anorgasmia on ssri's: the relevant 5HT subtype responsible?
I'm confused, I've been reading for hours about how the main suspected culprit is 5HT1a increased activation caused by ssri's, which causes incresed prolactin synthesis, but then again I read that a good treatment for sexual dysfunction in ssri use are 5HT1a agonists!
Obviously both can't be true.
And if there really is (and probably is) a particular 5HT subtype that reduces sexual feelings and response when either: a) subject to serotonin reuptake inhibition or b) the subsequent downgrading or upgrading of receptor types in response to this, then:
can we design an antagonist at that receptor or even a reverse agonist? What subtype? Hmmmm.....and in normal people, would a reverse agonist at this subtype act as a pro-sexual aphrodesiac?
I'm confused, I've been reading for hours about how the main suspected culprit is 5HT1a increased activation caused by ssri's, which causes incresed prolactin synthesis, but then again I read that a good treatment for sexual dysfunction in ssri use are 5HT1a agonists!
Obviously both can't be true.
And if there really is (and probably is) a particular 5HT subtype that reduces sexual feelings and response when either: a) subject to serotonin reuptake inhibition or b) the subsequent downgrading or upgrading of receptor types in response to this, then:
can we design an antagonist at that receptor or even a reverse agonist? What subtype? Hmmmm.....and in normal people, would a reverse agonist at this subtype act as a pro-sexual aphrodesiac?