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Dr. Bob is Robert Hsiung, MD,
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Posted by platinumbride on November 20, 2003, at 10:28:36
In reply to Re: in defense of neurontin » platinumbride, posted by CraigD on November 20, 2003, at 0:38:24
There is a bipolar aspect as well, but the real culprits are depression and anxiety, so I do take ssris.
Best of luck to you.......lamictal is also supposed to be good for BP and depression.
Diane
Posted by responsiblek9 on November 20, 2003, at 18:18:24
In reply to Re: neurontin withdrawal, posted by Jadzia on November 20, 2003, at 8:49:54
Now this meets with what I experienced on neurontin. They put me on a low does for THREE Days and my hostility and anger wne off the charts and I was extrememly agitated and could not sleep. They yanked me off of it VERY FAST!!! I was inpatient at the time and they saw the sudden escalation. And they had known me over several years and know i am a very mellow laid bacvk person normally. I told them I was feeling odd and did not know what was going on with this anger issue. They told me it was the meds. Took a week after just to get the agitation down after only three days on it. It really affected me . I was terrified my anger would be out of control easily because I am not used to handling anger in a trapped environment . I normally remove my self from situations where i am getting just irritated. But that one had me in a space that made being around anyone intolerable. So they put a absolutely dont use this med in my charts LOL. They just used ativan to help me control the problems with the days after they pulled the neurontin so I could stay calm enough until the crud was out of my system. Scary stuff !!
>
><<<<<<<<<<<<< I am not the type of person that goes "looking for a fight"............but while on a High dose of Neurontin, that was ALL I COULD THINK ABOUT.>>>>>>>>>>>
>
Posted by Snowie on November 21, 2003, at 7:18:08
In reply to Re: neurontin withdrawal » jtevers, posted by ramsea on November 20, 2003, at 4:39:19
I've only read a portion of this thread, but my sister was diagnosed years ago with panic disorder and was put on Xanax. She then was later diagnosed with bipolar. She gained at least 60 lbs. after being put on lithium, which was at least a year before she was put on a host of meds (not all at the same time), including Neurontin, Seroquel, Paxil (she went off Paxil after gaining even more weight). She's still on Neurontin, but went off lithium. I've been on Neurontin for several years myself (never took lithium, but I'm not bipolar), and haven't had a noticeable weight gain.
Snowie
Posted by ramsea on November 22, 2003, at 9:22:35
In reply to Re: neurontin withdrawal » ramsea, posted by Snowie on November 21, 2003, at 7:18:08
I'm glad it's working well for you and not adding unwanted beef. Neurontin helped calm very distressing social anxiety. But I don't think it works as well for me anymore :(. Hope it keeps on for you.
Posted by Snowie on November 23, 2003, at 0:06:50
In reply to Re: neurontin withdrawal » Snowie, posted by ramsea on November 22, 2003, at 9:22:35
Meds occasionally poop out - I don't know why, and what works for one person may or may not work for another. I started taking Neurontin several years ago (I take about 800 mg. a day) for anxiety when Xanax started pooping out on me. I take Neurontin now with one 15 mg. tablet of Tranxene, and 40 mg. of Strattera (for possible ADD, but just until my 30-day supply runs out), and that keeps my anxiety at a manageable level. However, I can't say that mix has eliminated social anxiety for me. If you know of something better, please share it with me.
I think some people take Neurontin at higher doses for other reasons than anxiety, and at those higher doses I understand there could be withdrawal symptoms, and possibly weight gain. I can't say since I've never taken it at those higher doses.
Snowie
> I'm glad it's working well for you and not adding unwanted beef. Neurontin helped calm very distressing social anxiety. But I don't think it works as well for me anymore :(. Hope it keeps on for you.
Posted by karen_kay on November 23, 2003, at 9:01:36
In reply to Re: neurontin withdrawal » ramsea, posted by Snowie on November 23, 2003, at 0:06:50
Hi! Thought I might add my experience with the drug. I have Bipolar disorder and was taking 1200 mgs of Neurontin 4 times a day for anxiety. This is because my pdoc didn't want to take a chance of me getting addicted to benzos. The neurontin helped me out a lot. I really stopped pacing, cleaning obsessively, grinding my teeth, and other things. But, I put on weight. And it was hard to hold a conversation with me. And therapy began to really do its job. So, I stopped Neurontin cold turkey (I wouldn't suggest!). I didn't have any side effects, that I can recall. But, while I was taking Neurontin I did have a suicide attempt. Whether Neurontin had anything to do with it is beyond me. Neurontin helped me get my life in control. But, when I felt I didn't need it anymore, I quit taking it. Now, next week I have to tell my doctor I haven't taken it in over 2 months. He might be mad at me. Same thing for the antipsychotic Abilify. Who knows, after the doctor visit, I might need to resume taking it!!
Posted by Bigforkbrett on November 23, 2003, at 19:25:57
In reply to Re: neurontin withdrawal, posted by Jadzia on November 20, 2003, at 8:49:54
Hello All,
Very sad to hear all the problems you are having. One year ago I was in a car wreck that severed the Alder nerve going to my left arm and hand. I have been taking between 80 to 120mg oxycodone/oxcontin per day along with 2,400mg of Nuerontin for chronic pain for the past year. The beginning of this month I found a natural means of controlling my pain and Nov 5th I quit taking Oxycodone and began weaning myself off Nuerontin. I have been off the Nuerontin for 5 days now. I must say I quit both of these drugs before I read anything about the withdrawal. It is a good thing I did not read anything because, from what I have read and how I felt for over 3 weeks now, I truly believe I came close to dying. I do not recommend anybody going through what I did and am still going through. Even with the symptoms I have left, itching and exhausted, I have not felt as good and alive as I do now for over 1 year. I pray this gives you folks trying to get off this stuff hope- it is worth it from my perspective.
I am over the hump now but have one nasty symptom left I am hoping someone might help me with. I have hives or a rash all over my body that started about 3 days ago. Boy do I itch and I am still so wore down I don't have the energy to scratch.
Can anybody help me?
Posted by Jadzia on November 24, 2003, at 7:46:51
In reply to Re: neurontin withdrawal, posted by Bigforkbrett on November 23, 2003, at 19:25:57
Is it a Welt Type Rash that appears "Spontaneously" on different parts of your body?
If so, I have it too. It appeared about two weeks after I started taking Neurontin........but of course, when I complained about it to my Doctor(s), as I have THROUGHOUT my three year adventure with Neurontin, my complaints and "attributing" them to Neurontin, were quickly dismissed.
What I did find out is that a simple "Antihistamine", such as Promethazine or Benadryl, will STOP the Rash within 20 to 30 minutes.
It MUST be a ANTIHISTAMINE.........The "Rash" is an Allergic Reaction, even if you are no longer taking Neurontin or OxyCodine..........the Medications caused this Rash..............I HAVE LIVED WITH IT FOR THREE YEARS.
It's weird.........it just "spontaneously" appears on my Arm, then will move to my back, and just about anywhere it wants to appear, it does!!!
I have spoken and shown this "Welt Type Rash" to several Doctors............NONE OF THEM knew what was causing it.............UNTIL ALL THIS BAD NEWS CAME OUT REGARDING NEURONTIN.
Now they KNOW, FOR A FACT, that it is the Neurontin causing, yet, ANOTHER unwanted and dangerous "side-effect".
I have NEVER, in my ENTIRE LIFE, seen One Drug cause so many so much grief.
Something HAS TO BE DONE about Neurontin.
Posted by Jadzia on November 24, 2003, at 7:53:34
In reply to Re: neurontin withdrawal - WELT TYPE RASH, posted by Jadzia on November 24, 2003, at 7:46:51
And by the way, if you do have this "Welt Type Rash", you will NEED to keep the Antihistamine(s) with you at all times.
This "Rash" will re-appear as soon as the Antihistimine wears off.
At least an "Antihistimine" doesn't "Target" your Brain.........it targets the "Histimine" system.
Posted by shadows721 on November 24, 2003, at 23:10:46
In reply to Re: neurontin withdrawal - WELT TYPE RASH, posted by Jadzia on November 24, 2003, at 7:53:34
This article states scary facts about neurontin. I am on neurontin for a tremor, so I don't know what to make of all this. But, the article clearly states that neurontin is ONLY effective for epilepsy. The manufacturer's reps were told to lie to doctors about its usefulness to other conditions, such as bipolar and pain. It really makes you wonder about these manufactures and their sole intention is making big money. Please read..
Posted by shadows721 on November 24, 2003, at 23:33:43
In reply to Re: neurontin withdrawal - WELT TYPE RASH, posted by Jadzia on November 24, 2003, at 7:46:51
I am so sorry you are experiencing such awful withdrawal. I too am on Neurontin for tremors, but it doesn't seem that affective. It did help dull my back pain. I haven't noticed it really helped my anxiety at least not for long. How long were you on this med before you found out about the physical dependency? Is there a website on this? After reading the article about this manufacturer, I don't know what to believe about neurontin.
Posted by Snowie on November 25, 2003, at 5:20:41
In reply to Re: neurontin withdrawal - WELT TYPE RASH, posted by Jadzia on November 24, 2003, at 7:46:51
Jadzia,
I'm responding to your posts for several reasons - but before I start I want to tell you I'm very sorry that you had such a bad reaction to Neurontin.
I've taken Neurontin for several years for anxiety. It works great for me in smaller doses than perhaps what is prescribed for pain management or for seizures. I started taking Neurontin on a lark when Xanax stopped being as effective as it had been years before.
I have also gotten rashes from meds. The first rash was on the upper part of my back a week or so after taking Zoloft. I went off Zoloft immediately without calling my then pdoc. The second rash, much worse than the first, was on every inch of my stomach below my navel a week or so after taking BuSpar. It was beet red with bumps everywhere, and itched like crazy. I called my then pdoc and he told me to continue taking BuSpar, but to take Benadryl for the rash. He said Benadryl should get rid of the rash. He was right, but this med was terrible for me. I stopped taking BuSpar a couple of months later. I've taken a lot of meds over the years, and the one thing I've read over and over is that if you develop a rash as a result of taking a med, to stop taking it and call your pdoc. I believe my pdoc should have told me to stop taking it, but then that is one reason he is no longer my pdoc. Why I developed rashes to meds that most people don't is unknown, but we're all different and our body chemistries react differently to different meds. I don't think Zoloft or BuSpar are bad drugs since they apparently help millions of people worldwide. They just didn't help me.
I've also heard lots of people say that Neurontin didn't do anything to help them with anxiety. Why it helps me with anxiety is a mystery, but it does. I don't overanalyze that aspect of it, but since it works, I take it.
Snowie
Posted by Jadzia on November 25, 2003, at 7:43:30
In reply to The truth revealed on neurontin on a news program, posted by shadows721 on November 24, 2003, at 23:10:46
I want you all to know that I didn't make a "Conclusion" regarding Neurontin by watching one T.V. show, i.e., MSNBC Dateline.
Watching that Dateline Program ONLY REINFORCED what I had known all along............NEURONTIN IS NOT THE "SAFE" DRUG IT HAS BEEN MADE OUT TO BE.
I go the distance...........I investigate ALL SIDES.........I dig deep into the Internet.......I read Any & Every "thing" I can find on a particular "subject", in this case, Neurontin.
Did you know if you mix Neurontin with Depakote it can cause Stevens-Johnson Syndrome????
Of course we don't know.............BECAUSE THE DRUG COMPANIES DON'T WANT US TO KNOW.....They don't even want your Doctor to know.
I merely ran across a "Medical Paper" published by a Doctor who is also a Psychiatrist. He "Observed" this horrible & unwanted "side-effect" occur in SEVERAL of his Patients........thus began his "investigation" into Neurontin & Depakote.
I URGE ANYONE who has experienced "unwanted side-effects" from Neurontin, or any other Medication, to go to the FDA's (Food & Drug Administration) web site and file an "Adverse Reaction" Report.
This is how the FDA "Regulates" the Drug Manufacturer's.............this is the ONLY way the FDA can help us. This is where Attorney's go to find out about "Potential" HUGE Lawsuits against Drug Manufacturers.
That is how one Attorney found ME........and they will NOT SOLICIT your "business".........it is against the law for an Attorney to do that. What the Attorney did is, he emailed me requesting a copy of the "Paper" I wrote on my experience with Neurontin.
This Attorney is not filing a "Class Action" suit, he is filing on behalf of "Individuals" who have been harmed by the use of Neurontin.
If you want his name and email address, please contact me at mail4debbie@sbcglobal.net.
Posted by SandyWeb on November 25, 2003, at 7:44:06
In reply to Re: in defense of neurontin, posted by platinumbride on November 20, 2003, at 10:28:36
I have been on Neurontin for a few months now. I'm at 1600mg/day for social anxiety. It really has worked wonders for me. It really seems to be working in multiple ways. I feel more stable now than I have since my childhood!
It is such a shame that one med doesn't work the same way on every person. Then again, that would mean that we would be too much alike....and how boring would that be? *smile*
There is a list that is devoted to Neurontin. You may want to join it. The messages come directly to your email address.
Neurontin-L-request@Maelstrom.StJohns.Edu
Just send a Subscribe message to the above address.
Good luck everyone!
SandyWeb
Posted by Jadzia on November 25, 2003, at 8:06:12
In reply to To: Jadzia, posted by shadows721 on November 24, 2003, at 23:33:43
It didn't take long for my Physical Addiction to become apparent to me..........maybe six months into the use of Neurontin..........but NO ONE BELIEVED ME!!!!!!
Because Neurontin doesn't make you "feel good", I would often forget to take it. I thought I was coming down with the Flu.........until it happened several times, and I put two and two together. When I would take the Neurontin the "withdrawal symptoms" would disappear within 20 to 30 minutes.
So I did a "controlled" test on myself.
Because Neurontin is NOT SUPPOSED TO BE ADDICTING, I should not have had ANY problem with abrupt cessation of this Medication. So I STOPPED taking it..........by day two I was so ill that I thought I was going to die.
I couldn't stand it anymore so I took two 400mg of Neurontin.........low and behold......within 20 to 30 minutes ALL WITHDRAWAL SYMPTOMS had subsided.
I am NOT ON ANY OTHER MEDICATIONS.........Any other posibility has been "eliminated" by my Psychiatrist............even "humiliating" weekly drug test for "street-drugs" have proved I am NOT ON ANY OTHER MEDICATIONS.
My "precious" Doctor was FORCED by 15 other PDoc's to make me "drug test"...........They simply didn't BELIEVE ME that I was Physically Addicted to Neurontin.
Now EVERYONE BELIEVES ME........especially my Doctor.........she is so proud of me........she is so happy that I proved them WRONG.
She is also HORRIFIED that she was OUT AND OUT LIED TO.........and that now, there is the possibility that many of her Patients have been placed in harms way.
One way or another, if even ONE in a THOUSAND people are adversly "affected" by Neurontin, then think about how many people that TRULY IS........MILLIONS OF PEOPLE ARE ON NEURONTIN.
HUNDREDS have emailed me with their "horror stories"..........and I am just one person they are reaching out to.
Posted by Jadzia on November 25, 2003, at 8:20:27
In reply to Re: neurontin withdrawal - WELT TYPE RASH » Jadzia, posted by Snowie on November 25, 2003, at 5:20:41
In the begining, when I was prescribed Neurontin for "Anger Control", I told my Psychiatrist that I felt like I constantly had this HUGE KNOT in my stomach..........and that I felt like POISEN was running through my viens instead of blood.
So he prescribed me Neurontin........for the fist few months it felt like a "God Send".......it felt like this HUGE BLACK CANCEROUS TUMOR had been removed from my stomach.
But soon, as Neurontin wormed its way into my mind, it "turned" on me.........I became UNCONTROLLABLE.......my simple "Anger" turned into Uncontrollable Anger, Rage & Hostility, with NO REMORSE.
I developed IBS, I developed a Welt Type Rash, I became HOMOCIDAL..........I wanted to KILL PEOPLE. I plotted and planned many a persons death.........thank GOD that my "intellect" overrides my "emotions", and thank GOD that I have the "Fear of God" instilled in me. I became a "Prisoner" in my OWN HOME.
I have NEVER in my entire life, seen one drug wreak such havoc upon so many.
Posted by shadows721 on November 25, 2003, at 16:33:15
In reply to Re: neurontin withdrawal RASH - In the Beginning, posted by Jadzia on November 25, 2003, at 8:20:27
Is there anything to help you through this horrible withdrawal. This stuff is scaring me now. I have been on it off and on for 6 months. I do find when I take 900 mg that I feel very depressed. I need to take an anticonvulsant medication for my tremor, but I don't know of one that isn't addictive. Do you?
Posted by Lynn O on November 25, 2003, at 21:42:26
In reply to Re: in defense of neurontin, posted by SandyWeb on November 25, 2003, at 7:44:06
I have been taking Neurontin for 4 months, to combat pain due to Fibromyalgia. I have had extremely good luck with it for pain. The anti-anxiety component is a nice side-effect for me, but I was given this prescription for pain. I am able to live pain-free because of this med. If I miss my middle dose of the day, I start to feel slightly sore, about 6 hours later. Taking the 3rd/last dose of the day at that time causes the pain to subside. It has been a world of difference for me, and the longer I take it, the less pain I'm in. The dose I take is 300mg, 3x per day. If I didn't take this, I would have to walk around with 12 hour Lidoderm patches (Lidocain) applied to various body parts, which is extremely unattractive! :)HaHa!
Posted by Lynn O on November 25, 2003, at 22:32:39
In reply to Re: neurontin withdrawal, posted by karen_kay on November 23, 2003, at 9:01:36
> Hi! Thought I might add my experience with the drug. I have Bipolar disorder and was taking 1200 mgs of Neurontin 4 times a day for anxiety. This is because my pdoc didn't want to take a chance of me getting addicted to benzos. The neurontin helped me out a lot. I really stopped pacing, cleaning obsessively, grinding my teeth, and other things. But, I put on weight. And it was hard to hold a conversation with me. And therapy began to really do its job. So, I stopped Neurontin cold turkey (I wouldn't suggest!). I didn't have any side effects, that I can recall. But, while I was taking Neurontin I did have a suicide attempt. Whether Neurontin had anything to do with it is beyond me. Neurontin helped me get my life in control. But, when I felt I didn't need it anymore, I quit taking it. Now, next week I have to tell my doctor I haven't taken it in over 2 months. He might be mad at me. Same thing for the antipsychotic Abilify. Who knows, after the doctor visit, I might need to resume taking it!!
Hi Karen,
I may be wrong, but I was under the impression that we all pay our Dr.'s to help US with controlling our emotions (through meds, etc.)NOT THAT WE PAY THE DR. SO HE/SHE CAN CONTROL US! Maybe you were kidding around-I'm not sure-but if you are afraid to tell your Dr. something because he might be mad at you, do you think you should consider the fact that HE is controlling you? (This is not necessarily the same thing as helping you) Just a thought, and of course everyone's situation and diagnosis are different. I have been diagnosed with ADHD, Depression, and just in the last few weeks while talking to Dr.'s and counselors about my Daughter's recent Anxiety Disorder diagnosis, they have made an unofficial diagnosis of my own Anxiety Disorder. I understand your relationship with your Dr. may be different than mine due to the Bipolar, and past suicide attempt. I was just a little concerned with your fear/anxiety in telling him. I feel that even though I have a particular diagnosis, and the Dr. believes I should take a certain med. because it will help me, it is still MY choice to take it- or not. I may be way off, and hope I haven't offended you. :)
Posted by Lynn O on November 25, 2003, at 22:46:40
In reply to Re: The truth revealed............NOT COMPLETELY, posted by Jadzia on November 25, 2003, at 7:43:30
Hello,
Thanks for being so thorough in your investigation. I have a very clear idea of how you feel about this medication.
I was just wondering what Depakote is usually prescribed for? - (I have never heard of it until reading the name on postings here.)
Also please tell me what Stevens-Johnson Syndrome is - I am not familiar with that either.
Thanks,
Lynn O
Posted by Jadzia on November 26, 2003, at 7:24:19
In reply to Re: The truth revealed............NOT COMPLETELY » Jadzia, posted by Lynn O on November 25, 2003, at 22:46:40
Depakote is supposed to be a "Mood Stabilizer"........yeh.......stabilize this!!!!!!!
Didn't do a thing for me........by week three I was having "involuntary" jerking of my head, arms, legs, etc..........and I was on Neurontin & Depakote at the same time.
No, I didn't develope Stevens-Johnson Syndrome........I found out about it because I was researching the "Welt Type Rash" that I came down with shortly after being placed on Neurontin.
Stevens-Johnson Syndrom is a "Reaction" triggered by a Genetic Code when certain Medications are interacted with one another.
It causes a Rash, that turns into severe leisions, and if not diagnosed and treated properly, a person will end up in the "Burn Unit" of a Hospital...........their skin just falls off.
Just type in Stevens-Johnson Syndrome into your browser..........that will give you a more concise and informed view on this devastating syndrome.
Posted by Lynn O on November 26, 2003, at 9:03:35
In reply to Re: The truth revealed............NOT COMPLETELY, posted by Jadzia on November 26, 2003, at 7:24:19
Oh How Horrible!
Thanks so much for the info.!
:)Lynn O
Posted by Caleb96 on November 26, 2003, at 10:55:53
In reply to Re: neurontin withdrawal » karen_kay, posted by Lynn O on November 25, 2003, at 22:32:39
Lynn:
Your post is quit interesting. I never realized Neurontin was used as a drug to treat psych problems. I take Neurontin for trigeminal neuralgia--it's an excruciating pain that radiates across one side of the face. I only get it occasionally, so I take Neurontin on an "as needed" basis.
I take Effexor and Wellbutrin for depression and that combo works well for me. Sometimes I get hyped-up from the Effexor and Wellbutrin, and I'll take 1 mg Klonopin to relax. I used to drink heavily several years ago, but I don't touch alcohol anymore. I think not drinking really does allow the meds to work better.
Regards,
Caleb
Posted by Lynn O on November 26, 2003, at 11:24:40
In reply to Re: neurontin withdrawal, posted by Caleb96 on November 26, 2003, at 10:55:53
Hi Caleb,
I never knew you could take Wellbutrin and Effexor at the same time. I just came off Effexor (with no problems) to go on Wellbutrin since it doesn't have sexual side effects.(No interest in)
I know I had good results in the past with Wellbutrin, but feel I am not doing as well on it as the Effexor. -Tend to be crying very easily which has not been the case in the last year+ on Effexor. I am trying to sort out if this is due to a combination of stress from my daughter's anxiety problems, lack of sleep, and feeling a little down due to the death of a friend/aquantaince from church. I suspect it's the Wellbutrin not working as well as Effexor. I have a more severe form of depression than I had in the past while on Wellbutrin. I am finding here that many people take a combination of various antidepressants together-which is something that had never been suggested to me before. Certainly info. to file away in the back of my head for the future.
Take care-
Lynn O
Posted by Caleb96 on November 26, 2003, at 12:29:29
In reply to Re: neurontin withdrawal » Caleb96, posted by Lynn O on November 26, 2003, at 11:24:40
Lynn:
Several years ago (about '93) I was taking Zoloft for D. It worked great but gave me sexual (no orgasm)problems. At first I didn't even care I felt so great. It was the first time in my life I wasn't looking at the world through a fog. I even got married (two years earlier I never even dated!). I'm still happily married to that same great woman.
Anyway, I complained to the psych about the side effects. Believe it or not, doctors were really clueless about this issue with SSRIs (I'm sure this doesn't apply to Dr. Bob!). I think they just saw an incredible, positive change in their patients and felt like side effects were a minor problem. I would frequently stop taking the Zoloft for 4 or 5 days to get my...ahem, my "woody" back to normal. But having to plan that far in advance kills some of the romance.
Anyway, the psych I was seeing at that time put me on Wellbutrin because it's not an SSRI and it doesn't cause sexual side effects. The problem was it didn't help my D. I was OK for a while, but in the dead of winter I started getting very down and moody. So I went back on the Zoloft just to get some relief.
Many years later, the Zoloft quit working, and I spiralled into a major D episode. I tried Remeron but that turned me into a zombie. All I wanted to do was sleep and eat. That's when I was put on Effexor. The change was nothing short of miraculous. I was better in 2 days. The problem is Effexor has the ole SSRI side effects. (Technically, Effexor isn't an SSRI, it's an SNRI, but it's still a strong serotonin reuptake inhibitor. From the literature I've read, Effexor isn't a very strong inhibitor of norepinephrine reuptake in the CNS, however, it does raise BP so I'm a little confused on this mechanism.) I was put on Wellbutrin in the hope that it would counter the elevated serotonin effect. No dice. I still have the same problems with Effexor. The Wellbutrin hypes me up, which I like because when I was taking Effexor and Klonopin alone, I would get very sleepy if I sat and got comfortable--usually in the wrong place like business meetings!
I've heard of MDs prescribing Wellbutrin with lots of different SSRIs. For some folks, it does counteract the sexual side effects.
Regards and Good Mental Health,
Caleb
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