There's a new antipsychotic that seems to be more effective than others at treating negative symptoms, btw. It's called cariprazine.
sounds goood thanks!
Venlaflaxine=Effexor = SNRI
Abilify=Atypical antipsychotic,, common augmentation agent to antidepressants
Ciplralex=Lexapro = SSRI (a very selective one)
Gladem=Zoloft= SSRI(with some dopamine activity)
Deanxit = An old school antipsychotic and a tricyclic antidepressant
Pregabalin = Lyrica = a Gabapentinoid
Paroxat = Paxil = an SSRI
Tritico = Trazodone = an atypical antidepressant
In my experience anyway, SSRIs and SNRIs produce emotional blunting and anhedonia. And they are notorious for producing sexual side effects like loss of drive, delayed orgasm, etc.
Since Welbutrin is not an SSRI it seems a logical choice. Also low dose lithium ~ 300-600 mg can turn up the volume on the medications you are taking. It's not a high enough dose usually to produce mood stabilization so that may or may not be good. And Lamictal is a mood stabilizer with antidepressant properties that is pretty much side effect free except for the fact that you have to go up very slowly on the dosage and stop immediately if you get a rash. Doctors usually hand out starter packs that taper you up from 25-200 mg over the course of several weeks. Neither of these options should have an impact on your sexual functioning.
Your response to nicotine+NAC and also to alcohol the day after are intriguing. There is a clue there.
Substances in tobacco other than nicotine are monoamine oxidase inhibitors (MAOI). So despite the health impact, some sort of tobacco use is probably helpful. Vaping or nicotine gum probably would not have the same effect. OR you could go with a traditional MAOI. Many doctors are reluctant to prescribe them because of dietary restrictions and drug interactions. But Moclobemide(Manerix) is a safe reversible MAOI that may be available in your country. Along with NAC. Given your response to tobacco and NAC this is where I'd lay my money.
The binding and metabolism of Alcohol is complex so it's difficult to say why you had the day after response to a binge. Rather than pregabalin which hits voltage dependent Calcium channels, a drug more pharmaceutically related to alcohol like Valium might be worth a shot.Personally I'd resist attempts by doctors to give you a short acting high potency drug like Klonopin, Ativan, or Xanax. These cause heartache in the end whereas Valium is a relatively straightforward detox, should that need arise. And some people do experience euphoria from benzodiazepines. I don't, but it can happen.
PS All these medications can interact with recreational drugs in unpredictable ways.
first i wanted 2 say thanks a lot for your time and patience writing to me about my problem , really thank you, its a honor to me
hmm interesting, i had a rash 7 weeks ago when i was on pregabalin (lyrica), but i continued.. what does that mean ?? if i havent stopped immediately?
so wellbutrin wouldnt be bad? u think wellbutrin as a standalone medication wiithout any other medications except lithium as u said, would maybe help?
i will ask about maoi (Manerix) , but i didnt quite understand, what kind of dietry restrictions and drug interactions do u mean?
but valium makes addictive so i probably will leave this one out then...
what about low dose naltrxone, memantine ....?
and u think stuff like curcumin, rhodiola, inositol .. kinda nootropics are a waste of money??
and dont u think if i go back to nicotine for instance, that i could get the emotional blunting state away, since it will be difficult to say to which medications i will react positively since the dopamine feelings of nicotine distracts me the whole time?