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RE: Libido enhancers that work - 4/21/2007 8:43:16 PM   
Aswad


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Joined: 4/4/2007
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quote:

ORIGINAL: cjenny

Petronius and Aswad thank you both for the information, there is always more for me to learn.


You're welcome. Always glad to be able to help.

And as the professor said, "there's always more we can learn form each other"; this field is just too huge for any one person to know it all.

quote:

Yes it is the SSRI, Zoloft that is causing it.. 150mg per day.


Ah. Yes, that's a pretty solid dose, so it's no wonder it's knocking out your libido.

quote:

I don't 'think' the Morphine Sulfate is causing it but it certainly could be a contributor.


For me, buprenorphine increased libido, although in the long term it gave other problems that wouldn't be applicable for a woman.

Depending on why you are being prescribed morphine, you could ask your doctor to switch you to buprenorphine instead. It's available as sublingual tabs (0.2mg, 0.4mg, 2mg, 8mg; equivalent to apx 7mg, 14mg, 70mg and 280mg, respectively, IIRC) and as patches (not sure about dose here).

The risk of tolerance and reduced effect with buprenorphine is lower than for morphine, and it has also been shown effective in treating depression (mean dose ~1.2mg/day). It also kills anxiety, I'd say, based on my experiences with nephandi and the reports of use of opioids as psychopharmaca prior to dependency concerns becoming prevalent.

quote:

Yeah I know doctors hear it all but I am not comfortable asking him for help on this part, and I really don't want to have to go through the chore of changing medications.


If zoloft is working for you, there's probably no reason to change unless the side-effects are intolerable, although there may be a point to supplementing it with something, or swapping the morphine for buprenorphine (depending on why you're getting the morphine; if you have lots of breakthrough pain, it might not be an ideal swap).

quote:

Aside from the libido (may it rest in peace, *sniffle lol*) we have finally found a combo of stuff that works for the rest of me. Not so sure I want to tamper with that.


I don't think adding Intrinsa or some other form of low-dose testosterone supplement would be a problem, and there are some sex-positive meds that could be added with little risk of upsetting anything. But, yeah, I can understand the reluctance to tamper with what one has. Otherwise, I would have considered Emsam or Manerix as two potential alternatives to the zoloft.

quote:

I will be researching the suggestions left here by all, and my thanks again to all of you. It sure is nice to be able to have a place where I can ask embarrassing stuff


Any time

Also, feel free to PM me if there's anything you're uncomfortable asking on the forum. Anything more specific than what has already been said would require a bit more info on why you're getting what, how well it's helping with what, etc.

Best wishes, and hope you get better.


_____________________________

"If God saw what any of us did that night, he didn't seem to mind.
From then on I knew: God doesn't make the world this way.
We do.
" -- Rorschack, Watchmen.


(in reply to cjenny)
Profile   Post #: 21
RE: Libido enhancers that work - 4/23/2007 9:04:00 PM   
subtravels


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Joined: 4/23/2007
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I'm sorry you've lost your drive. I've had friends on Zoloft, men, and they had the same issue. In their cases, orgasms just couldn't happen. My friend said he could get it up, but couldn't get it off...
I don't know if a mechanical friend would help, but that Hitachi Magic Wand is one powerful dude, whew...I try not to use it for fear of becoming dependent upon it, but dangity dang, does it work....

(in reply to cjenny)
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RE: Libido enhancers that work - 4/27/2007 9:41:37 PM   
GrizzledMaster


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Joined: 6/4/2005
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Zoloft is the worst offender of the SSRI's. In some studies, conducted primarily on men, Wellbutrin actually improves sexual performance.  Next best is Lexapro or Celexa, which are essentially the same medication.  Almost all of the antipsychotics and mood stabilizers cause sexual problems.

As far as herbal remedies, Ginseng is good for men but I don't know how it affects females.

(in reply to cjenny)
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RE: Libido enhancers that work - 4/27/2007 10:02:54 PM   
angelgirl9631


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Joined: 4/6/2007
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Hello cjenny. I understand your problem. I was on Zoloft too and had the same effect so I had the doctor switch it to Celexa and the side effect was greatly reduced. I also used ginseng which helped as well since ginseng is a natural herbal product that helps increase vitality.

(Ginseng has been used for the past 7,000 years in traditional Asian medicine, and is prescribed for a variety of problems ranging from stress, failing memory, obesity, flagging vitality, exhaustion, improving the immune system, fatigue, improving fertility and virility as well as a general strengthening tonic for the body.) - taken from my herbal book

Hope this helps you.

_____________________________

O teach me calm submission to thy Will...William Wordsworth (1888)

Slave to Wyldecat. My wonderful Master.

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Profile   Post #: 24
RE: Libido enhancers that work - 5/3/2007 12:28:38 PM   
Aswad


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Joined: 4/4/2007
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quote:

ORIGINAL: GrizzledMaster

Zoloft is the worst offender of the SSRI's.


Has there been any speculation on why this would be? As I recall, it has a weak DRI effect to it, which should theoretically lessen the impact, at least in a certain dosage interval.

quote:

In some studies, conducted primarily on men, Wellbutrin actually improves sexual performance.


Anything dopaminergic usually does that. Bupropion (Wellbutrin/Zyban) just happens to be fairly popular at the momend; unfortunately, it is a less "clean" drug in that regard.

quote:

Next best is Lexapro or Celexa, which are essentially the same medication.


Not quite. Lexapro is the S-isomer, while Celexa is a racemic mix. Both isomers have a contribution to the side-effect profile, while only the S-isomer contributes to the effect, at least according to Lundbeck themselves. They'd be biased, of course, but it does make sense; eliminating the R-isomer would at the very least lower the liver load.

The reason why it comes out better than the other SSRI's is fairly simple: it's not quite as strong. Basically, for maximum therapeutic action, you need at least 80% inhibition of the reuptake, and these two can't reach more than a 70-ish percentage, regardless of the dose, even if you pump it directly into the cerebro-spinal fluid.

quote:

Almost all of the antipsychotics and mood stabilizers cause sexual problems.


The antipsychotics are far worse in that regard, IIRC. I doubt you'll find a single dopamine blocker (except perhaps the partial agonists) that doesn't cause sexual dysfunction of some sort.

Mood stabilizers... that depends a lot more on the type. I've got a few friends on these, and there aren't nearly as many of them who have issues as the people I know on drugs like SSRIs and/or antipsychotics.

quote:

As far as herbal remedies, Ginseng is good for men but I don't know how it affects females.


My friendly neighbourhood naturopath assures me Ginseng does nothing for women, but I'm not into naturophathy myself, so I can't stand by her assertion.

You might try Ginkgo Biloba, though. It causes, at least in the people I know who have tested it, a slight flushing of the skin and some effects akin to a mild histamine release. It could have some effect.

Though, as I've said, I'm more inclined to go with the medical science on this instead.


_____________________________

"If God saw what any of us did that night, he didn't seem to mind.
From then on I knew: God doesn't make the world this way.
We do.
" -- Rorschack, Watchmen.


(in reply to GrizzledMaster)
Profile   Post #: 25
RE: Libido enhancers that work - 5/3/2007 1:47:58 PM   
cjenny


Posts: 1736
Joined: 11/27/2006
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quote:

ORIGINAL: angelgirl9631
I was on Zoloft too and had the same effect so I had the doctor switch it to Celexa and the side effect was greatly reduced. I also used ginseng which helped as well since ginseng is a natural herbal product that helps increase vitality.



Thanks for the suggestion. May I ask, was it a difficult transition? From the Zoloft to the Celexa that is. One of the reasons I hesitate to swap is that tapering down off Zoloft isn't easy so now I am going to gather info on the effects of Celexa.

To everyone, thank you for your input.

_____________________________

*Unless I cite a source it is MO.


~ ssssh. i think i've just found freedom. ~

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Profile   Post #: 26
RE: Libido enhancers that work - 5/3/2007 9:21:11 PM   
angelgirl9631


Posts: 19
Joined: 4/6/2007
Status: offline
No it wasn't actually. I didn't really notice any big mood swing difference. I felt slightly down for about 2 days but that was all. I picked right up again and then about a week afterwards I noticed my sex drive start to pick up too. I don't know if it was all due to the Celexa or the Ginseng but by that point I didn't really care. I was just happy to have it back and in full force. I hope you get yours back too.


_____________________________

O teach me calm submission to thy Will...William Wordsworth (1888)

Slave to Wyldecat. My wonderful Master.

(in reply to cjenny)
Profile   Post #: 27
RE: Libido enhancers that work - 5/6/2007 11:28:40 AM   
nyrisa


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Joined: 11/20/2006
Status: offline
cjenny, I highly encourage you to talk to your doctor about this. You would probably find your Gyn to be the most informed about sexual effects of medications, although psychiatrists should be pretty well up to date on the latest info, also. I am betting, once you ask the question, you will find your doctor treats this subject as matter of factly as any other medication side effect question. Your doctor wants you functioning at your peak, in all aspects, and should be your partner in acheiving this. If you don't tell him/her about a problem, then they will think you are just fine, when in fact, you do have a serious issue to be addressed. Also, they will never see a pattern developing with certain medications, if they are not informed, and many other women may experience the same situation you have found.

Believe me, I have bit the bullet and asked my doctor some questions that made me squirm with embarrassment, but in all cases, I have been glad I did. I have found that it helps to make a list of the questions I want to ask, and just put the uncomfortable question right in the middle of the list. If all else fails, just hand the list to the doctor. *smiles* Best of luck to you in your search for information.

_____________________________

A true lady takes off her dignity with her clothes and does her whorish best. At other times you can be as modest and dignified as your persona requires. Robert Heinlein

The last thing I want to do is hurt you...but it is still on my list.

(in reply to cjenny)
Profile   Post #: 28
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