Choosing between sex and survival

Full story: Asbury Park Press Online

Q: Help! I take bupropion for depression. I was switched to bupropion because of my inability to reach orgasm when taking other antidepressants.
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1 - 20 of 30 Comments Last updated Jan 30, 2014
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Earl

Cary, IL

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#1
Sep 19, 2006
 
Why can't this person get an honest answer? Emsam may be a "new" drug, but it just an old drug in disguise. It is an MOA inhibitor which is an older class of antidepressants than the SSRI's. It has a myriad of unpleasant side effects - INCLUDING SEXUAL DYSFUNCTION. The only one to benefit from this medication switch would be the drug company who markets Emsam.
Concrete rose

Salt Lake City, UT

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#2
Oct 11, 2006
 
Wow
some dude

Princeton, MA

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#3
Dec 6, 2006
 
wrong

EMSAM is an MAOB rather than an MAOI. It ONLY affects dopamine, not serotonin so there are no sexual side effects
Earl

Cary, IL

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#4
Dec 6, 2006
 
some dude wrote:
wrong
EMSAM is an MAOB rather than an MAOI. It ONLY affects dopamine, not serotonin so there are no sexual side effects
Side effects listed for Emsam include abnormal ejaculation, decreased libido, impotence and anorgasmia.
some dude

Princeton, MA

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#5
Jan 31, 2007
 
"low incidence of sexual side effects in both men and women was reported in studies with EMSAM. This rate of sexual side effects was similar to placebo (patch without medication)."

emsam is also neuroprotective, meaning that it helps keep dopamine receptors alive and functioning. that's why it's also used to treat parkinson's disease. to say that there's no benefit in switching to this drug is really jumping the gun

but if sexual side effects are all you're concerned about, do more research. no SSRI has sexuall side effects similar to placebo. and just because those side effects are listed as the side effects that can happen, doesn't mean that 99% of people won't have them
Sunny

Saint Simons Island, GA

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#7
Mar 7, 2007
 
HAS ANYONE HAD GOOD RESULTS FROM EMSAM PATCH OR ARE WE SPECULATING? I'VE HEART SOME WITH BAD SIDE EFFECTS THAT SURFACED 3 WKS AFTER STARTING PATCH.

BUT ANYONE BEEN ON IT, STAYED ON IT......????
love

Aliso Viejo, CA

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#8
May 1, 2007
 
heyy help?
i am soo confused
i take effexor 75mg
wellbutrin 300mg
and seroquel 200mg
do any of these have bad sexual side effects?
ohh and im pretty shaky and twitchie haha
but thats normal yeah?
cats eyes

North Scituate, RI

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#9
May 1, 2007
 
Wow, you take an awful lot of the same drug. Isn't effexor enough? I'm on 37.5 ml every other day and have an enormous sex drive. Get off some of those drugs! It's amazing that you can stay awake!
Join Free
cats eyes

North Scituate, RI

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#10
May 1, 2007
 
My comment was for Love
Amber

Halifax, Canada

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#11
Jun 5, 2007
 
love wrote:
heyy help?
i am soo confused
i take effexor 75mg
wellbutrin 300mg
and seroquel 200mg
do any of these have bad sexual side effects?
ohh and im pretty shaky and twitchie haha
but thats normal yeah?
That is a lot of drugs. The Effexor does have bad sexual side effects. I'm not sure about seroquel but Wellbutrin seems pretty good thus far and doesn't seem to affect me. If you choose to come off the Effexor be VERY careful and read the forums on Effexor withdrawl first..it's a horrible experience. I am on day 4 getting off them and it's been the worst four days of my life..I was just coming off a 37.5mg dosage too. Good luck
grace

Australia

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#12
Jun 5, 2007
 
effexor is terrible... tut tut... in regard to dopamine... changing the levels can be very mood and personality changing it will increase agression as well... i say kick the drugs unless there is a chemical imbalance youre just screwing with your body... my current partner was on effexor xr (extended release) which is supposed to stop a lot of the side effects but christ it made him sweat like crazy sex was awful and he was very sooky... so hes lowering his dosage... anyone taking meds esp effexor see your doctor before you stop taking them... i know that effexor has a suicide warning from the withdrawals etc...
Bob New York City

New York, NY

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#13
Jul 30, 2007
 
I'd also struggled with the sexual side effects of any number of anti-depressants. More than five years ago I went to Google and simply typed in "anti-depressants without sexual side effects." One came up that I hadn't heard of: Serzone. Apparently because the drug was associated with a microscopic number of liver problems, it had fallen into disuse, if not disrepute. From what I read, any side effect with any drug, no matter how miniscule the sample, must be duly reported to governmental regulatory agencies. I've also read that any liver problems associated with Serzone will show up relatively quickly. As a precaution, I still have liver tests done every year with my physical examination, even though I've been using the drug more than six years now without any problems whatsoever. Serzone (I now take the generic Nefazodone), which has actually been banned in Canada over this ridiculous paranoia, has essentially turned my life completely around. The drug may not work for you as it did for me, but you certainly won't have any trouble functioning sexually, nor will you experience a decrease in libido.
Norton

Washington, DC

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#14
Aug 5, 2007
 
18 weeks on EMSAM, now up to 12mg. No sexual side effects to speak of, and great effectiveness. What works for one person won't work for another. But my life is back on track after years of suffering. Good luck my friends.
sexy chick

Meridian, MS

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#15
Aug 5, 2007
 
Norton wrote:
18 weeks on EMSAM, now up to 12mg. No sexual side effects to speak of, and great effectiveness. What works for one person won't work for another. But my life is back on track after years of suffering. Good luck my friends.
Thanks, back to ya
coming

Ireland

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#17
Aug 22, 2007
 
sexy chick wrote:
<quoted text>Thanks, back to ya
Hey guys!!!

Have you ever entertained the possibility that taking any drugs of the nature you describe are highly addictive and are useless.

Try other forms of dealing with depression......one will also find ones libido "keeps it up"
Amy

Oak Park, IL

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#18
Aug 26, 2007
 
Sunny wrote:
HAS ANYONE HAD GOOD RESULTS FROM EMSAM PATCH OR ARE WE SPECULATING? I'VE HEART SOME WITH BAD SIDE EFFECTS THAT SURFACED 3 WKS AFTER STARTING PATCH.
BUT ANYONE BEEN ON IT, STAYED ON IT......????
I love the patch---no side affects. I started 7/16 and I am feeling wonderful. No groggy brain or memory lapses. This is an old medicine delivered in a new way to avoid the digestive system, so you don't have to be as careful about eating aged foods. Does anyone know how to find it for less money. At $17 a patch...or $6,000/year it is an expensive way to buy freedom from depression. By the way, I have wonderful orgasims
going

Sydney, Australia

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#19
Aug 27, 2007
 
coming wrote:
<quoted text>
Hey guys!!!
Have you ever entertained the possibility that taking any drugs of the nature you describe are highly addictive and are useless.
Try other forms of dealing with depression......one will also find ones libido "keeps it up"
Yeah, maybe they should try some scientology and murder their family members because scientology teaches mental illness isnt real
http://www.youtube.com/watch...
Rose

Jackson, NJ

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#20
Sep 1, 2007
 
I am currently on 12mg effexor. I respond to very small dosages of medication. Hate the sexual side effects.

I am swithching to EMSAM patch while still on the effexor. Once feeling good on the patch, doc will take me off effexor. Anyone else done it this way? The literature says you must go off your other medication before starting the patch. Am I safe?
dlb3695

Floral Park, NY

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#22
Sep 4, 2007
 
coming wrote:
<quoted text>
Hey guys!!!
Have you ever entertained the possibility that taking any drugs of the nature you describe are highly addictive and are useless.
Try other forms of dealing with depression......one will also find ones libido "keeps it up"
In my experience I have tried "Other forms". You may want to do some research because with major depression it didn't matter how much or for how long I did the other forms (diet, exercise, mediatation, yoga etc,.) I still had no relief.
peter

Boca Raton, FL

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#24
Jan 12, 2008
 
Cut the cost of Emsam by getting the larger doses and cutting them with a scissor. I have done this for over a year. There have been no problems. teh stuff doesn leak or anythhing like that. The company doesn't recommend it, but then they do recommend the price.
Peter

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