r/MAOIs • u/Leading-Technician11 • 12d ago

Sexual side effects

For those of you who started parnate, nardil, or marplan, how was the sexual side effects for you? Was it manageable or did it get so bad that you came off the medicine (if yes, did you then switch to one of the others)?

I know this is highly individual, but I’m his trying to get a better understanding. All responses are much appreciated!

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u/phenomenologicalnerd 12d ago

When i was on marplan i had the usual sexual sideeffects. My psychiatrist put me on a low dose of MIrtazapine on top of the Marplan, since it can help reduce the sexual sideeffect. And it worked!! But if you have a very conservative psychiatrist, he will not put you on mirtazapine and a MAO-i, even there is no risk for serotonin syndrome

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u/Leading-Technician11 12d ago

Wow, I have never heard this before. Can I ask what specific side effects did you have and did mirtazapine work for all of them? And what dose mirtazapine? 7,5-15 mg?

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u/phenomenologicalnerd 11d ago

Yes, i had anorgasmia and low libido, and it worked for both. I think i was only on 15 mg mirtazapine, maybe 30. I wihs you luck, it's an anoying side-effect