• Log in with Facebook Log in with Twitter Log In with Google      Sign In    
  • Create Account
  LongeCity
              Advocacy & Research for Unlimited Lifespans

Photo
* * * * - 3 votes

Severe Anhedonia, and Hyposexuality

anhedonia libido hyposexuality naltrexone agomelantine ibogaine

  • Please log in to reply
45 replies to this topic

#31 drg

  • Guest
  • 332 posts
  • 10
  • Location:Canada
  • NO

Posted 01 November 2014 - 03:30 AM

Yes, I simplify treatment of mental disorders as much as possible.
 
Why? Because we hardly have the faintest understanding of how to treat these types of problems. I feel in general treating mental illness comes down to mostly educated guesswork. In OP case he does not even have a diagnosis as a guide to his treatment, he only has two symptoms which could be caused by a dozen different things.
 
So, how do you treat something when we don't know what it is? Trying to eliminate possibilities. I suggested trying an antidepressant so he can say for certain "I have already tried an antidepressant (SSRI, SNRI) and they don't help me at all". So I am not going to waste further time down that possible treatment path. Plus antidepressants are prescribed for so many reasons beyond whats on their label and who knows it may just help OP. And at least you would know for sure one way or the other.
 
The reason for my suggestion had nothing to do with me believing he had depression or not. It all comes down to practical treatment. What meds will work. What Supplements will work. Ect.
 
Anyways I appreciate the discussion.
 

I understand you're trying to help the OP, but I think you oversimplify his particular predicament to fit inside your own simplistic box.  Firstly, he didn't mention that he was depressed.  In fact, he specifically stated he was not "depressed," but suffered from anhedonia and low libido.  Yes, those two symptoms are often associated with depression, but they are also indicated in other neurochemical dysfunctions as well.  The problem as I see it is that you subscribe to an impossibly broad and all encompassing definition of depression, as if it's this monolithic disease which, if treated, will solve all.  There are many ways we can and should look at depression, and it has a myriad of types, sub-types and different causes.  There are those who respond well to traditional SSRIs who probably have a very specific type of serotonergic based depression.  Conversely, there are those with low energy depression, combined with ADHD symptoms for whom an SSRI and it's subsequent possible downregulation of dopamine would make those symptoms worse.  Over 60% of SSRI users report sexual dysfunction, and emotional blunting and anhedonia are common characteristics of SSRIs.  
 
 Really, I think the scientific community still has a ways to go to really understand the impossibly complex and interrelated mechanisms that contribute to the galaxy of symptoms that we collectively refer to as "depression."   Understanding them in greater detail will allow us to tailor a treatment protocol that targets the specific root causes and not just ...."oh, you're tired?  You must be depressed.  Here!  Take these SSRIs!"  Trust me, I've been there.


Edited by drg, 01 November 2014 - 03:36 AM.


#32 Son of Perdition

  • Validating/Suspended
  • 33 posts
  • 4
  • Location:Spamland
  • NO

Posted 01 November 2014 - 06:03 PM

I agree with area on this one, he is merely pointing out that to treat these thing like low libido and anhedonia you have to look at the biochemical mechanisms on all of what may cause it, basedon what research is availabel. so imo, he makes the great point of figuring out the central regulators on both sexual functions and it is well known that some kappa agonists can produce dysphoria and anhedonia by draining dopamine levels. in addition, your natural levels i beleive is correct on that as well cus why do people get ssri induced issues in first place? and the study to show it that these do increase endorphin level. 


Edited by Son of Perdition, 01 November 2014 - 06:04 PM.


sponsored ad

  • Advert
Click HERE to rent this advertising spot for BRAIN HEALTH to support LongeCity (this will replace the google ad above).

#33 AMx Workshop

  • Guest Spammer
  • 26 posts
  • 3
  • Location:niagara falls, ny
  • NO

Posted 01 November 2014 - 07:02 PM

i kinda see all of your points. but i'm not sure why some of your are attacking area when he is just pointing out the right stuff in regard to libido and this is one of op's primary issues..he never said he was depressed !  :|?



#34 YOLF

  • Location:Delaware Delawhere, Delahere, Delathere!

Posted 02 November 2014 - 12:26 AM

Please remain polite.

 

Attacks = Bad

Facts = Good

 

Your discourse alone should be enough to discredit those who aren't slinging facts. Otherwise you'll be warned and suspended as per our Terms.  Above all else, please be kind and educate those who don't know as much as you. 

 

We depend on your reports to stop bad forum behavior and will moderate as time allows. If the discourse becomes significantly disrupted, the thread will be deleted in it's entirety.

 

Thanks,

 

Moderation



#35 Gorthaur

  • Guest
  • 139 posts
  • 30
  • Location:USA

Posted 02 November 2014 - 03:03 AM

This is likely one of the most unintelligent and ill informed, generalized statements I've ever heard.

 

 

Maybe you just aren't educated on the matter..but first.

1.) It's not that simple, and tongkat ali doesn't have much of an effect on estrogen and progesterone - which are opiate modulators.

2.) Net androgen activity and responsivity also correlates with genetics.

3.) Enlarged prostate is related to estrogen, several studies show that dihydrotestosterone treatments can reduce prostate enlargement.

Sorry to burst your bubble, but you are still consuming propaganda like maple syrup. 

4.) MPB  , though has some relevance to androgens..it has more to do with 5-alpha reductase localization and genetics.

5.)Testosterone and androgens do NOT just affect dopamine..in fact, androgens like DHT have little to no effect on dopamine...

DHT however may raise epinephrine and alter adrenaline receptor expression, and it may actually decrease dopamine turnover..but not directly alter the serum or whole level. Then again it may allow for more dopamine interactions by it's modulation of hippocampal plasticity and calcium nerve terminals....

6.)Free T that converts into estrogen, when in the proper ratio with androgens..upregulates multiple dopamine and serotonin subtypes, inhibits PDE AND MAO's..and affects many other pathways including nitric oxide, glutamate etc, histamine h1 mRNA..all that.

7.) DHT modulates opiate receptor bioavailability and may enhance the effects of naltrexone by re routing beta endorphin to more acceptable and less harmful receptors.

 

Do some reading, check out these articles..you'll learn a lot!

 

http://area1255.blog...how-of-dht.html

http://well.blogs.ny...-exercise/?_r=0

http://www.ncbi.nlm..../pubmed/4000546

 

 

Why are you so quick to call me unintelligent, just because I disagreed with you? You're not going to convince anyone of your views with that attitude. 

 

Please provide a link to the studies that show that prostate enlargement is caused by estrogen. This is an extraordinary claim that completely contradicts standard medical practice. If this is true, how do you explain the studies which show that finasteride is effective in treating prostate enlargement and preventing prostate cancer? Wouldn't finasteride have the opposite effect?

 

You mention that male pattern baldness "has some relevance to androgens" but "it has more to do with 5-alpha reductase localization." 5-alpha reductase is involved in the metabolism of androgens and other steroids. Do you believe that DHT causes hair loss? What other genes could be responsible? 

 

I have read your article, and you have obviously done a lot of research, but you're taking bits and pieces of unrelated and highly specialized studies and making unwieldy generalizations from them. It's tough to draw the kind of conclusions you're making without high-quality human studies. Most of these points are only theoretical, such as the relationship between DHT and naltrexone.


  • like x 1

#36 Area-1255

  • Guest
  • 1,515 posts
  • 8
  • Location:Buffalo,NY

Posted 02 November 2014 - 03:52 AM

 

This is likely one of the most unintelligent and ill informed, generalized statements I've ever heard.

 

 

Maybe you just aren't educated on the matter..but first.

1.) It's not that simple, and tongkat ali doesn't have much of an effect on estrogen and progesterone - which are opiate modulators.

2.) Net androgen activity and responsivity also correlates with genetics.

3.) Enlarged prostate is related to estrogen, several studies show that dihydrotestosterone treatments can reduce prostate enlargement.

Sorry to burst your bubble, but you are still consuming propaganda like maple syrup. 

4.) MPB  , though has some relevance to androgens..it has more to do with 5-alpha reductase localization and genetics.

5.)Testosterone and androgens do NOT just affect dopamine..in fact, androgens like DHT have little to no effect on dopamine...

DHT however may raise epinephrine and alter adrenaline receptor expression, and it may actually decrease dopamine turnover..but not directly alter the serum or whole level. Then again it may allow for more dopamine interactions by it's modulation of hippocampal plasticity and calcium nerve terminals....

6.)Free T that converts into estrogen, when in the proper ratio with androgens..upregulates multiple dopamine and serotonin subtypes, inhibits PDE AND MAO's..and affects many other pathways including nitric oxide, glutamate etc, histamine h1 mRNA..all that.

7.) DHT modulates opiate receptor bioavailability and may enhance the effects of naltrexone by re routing beta endorphin to more acceptable and less harmful receptors.

 

Do some reading, check out these articles..you'll learn a lot!

 

http://area1255.blog...how-of-dht.html

http://well.blogs.ny...-exercise/?_r=0

http://www.ncbi.nlm..../pubmed/4000546

 

 

Why are you so quick to call me unintelligent, just because I disagreed with you? You're not going to convince anyone of your views with that attitude. 

 

Please provide a link to the studies that show that prostate enlargement is caused by estrogen. This is an extraordinary claim that completely contradicts standard medical practice. If this is true, how do you explain the studies which show that finasteride is effective in treating prostate enlargement and preventing prostate cancer? Wouldn't finasteride have the opposite effect?

 

You mention that male pattern baldness "has some relevance to androgens" but "it has more to do with 5-alpha reductase localization." 5-alpha reductase is involved in the metabolism of androgens and other steroids. Do you believe that DHT causes hair loss? What other genes could be responsible? 

 

I have read your article, and you have obviously done a lot of research, but you're taking bits and pieces of unrelated and highly specialized studies and making unwieldy generalizations from them. It's tough to draw the kind of conclusions you're making without high-quality human studies. Most of these points are only theoretical, such as the relationship between DHT and naltrexone.

 

It's a paradox of sorts..yes DHT can** cause some enlargement, but only to a certain point itself, the reason behind this is solely between the interactions of DHT and SHBG. In other words, it's a coincidence that 5-ar inhibitors may help prostate enlargement..the reason is because SHBH controls the uptake of estrogen and androgens, and extreme alterations of this and other binding proteins that may occur naturally may result in abnormal variations of hormones concentrating and accumulating in the prostate. THERE is an inverse correlation between these these binding proteins and how androgen receptors are localized, what occurs here is that DHT inhibits SHBG - and in this case then more testosterone is "freed up" - leaving more possible estrogen floating around and in the prostate to where the uptake may be altered yet again. 

 

Think about how hormones attach and de-attach, high levels of freely circulating test are a good thing IF the ratios are genetically sound, or otherwise in good shape. In other words, having high free T itself is not bad, but having high free T with a genetic disposition and more estrogen conversion sets one up for issues.

 

*study on aromatase inhibitors and prostate enlargement*

Now if androgens were the whole story, common sense would tell you that aromatase inhiibitors would cause or worsen prostate enlargement..because by inhibiting aromatase and estrogen..you would have nearly a 4 fold increase in both testosterone and DHT!!!

It's not always as clear cut as you might think....and it's not that I am saying this to disagree, I just hate to see people deceived by propaganda!

 

You have to read the fine print of the studies, and draw your own conclusions....

 

But here's an image for your head....estrogen and prolactin are basically growth hormones...wet hormones, or bloating hormones...it's a generalization a bit..but the point is that studies have shown that very little estrogen and / or prolactin leads to a very thin, or lean build....because of their interactions with insulin...now interestingly , insulin is also involved in altering SHBG and other sex hormone binding proteins..and yet is now being seen as playing a role in prostate issues.

 

 
Med Hypotheses. 2011 Apr;76(4):474-8. doi: 10.1016/j.mehy.2010.11.024. Epub 2010 Dec 14.
Role of insulin and testosterone in prostatic growth: who is doing what?
Abstract

Previous studies have demonstrated increased incidence of benign prostatic hyperplasia in insulin-resistant individuals. In addition to androgens, prostatic growth is sensitive to the peptide growth factors including insulin. Experimental studies employing intervention of selective β-cell toxin streptozotocin and castration suggest that depletion of either insulin or testosterone results in the severe prostatic atrophy (>80%). Exogenous testosterone and diet-induced experimental hyperinsulinemia induces prostatic enlargement in rats. Further, hyperinsulinemia sensitizes prostate towards the growth promoting effect of testosterone, and testosterone augments prostatic growth even in the hypoinsulinemic rats. However, in castrated rats diet-induced hyperinsulinemia fails to promote prostatic growth. Based on these evidences it is hypothesized that in the presence of testosterone insulin plays an important role in the prostatic growth. The epidemiological reports witnessing increased incidences of prostatic enlargement in men with metabolic syndrome, which are known to have increased level of insulin, provides a validating clue to the hypothesis. Further, the hypothesis suggests that targeting insulin signaling pathway could be a new objective for the treatment of prostatic enlargement.

 

 



#37 VICREP

  • Topic Starter
  • Guest
  • 160 posts
  • 14
  • Location:Australia
  • NO

Posted 03 November 2014 - 04:52 AM

Update:

2nd day off dex or tianeptine. Find I can't wake up even with ample sleep and caffeine. Will give more in-depth feedback in a few days when I can get some motivation and drive.

Even typing out this an effort.

Please don't start de-railing this thread with argumentative posts. Helps no one.

Cheers guys
  • like x 1

#38 mindpatch

  • Guest
  • 120 posts
  • 28
  • Location:United States

Posted 03 November 2014 - 03:47 PM

i kinda see all of your points. but i'm not sure why some of your are attacking area when he is just pointing out the right stuff in regard to libido and this is one of op's primary issues..he never said he was depressed !  :|?

Hmmm.   We have one guy getting in drawn out urinating contests will all involved and sending the thread careening off-topic, and now you have two users with little posting history, both from the same county in Upstate NY, chiming in to cheerlead our aforementioned argumentative guy.

 

Sock puppets?  Who knows?  But really, is winning an argument on the internet truly that important?



#39 mindpatch

  • Guest
  • 120 posts
  • 28
  • Location:United States

Posted 03 November 2014 - 04:07 PM

Yes, I simplify treatment of mental disorders as much as possible.
 
Why? Because we hardly have the faintest understanding of how to treat these types of problems. I feel in general treating mental illness comes down to mostly educated guesswork. In OP case he does not even have a diagnosis as a guide to his treatment, he only has two symptoms which could be caused by a dozen different things.
 
So, how do you treat something when we don't know what it is? Trying to eliminate possibilities. I suggested trying an antidepressant so he can say for certain "I have already tried an antidepressant (SSRI, SNRI) and they don't help me at all". So I am not going to waste further time down that possible treatment path. Plus antidepressants are prescribed for so many reasons beyond whats on their label and who knows it may just help OP. And at least you would know for sure one way or the other.
 
The reason for my suggestion had nothing to do with me believing he had depression or not. It all comes down to practical treatment. What meds will work. What Supplements will work. Ect.
 
Anyways I appreciate the discussion.
 

I understand you're trying to help the OP, but I think you oversimplify his particular predicament to fit inside your own simplistic box.  Firstly, he didn't mention that he was depressed.  In fact, he specifically stated he was not "depressed," but suffered from anhedonia and low libido.  Yes, those two symptoms are often associated with depression, but they are also indicated in other neurochemical dysfunctions as well.  The problem as I see it is that you subscribe to an impossibly broad and all encompassing definition of depression, as if it's this monolithic disease which, if treated, will solve all.  There are many ways we can and should look at depression, and it has a myriad of types, sub-types and different causes.  There are those who respond well to traditional SSRIs who probably have a very specific type of serotonergic based depression.  Conversely, there are those with low energy depression, combined with ADHD symptoms for whom an SSRI and it's subsequent possible downregulation of dopamine would make those symptoms worse.  Over 60% of SSRI users report sexual dysfunction, and emotional blunting and anhedonia are common characteristics of SSRIs.  
 
 Really, I think the scientific community still has a ways to go to really understand the impossibly complex and interrelated mechanisms that contribute to the galaxy of symptoms that we collectively refer to as "depression."   Understanding them in greater detail will allow us to tailor a treatment protocol that targets the specific root causes and not just ...."oh, you're tired?  You must be depressed.  Here!  Take these SSRIs!"  Trust me, I've been there.

I think you did an admirable job in your first two sentences of the second paragraph of making my argument for me.  You're right.  In a lot of cases the psychiatric community does not have the faintest idea how to treat these types of problems.  All the more reason, in my opinion, why a more informed educated guess is necessary.  You come at it from the perspective of throwing stuff at the wall and seeing what sticks.  That might be ok if SSRIs did not have significant side effects and make problems worst, sometimes permanently, for some people.  The "error" component of trial and error is just not acceptable.  

 

And you can't just try an SSRI out to see if it works.  It's a long term commitment to allow them to build up enough to evaluate their effectiveness, if in fact they ever do.  And if they don't immediately, then a doctor will continue to adjust the dose upwards, then supplement them with other drugs such as Abilify, all under the assumption that, as an anti-depressant, they should alleviate the primary symptoms.  It could be years before a patient finally gives up on them, in which case they may have caused harm.  

 

 



#40 drg

  • Guest
  • 332 posts
  • 10
  • Location:Canada
  • NO

Posted 03 November 2014 - 10:19 PM

Throwing things at the wall and seeing what sticks is generally how intractable cases are approached. Mental health care is lost without a diagnosis and a direction to point.

 

I will agree that trying an SSRI is a large time investment (at least 2 months) that could (perhaps?) be better spent trying other meds. I mentioned a few, and OP already had a few good thoughts for meds. But what if all those suggestions failed. I think an antidepressant is somewhere in the logical pipeline of things . 

 

In terms of side effects SSRI are mild and comparable to all the other drugs mentioned and tried by the OP. So the risk of an antidepressant isn't any worse. Also any drug listed in this topic is being tested by "trial and error" OP doesn't have a diagnosis so no meds are specifically targeting what the OP is dealing with. There is no medical consensus treatment for anhedonia. 

 

I think you did an admirable job in your first two sentences of the second paragraph of making my argument for me.  You're right.  In a lot of cases the psychiatric community does not have the faintest idea how to treat these types of problems.  All the more reason, in my opinion, why a more informed educated guess is necessary.  You come at it from the perspective of throwing stuff at the wall and seeing what sticks.  That might be ok if SSRIs did not have significant side effects and make problems worst, sometimes permanently, for some people.  The "error" component of trial and error is just not acceptable.  

 

 

And you can't just try an SSRI out to see if it works.  It's a long term commitment to allow them to build up enough to evaluate their effectiveness, if in fact they ever do.  And if they don't immediately, then a doctor will continue to adjust the dose upwards, then supplement them with other drugs such as Abilify, all under the assumption that, as an anti-depressant, they should alleviate the primary symptoms.  It could be years before a patient finally gives up on them, in which case they may have caused harm.  



#41 VICREP

  • Topic Starter
  • Guest
  • 160 posts
  • 14
  • Location:Australia
  • NO

Posted 07 November 2014 - 12:32 PM

I'm still waiting for my naltrexone and have been using tianeptine for motivation and mood.

Let me just say that I have reached probably the peak of frustration. The most debilitating thing for me is the complete and utter, disinterest in sex. I feel like there us something fundamentally wrong with me. I'm seeing thus girl right now and I can tell she us slowing losing interest in me. 95% of the reason why is my lack of sexuality.

Sex is a chore for me. Something I used to be able to perform anywhere, anytime for the most part. Having a high libido helps a lot in relationships I find. Girls just generally found me more attractive before. Now it's like I fake my way threw the whole thing. It's crippling in a sense.

I would love to give agomelatibe a go but I know there us no way I'll find a reasonsabe price.

It's getting to the point where I feel like giving up all together. I literally haven't had a proper 100% erection in 2.5years. I'm 23. This is cruel.

Edited by VICREP, 07 November 2014 - 12:33 PM.


#42 mindpatch

  • Guest
  • 120 posts
  • 28
  • Location:United States

Posted 08 November 2014 - 03:37 PM

I'm still waiting for my naltrexone and have been using tianeptine for motivation and mood.

Let me just say that I have reached probably the peak of frustration. The most debilitating thing for me is the complete and utter, disinterest in sex. I feel like there us something fundamentally wrong with me. I'm seeing thus girl right now and I can tell she us slowing losing interest in me. 95% of the reason why is my lack of sexuality.

Sex is a chore for me. Something I used to be able to perform anywhere, anytime for the most part. Having a high libido helps a lot in relationships I find. Girls just generally found me more attractive before. Now it's like I fake my way threw the whole thing. It's crippling in a sense.

I would love to give agomelatibe a go but I know there us no way I'll find a reasonsabe price.

It's getting to the point where I feel like giving up all together. I literally haven't had a proper 100% erection in 2.5years. I'm 23. This is cruel.

Did you get some bloodwork done yet?

 

Sorry to hear about your struggles.  I've been there.  I had a pretty good sex drive and fantasy life for most of my adult life.  I started to have problems about five years ago.  My interest just started to wane.  I think maybe it was just a combination of age and the long term use of SSRIs.  About two years ago things just crashed:  my mood, sex drive.  I had severe anhedonia....it felt as if nothing really mattered and nothing interested me, which caused extreme anxiety bordering on perpetual panic.   It's not a good feeling.

 

I feel better now.  I feel more attracted to women, even though my relationship with my lady friend fizzled out because of my emotional indifference and loss of libido.  I have pretty decent morning erections and feel pretty horny, and I'm resisting the temptation of unnecessarily jerking off.  I think this helps, too.

 

The way I see it, I'm trying to heal and reset whatever crash happened, though I still don't know the reasons for it.  I was training an awful lot for an Ironman Triathlon, and the physical stress may have contributed to it through excessive stress hormones, cortisol, inflammation, iron depletion...who knows?  

 

So far, I think my experiment with NSI-189 has helped, as has possibly Uridine.  The one blood test result that I though was significant was a high prolactin level with a low/normal testosterone measure.  I'm looking at things that would augment my dopaminergic function without causing downregulation.   Here's another that I'm considering if I'm convinced it was help in the long run and not cause tolerance or have side effects or withdrawal effects.  http://teamtlr.com/n...ole-hcl-99.html



#43 VICREP

  • Topic Starter
  • Guest
  • 160 posts
  • 14
  • Location:Australia
  • NO

Posted 11 November 2014 - 11:24 PM

Update:

Naltrexone arrived yesterday from alldaychemist. Dose 1mg at around 10pm. Noticed some slight nausea and discomfort after dosing.

I feel noticeably refreshed today upon waking. I'm weary of this being placebo however.

One thing that makes me mildly confused above naltrexones pharmacology is its dual antagonism at both the KORs and MORs?

I understand how directly antagonising kappa receptors is beneficial, but wouldn't it result in a rebound upregulation of these receptors, and therefore a net negative outcome?

#44 mindpatch

  • Guest
  • 120 posts
  • 28
  • Location:United States

Posted 02 December 2014 - 07:54 PM

Update:

Naltrexone arrived yesterday from alldaychemist. Dose 1mg at around 10pm. Noticed some slight nausea and discomfort after dosing.

I feel noticeably refreshed today upon waking. I'm weary of this being placebo however.

One thing that makes me mildly confused above naltrexones pharmacology is its dual antagonism at both the KORs and MORs?

I understand how directly antagonising kappa receptors is beneficial, but wouldn't it result in a rebound upregulation of these receptors, and therefore a net negative outcome?

Any updates?  



#45 Area-1255

  • Guest
  • 1,515 posts
  • 8
  • Location:Buffalo,NY

Posted 02 December 2014 - 08:21 PM

Update:

Naltrexone arrived yesterday from alldaychemist. Dose 1mg at around 10pm. Noticed some slight nausea and discomfort after dosing.

I feel noticeably refreshed today upon waking. I'm weary of this being placebo however.

One thing that makes me mildly confused above naltrexones pharmacology is its dual antagonism at both the KORs and MORs?

I understand how directly antagonising kappa receptors is beneficial, but wouldn't it result in a rebound upregulation of these receptors, and therefore a net negative outcome?

That's the main benefit I had experienced on naltrexone; it is a potent opioid blocker on all receptors except nociceptin - so yes, you will wake up feeling more refreshed, most definitely.....I was using up to 4.5-5 mg a night though, then more the next day to ensure it remained in my system - the one thing I didn't appreciate was the anxiety I started to get at night, and overall frustration increased - but, the weird thing is normally night time is my favorite time of the day, naltrexone for some reason made it the worst time - it's as if opiate blockade shifts your circadian rhythms or might have an effect on melatonin as well. 



sponsored ad

  • Advert
Click HERE to rent this advertising spot for BRAIN HEALTH to support LongeCity (this will replace the google ad above).

#46 Area-1255

  • Guest
  • 1,515 posts
  • 8
  • Location:Buffalo,NY

Posted 02 December 2014 - 08:23 PM

Oh, one more thing, the first couple nights you are going to have more side-effects until you get tolerance, the first night my heart was pounding a little bit harder than usual, this toned down on exactly night three, and more so on night 4, upon upping the dosage more , this effect was re-instated, then also I noticed lights became very bright, some of my mental racing toned town on nalt, but other types of anxiety - and frustration became more apparent with time.....generally frustration with people, and interactions with particular individuals led me to avert a little bit more than usual . 







Also tagged with one or more of these keywords: anhedonia, libido, hyposexuality, naltrexone, agomelantine, ibogaine

1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users