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Post-SSRI sexual dysfunction

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Re: Post-SSRI sexual dysfunction

#271

Post by ironmagma »

R0b0t1 wrote: post #270
ironmagma wrote: post #269

Earlier quoted context omitted.

Yes, I did. Nowhere does it say that. If you want to get a point of reference for what heroin might look like if it wasn't a street drug, oxycodone is quite similar yet distributed without the additives found on the street since it is manufactured by big pharma. Still, it is associated with respiratory depression.

I know it doesn't say that but it should be obvious most of them are due to poor IV administration. You don't need to administer heroin or morphine via IV. True, people occasionally OD on prescription medication, but it's usually as a rebound after having the prescription withdrawn and then finding more drugs.

That can happen with prescription drugs too though. People lose access to their insurance and then end up going off the drug too fast.

The bottom line is, don't you think if they could sell more of this drug, they would? Opiates are a pretty terrible choice for an antidepressant for multiple reasons.

Re: Post-SSRI sexual dysfunction

#272

Post by R0b0t1 »

hellojesus wrote: post #194
R0b0t1 wrote: post #176

Earlier quoted context omitted.

If you try anything, ask for Wellbutrin first if it is not the first thing prescribed. There are usually not any libido or lethargy issues. You may have ADHD and may want to get tested for it. I'm looking for a doctor to go to again, but being an adult the ones I've seen so far think I just want drugs. Complications from ADHD look a lot like depression.

This is really interesting. May I ask why you came to the ADHD conclusion in the first place? Was it solely the correlation between depression/anxiety and adhd? I did a quick search and came across a few articles such as the following one: https://totallyadd.com/23-signs-you-do-not-have-adhd/ I was surprised to find I exhibit many of these symptoms. Most prominently having stacks of things throughout the office/house…

> Was it solely the correlation between depression/anxiety and adhd?

Yes, but partially also your existence on HN. Depression/anxiety + well read is almost always some shade of ADHD in my experience (of observing people who get diagnosed by doctors).

Giving up isn't a bad thing. I've given plenty of things up, usually after either realizing I was right or finding someone else had done it.

Re: Post-SSRI sexual dysfunction

#273

Post by Perenti »

Jaruzel wrote: post #22

My personal anecdote: I'm on Venlafaxine which is an SNRI (also cited in the article), and I definitely suffer some of those side-effects. It sucks. At times it makes me want to shy away from sex completely. Other times I think I'm doing OK, only to find out I can't finish, or I finish weakly with no adrenalin rush. So my choices are, come off the pills, and emotionally go down a dark well I may not come out of, or k…

I'm also on venlafaxine, and have been for years. I've recently (4 months) started MMJ for my chronic pain, and it seems to offset the sexual side effects of the Effexor: (1) I have a libido again (2) I always finish now (3) and it feels pretty damn good.

The 3rd needs explanation for those who haven't experienced it; one nasty side effect is when you orgasm you ejaculate and feel NOTHING. It messes with the male psyche in a big way in my experience.

Re: Post-SSRI sexual dysfunction

#274

Post by Perenti »

notmymainlogin wrote: post #232
Jaruzel wrote: post #22

My personal anecdote: I'm on Venlafaxine which is an SNRI (also cited in the article), and I definitely suffer some of those side-effects. It sucks. At times it makes me want to shy away from sex completely. Other times I think I'm doing OK, only to find out I can't finish, or I finish weakly with no adrenalin rush. So my choices are, come off the pills, and emotionally go down a dark well I may not come out of, or k…

Wow! This was very educational to me. I'm also on venlafaxine, and have been off and on for more than 15 years. About 5 years ago I went on it more consistently, and at a higher dose. I'm 38 years old. I... uh.... "concluded", based on my observations of myself that "I guess it's true, male sex drive must peak in the early 30s! Ah well, I had a good run, no regrets!" Now I don't know what to think! Maybe it's the med…

My GP told me that having a strong sex drive is normal for men in their 50s, so I suspect you might be experiencing the meds...

Re: Post-SSRI sexual dysfunction

#275

Post by Perenti »

jamal-kumar wrote: post #45

SSRIs need to be obsolesced already. Screw the sexual dysfunction, how about increaased risk of suicidal ideation? How about them taking two entire weeks to work? The thing is the rest of the world doesn't seem to feel the burning desire to get as many people on them as possible and even have alternatives which aren't as limited. Reversible MAOI drugs like moclobemide have been around since the 90s and while they hav…

SNRIs have resolved my suicidal ideation. I credit Effexor with saving my life. The increased risk of suicidal ideation in young anxiety patients is probably offset by the reduction in self-harm amongst the major depression people.

Re: Post-SSRI sexual dysfunction

#276

Post by hellojesus »

R0b0t1 wrote: post #272
hellojesus wrote: post #194

Earlier quoted context omitted.

This is really interesting. May I ask why you came to the ADHD conclusion in the first place? Was it solely the correlation between depression/anxiety and adhd? I did a quick search and came across a few articles such as the following one: https://totallyadd.com/23-signs-you-do-not-have-adhd/ I was surprised to find I exhibit many of these symptoms. Most prominently having stacks of things throughout the office/house…

> Was it solely the correlation between depression/anxiety and adhd? Yes, but partially also your existence on HN. Depression/anxiety + well read is almost always some shade of ADHD in my experience (of observing people who get diagnosed by doctors). Giving up isn't a bad thing. I've given plenty of things up, usually after either realizing I was right or finding someone else had done it.

Very interesting. Thank you for the follow-up. I'll do some more investigating into it.

Re: Post-SSRI sexual dysfunction

#277

Post by bongoman37 »

superflit2 wrote: post #56

I will provide some AnecData. I am from a generation that when SSRI became available, it was a marvelous drug. Prescribed to teenagers freely and plentiful. Now on my peers of friends, we have many people who don't have any libido. The hardest-hit group was Women as they go to therapy more[1]. It is so huge we have Forums like "dead bedroom." Once a friend that took SSRI told me how she felt about sex: "I am looking…

[dead]

Re: Post-SSRI sexual dysfunction

#278

Post by R0b0t1 »

ironmagma wrote: post #271
R0b0t1 wrote: post #270

Earlier quoted context omitted.

I know it doesn't say that but it should be obvious most of them are due to poor IV administration. You don't need to administer heroin or morphine via IV. True, people occasionally OD on prescription medication, but it's usually as a rebound after having the prescription withdrawn and then finding more drugs.

That can happen with prescription drugs too though. People lose access to their insurance and then end up going off the drug too fast. The bottom line is, don't you think if they could sell more of this drug, they would? Opiates are a pretty terrible choice for an antidepressant for multiple reasons.

> Opiates are a pretty terrible choice for an antidepressant for multiple reasons.

You've failed to present this. That opiates are bad is just dogma left around from the first religious-linked anti-drug pushes. I think they are inappropriate, but in the same way SSRIs are inappropriate, and have explained my position.

E.g. a UK study found that if you just give people all the heroin they want they quit after 2 years. There are no other complications than constipation.

Re: Post-SSRI sexual dysfunction

#279

Post by ironmagma »

R0b0t1 wrote: post #278
ironmagma wrote: post #271

Earlier quoted context omitted.

That can happen with prescription drugs too though. People lose access to their insurance and then end up going off the drug too fast. The bottom line is, don't you think if they could sell more of this drug, they would? Opiates are a pretty terrible choice for an antidepressant for multiple reasons.

> Opiates are a pretty terrible choice for an antidepressant for multiple reasons. You've failed to present this. That opiates are bad is just dogma left around from the first religious-linked anti-drug pushes. I think they are inappropriate, but in the same way SSRIs are inappropriate, and have explained my position. E.g. a UK study found that if you just give people all the heroin they want they quit after 2 years.…

> There are no other complications than constipation.

You keep saying this, ignoring the fact that I showed (with a citation) that it is addictive, which is a complication. This is a pointless discussion, since the dogma is that you are pro-opiate past the point of reason. I seriously doubt you’ve even tried this drug.

Re: Post-SSRI sexual dysfunction

#280

Post by elwell »

hellojesus wrote: post #148
elwell wrote: post #128

Earlier quoted context omitted.

Sorry to hear that. Do you think it's a function of your philosophical beliefs?

Which part?

The aspect of not finding life to be meaningful. Or would you phrase it differently?

Disclaimer: I'm just a Christian who cares.

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