Search found 74 matches

by MChaplin
Thu Jan 22, 2009 9:33 am
Forum: Clinical Use of Buprenorphine
Topic: erectile dysfunction
Replies: 24
Views: 16535

JMurbach- I find that i keep thinking about your post- i think you are suggesting that "relational-sexuality" is a learned behavior that comes more naturally to women but is accessible to men and can help ameliorate the bup induced sexual dysfunction? This stirkes me as genius and a real break throu...
by MChaplin
Thu Jan 22, 2009 9:33 am
Forum: Clinical Use of Buprenorphine
Topic: erectile dysfunction
Replies: 24
Views: 16535

As a psychiatrist, I don't feel competent to prescribe testosterone and when the issue comes up, i refer my patients back to their PCP or to an Endocrinologist- there have been recent reports of****ociations between TT and both increased CV events and prostate cancer- medscape has a nice summary htt...
by MChaplin
Thu Jan 22, 2009 9:33 am
Forum: Clinical Use of Buprenorphine
Topic: erectile dysfunction
Replies: 24
Views: 16535

This week's JAMA has an editorial on T supplementation- it seems to be saying that more research needs to be done to establish the risk.benefit but at a minimum docs should be checking levels (two low levels needed to treat) to establish diagnosis and then again to establish efficacy- and that CV ri...
by MChaplin
Thu Jan 22, 2009 9:33 am
Forum: Clinical Use of Buprenorphine
Topic: erectile dysfunction
Replies: 24
Views: 16535

back to the original post- Cymbalta can cause ED- usually it is similar to what you see with SSRIs namely prolonged time to orgasm rather than failure to get an erection.

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