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Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3997
Experience:  MD Psychiatry
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Need a PSYCHIATRIST to weigh in (not a nurse or psychologist) 52

Resolved Question:

Need a PSYCHIATRIST to weigh in (not a nurse or psychologist)

52 M 250 5 9 all hormones/labs=mormal per 2 weeks ago

I suffer from very low libido (desire not function)
I suffer from night eating and binge eating

I seem to be connecting the two..... to DOPAMINE !

Is wellbutrin in order here and what has been YOUR experience with it on BOTH issues esp the eating one ?

Depresion: I have a history of it but not currently depressed.
Stopped Effexor for the ORGASMIC dysfunctions a few times
No ADHD No seizures No probs with motivation or energy

Note am on a weight loss/excersies pgm
Submitted: 4 years ago.
Category: Mental Health
Expert:  cathy replied 4 years ago.

Hi Fred and thanks for writing justanswer.com

 

I know you said you wanted to speak to a psychiatrist on this so I am responding on an information request and not as a formal answer. I have to say, your query would be better answered by a psychologist or therapist who has more experience with what you describe than a psychiatrist. I would leave my options open on this.

Having said this, we do have some wonderul psychiatrists on JA who are also well versed in human behavior and they come on later tonight so I think you will find a satisfactory answer from one of them. Most psychiatrists are not well versed in what you describe so you might want an opinion from a counselor. In the interim, I am leaving this for Dr. VIkas who is both versed in psychiatry and psychotherapy.

Good Luck to you Fred.

Cathy

Customer: replied 4 years ago.

anyone well versed in pharmacology as it relates to personal clinical experiences

with wellbutrin, libido, binge eating and dopamine !

 

I thought thats what psychiatrists do !

 

If not

 

what DO they do?

 

I am considering wellbutrin and figured an MD best to help !

 

thanks

Expert:  Dr. Kaushik replied 4 years ago.

Hi there ,

 

Welcome to Just answer !

 

Well, lets see , you have a history of depression , although currently not depressed according to you , and presently suffering from low libido , binge eating , so taking all this into account , may i please tell you that low libido , and eating disorders are many times assiociated with depression , and in your case it is most possible that these present symptoms are due to untreated depression, as you see depression has wide range of symptoms and the present symptoms of yours are one of them .

 

Now coming to your question , i would suggest you to go ahead with wellbutrin , starting at a low dose and gradually increasing to the therapeutic dose over a period of 1 week and there are 2 advantages of this drug , first is that it will treat your depression which will invariably have a positive effect over your low libido and eating habits and Secondly , it does not cause sexual dysfunction as a side effect like other ssri and snri anti depressants cause including effexor , so again this will boost your libido.

 

So, i would recommned the use of wellbutrin for you , as it serves your purpose as explained above.

 

I hope this helps..

 

I wish you all the best..

 

 

Regards

Customer: replied 4 years ago.

Out of curiosity:

 

If you took a person with NO HISTORY of depression, and not depressed.... BUT

had low libido AND night eating problems: would you connect those 2 to dopamine????

 

and use wellbutrin on THEM too ?

 

also

 

Does Wellbutrin (by raising dopamine) increase libido on its own?

Does Wellbutrin( by raising dopamine) cut night eating problems on its own?

 

 

 

I do not binge by day nor get hungry which is why I RULED out depression

but maybe you are right

Expert:  Dr. Kaushik replied 4 years ago.

Well, your low libido and night eating may or may not be related to dopamine , but , one thing that i know is , which has been shown by various studies is that wellbutrin does improve libido , even if the perosn has never been depressed , plus it is used to decrease binge eating and is used in treating obesity , the real mechanism of action of how this drug does it is still not known , possibly it does it by inhibiting dopamine reuptake , but , irrespective of the various theories about how it acts , it is quite often used in improving libido in both men and women , even when these people were never depressed , and is used in reducing binge eating as well and therby is quite often used in weight reduction.

 

see the links below..

 

http://en.wikipedia.org/wiki/Bupropion#Sexual_dysfunction

 

http://en.wikipedia.org/wiki/Bupropion#Obesity

 

I hope this helps.

 

 

Regards

Customer: replied 4 years ago.

Last question:

 

Have you ....yourself...... seen Wellbutrin help YOUR patients with

 

low sexual desire

and/or

eating dissorders (too much food)

 

??

 

 

 

I will accep on reply and PLEASE accept my thanks for your help and efforts !!

Expert:  Dr. Kaushik replied 4 years ago.

Well, we quite often use wellbutrin in those patients who are obese , low libido , for smoking cessation .

 

So, you shall also give it a genuine try and i am ure this is going to serve your purpose well.

 

Regards...

 

 

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3997
Experience: MD Psychiatry
Dr. Kaushik and 3 other Mental Health Specialists are ready to help you

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