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  • #2827
    jay
    Member

    Thank you , Doctor. I was very suprised to read that Wellbutrin does not affect dopomine; I was always told it did. I was referred to this citing regarding that matter?

    http://www.psychiatrist.com/pcc/pccpdf/v06n04/v06n0403.pdf

    #2808
    jay
    Member

    Doctor, thank you, again for the detailed answer. One other question, if I may.

    You stated:

    that Antidepressants either raise serotonin, raise norepinephrine, or raise both.For example, if norepinephrine is high, I can generally say a person is going to be stressed, irritable or anxious, has a high likelihood of having insomnia, may have hypertension, et., etc.

    Why would doctors give a medication like Lexapro, which I am told significantly improves the symptoms of anxiety if norepinephrine increases anxiety?

    #2262
    jay
    Member

    Dr Mariano:

    What is your opinon of Dopamine agonist therapy for libido issues using such medications as Bupropion or pramipexole, of example.

    My reason for asking is that I recently read an article by Dr. Irwin Goldstein, Clinical Professor of Surgery at University of California at San Diego and Director of San Diego Sexual Medicine where he maintains his clinical practice. Dr. Goldstein mentioned that often men who’s hormones are properly balanced still experience libido issues and he has found these medications to invalauble to his success in treatment.

    Just interested in your thoughts. Thank you.

    #2261
    jay
    Member

    Dr M. Thank you for your comprehensive response. may I ask, do you currently accept new patients, and if so, do you trat patients who are out of state?

    Thank you.

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