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Description

Dopamine stimulates desire while norepinephrine and oxytocin promote sexual arousal (3)

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The loading/maintenance pattern evolved from decades of underground use: early protocols (1990s) used higher doses with more side effects

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Treatments include off-label use of oral amitriptyline, doxycycline, gabapentin, pregabalin and serotonin and noradrenaline reuptake inhibitors

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