it goes away or at least lessens by the 2nd wk or so)..hang in there and keep us posted.
Posted by ANXIETY ANN on October 17, 2002, at 19:46:05
In reply to Re: Anyone switched to Lexapro? « ggrrl, posted by ajclucky on October 17, 2002, at 18:54:03
> i just started taking lexapro 4 days ago and noticed i am getting migrains. is this associated with lexapro
> Hang in there, when I first started taking Lexapro I had terrible headaches but they went away after about a week. Its been 10 days for me and I feel much better.
Good Luck
Posted by maririp on October 17, 2002, at 21:03:00
In reply to Re: Anyone switched to Lexapro? « ggrrl, posted by ajclucky on October 17, 2002, at 18:54:03
If you can hang in there those should go away..I started feelin real good on lexapro around day 6
Posted by ayrity on October 17, 2002, at 21:10:58
In reply to Re: orgasms... Huh?????, posted by Phil on October 17, 2002, at 17:50:18
Absolutely, Phil:
Please be careful about such advice you receive here or elsewhere.I was born with an endocrine disorder and need to take Testosterone because I essentially produce none on my own. The dosage I take is 200 mg twice a month by injection. So the dose that Pharmrep recommended is a *full replacement* dose and likely way too high for someone without T deficiency.
Furthermore, testosterone injections can definitely cause mood swings and depression (just as lack of T can as well). Not to mention the risk of numerous other problems, large and small, from acne to liver failure (rare).
However, that being said, careful exploration of hormonal augmentation *in collaboration with an experienced doctor* (I can't stress that enough) might be a useful addition to standard AD treatment.
> I don't think it's real smart to get on testosterone injections without your doc doing a blood workup and seeing what your level is.
> If you have a normal level of testosterone and want injections, you may be making a mistake. Talk to your doctor.
Posted by Seamus2 on October 17, 2002, at 21:32:52
In reply to Careful with that T, was Re: orgasms..., posted by ayrity on October 17, 2002, at 21:10:58
Ayrity, why aren't you using a transdermal gel instead of the shots? It evens out the fluctuations in T levels and if you get it compounded it's not that expensive. (Androgel, OTOH, is).
What do you do about testicular atrophy?
Once I got on the T, I haven't had a need for anti-depressants at all. Wish I'd had my levels tested 20 years ago...
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