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Anorgasmia with gabapentin or pregabalin?

Discussion in 'Psychiatry' started by Anasazi23, 07.18.07.

  1. Anasazi23

    Anasazi23 Your Digital Ruler Moderator Emeritus

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    I have a 41 year old woman who has been quite stable on wellbutrin xl 300mg QD and neurontin 200mg TID for years. Chronic difficulty achieving orgasm began prior to my taking the patient, so the timeline is unclear. Interview reveals that it started around the same time as the introduction of the neurontin. Decreasing it to 100mg TID has had no effect so far, and mood lability has increased significantly.

    Wavering on lyrica because she's between insurance coverage and is afraid of weight gain.

    Here's some reading I found:

    http://www.ncbi.nlm.nih.gov/sites/entrez
  2. Doc Samson

    Doc Samson gamma irradiated

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    Never seen it myself, but I really only use Neurontin for neuropathic pain and those folks aren't get too much action. BTW, the link only opens the NCBI search site.
  3. Anasazi23

    Anasazi23 Your Digital Ruler Moderator Emeritus

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    Oh sorry...

    Here's some pasted stuff from the pubmed search, which was a simple "gabapentin AND anorgasmia"

    Can J Psychiatry. 2003 Mar;48(2):125-6.Links
    Anorgasmia and withdrawal syndrome in a woman taking gabapentin.Drabkin R, Calhoun L.
    PMID: 12655912 [PubMed - indexed for MEDLINE]


    1: Grant AC, Oh H.
    Gabapentin-induced anorgasmia in women.
    Am J Psychiatry. 2002 Jul;159(7):1247. No abstract available.
    PMID: 12091218 [PubMed - indexed for MEDLINE]

    2: Montes JM, Ferrando L.
    Gabapentin-induced anorgasmia as a cause of noncompliance in a bipolar patient.
    Bipolar Disord. 2001 Feb;3(1):52. No abstract available.
    PMID: 11256465 [PubMed - indexed for MEDLINE]

    3: Brannon GE, Rolland PD.
    Anorgasmia in a patient with bipolar disorder type 1 treated with gabapentin.
    J Clin Psychopharmacol. 2000 Jun;20(3):379-81.
    PMID: 10831028 [PubMed - indexed for MEDLINE]

    4: Labbate LA, Rubey RN.
    Gabapentin-induced ejaculatory failure and anorgasmia.
    Am J Psychiatry. 1999 Jun;156(6):972. No abstract available.
    PMID: 10360150 [PubMed - indexed for MEDLINE]

    5: Clark JD, Elliott J.
    Gabapentin-induced anorgasmia.
    Neurology. 1999 Dec 10;53(9):2209. No abstract available.
    PMID: 10599814 [PubMed - indexed for MEDLINE]

    6: Husain AM, Carwile ST, Miller PP, Radtke RA.
    Improved sexual function in three men taking lamotrigine for epilepsy.
    South Med J. 2000 Mar;93(3):335-6.
    PMID: 10728528 [PubMed - indexed for MEDLINE]

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