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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Jenny C on June 27, 2001, at 22:03:48
I am a 23 year old female who just began taking Effexor 1 month ago and am worried if these side effects are for real or if I am just thinking they are real. I was treated 7 months ago for borderline anorexia and of course my number one fear is weight gain. I read that some people lose weight while others gain weight. What do I believe? I am nervous about continuing taking it, but I do feel much better. My husband is finally able to tolerate me in that I am not violently flying off the handle and creating problems that do not even exist.Taking 75 mg per day for General Anxiety Disorder and mild depression has been extremely beneficial.
BUT,I am unable to orgasm during sex and this is not good in that I have only been married 1 year. I am still a newlywed for God's sake!
I read that Wellbutrin often cancels out this type of side effect, but I do not want to be a drug addict. Addictive behaviors are prevalent in my family.
Can anyone offer any help with these two predicaments?
Thank you.
Posted by stjames on June 27, 2001, at 23:36:05
In reply to Worried about side effects, posted by Jenny C on June 27, 2001, at 22:03:48
I read that some people lose weight while others gain weight. What do I believe?
James here.....
Both, unless you have a reason to think people are lying. Both gain and loss do happen.
James
Posted by SalArmy4me on June 28, 2001, at 10:48:16
In reply to Worried about side effects, posted by Jenny C on June 27, 2001, at 22:03:48
Wellbutrin should restore orgasm and help you lost weight by keeping you active and killing your appetite.
Bupropion †
- 75-150 mg/d, qd or bid divided doses
- For SSRIs or venlafaxine, fluoxetine may raise bupropion levels; usual precautionary measures for bupropion
- Restores libido, also: arousal, orgasm
Other options are:
Methylphenidate †
- 5-40 mg/d
- For SSRIs or venlafaxine
- Libido, arousal, orgasmDextroamphetamine †
- 5-40 mg/d
- Avoid night dosing (insomnia)
- Libido, arousal, orgasmPemoline †
- 18.75-75 mg/d
- Check liver function
- Libido, arousal, orgasmGinkgo biloba extract †
- 180-240 mg/d, tid, divided doses
- Potential increased clotting time, possible flatulence
- Libido, arousal, orgasmBethanechol †
- 10-50 mg prn 1 hour before sex
- Used for anticholinergic side effects (TCAs, paroxetine); produces cholinergic side effects
- ArousalNeostigmine †
- 200 mg/d, tid divided doses
- Used for anticholinergic side effects (TCAs, paroxetine); produces cholinergic side effects
- ArousalEstrogen creams or lubricants
- As needed
- For vaginal dryness, atrophy of vaginal tissue
- ArousalAmantadine
- 100 mg bid
- Caution in patients predisposed to psychosis
- OrgasmCyproheptadine
- 4-12 mg qhs
- MAOIs, TCAs, SSRIs, venlafaxine; watch for reemergence of depressive symptoms; sedating
- OrgasmBuspirone †
- 30-60 mg/d, bid divided doses
-
- Libido, orgasmMirtazapine †
- 15-45 mg/d
- For SSRIs, venlafaxine
- OrgasmNefazodone †
- Start 50 mg/d, up to 150 mg/d
- SSRIs, venlafaxine
- OrgasmGranisetron †
- 1 mg prn
- ? Use of other 5-HT3 antagonists
- OrgasmSildenafil
- 50-100 mg/d
- Contraindicated with nitrates
- Libido, arousal, orgasmYohimbine †
- 5.4 mg tid
- Can be anxiogenic; ? safety with MAOIs
- Libido, arousal, orgasm
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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