fire away at any alternatives!
What about a D2/D3 blocker like amisulpride combined with naltrexone? My doctor spoke about potentially using amisulpride...
I like the idea of naltrexone, but it keeps making me feel WEIRD when I tried it. This is what I was trying to say either in this thread or another, that because I have such severe Dp/DR, my brain feels so sensitive to everything. Even the Pregabalin that I am taking now is not working and in fact seems to be making me feel more depersonalised. I don't know what the solution is to that - perhaps some kind of talking therapy? Very frustrating situation to be in - I just feel kind of horrible all over.
You've never tried it with a selective D3-antagonist! ; ) Perhaps you could also lower your dose, in such a situation, yes? Less Naltrexone should cause less odd feelings. (less efficacy too, BUT...! when combined with a D3-antagonist, perhaps not, as you could get a modulating total effect then - for instance, combining several sedating substances in tandem, even when used at low dosages, causes an overall MORE sedated feeling! : )
(low-dose antihistamines are definitively synergistic when combined with gabaergics and melatonergics, for instance)
I wouldn't use Amisulpride though, because at lower dosages, it actually mainly affects D2 D3 as auto-receptors, meaning that it actually increases dopaminergic activity then - only at higher dosages can lower dopaminergic activity be seen.
It's also NOT selective towards D3! The D2-antagonism is pretty much equal.
Haloperidol however, is selective towards D3 at low doses.
This is however, from my perspective of solely focusing on your sex-addiction issues - I have not, in any way, taken into account your issues with DP/DR in my assessment - your Dr. however, no doubt has. (in fact, I think that's his SOLE perspective on your issues)
As previously noted, glutamate-modulation from Lamotrigine is what I believe to be useful for DP/DR. It should be possible to combine Lamotrigine with LDN and LD-Haloperidol without greater issues.
It should also be possible to stack Haloperidol and Lamotrigine with CERC-501 (kappa-antagonist) - at least when it comes to modes of effect.
Hmm... upon closer consideration, perhaps you should focus on getting better from DP/DR FIRST, and simply forget about this whole hypersexuality-business until you're cured of DP/DR, before tackling hypersexuality?
I'm mainly saying this because I understand where your Dr. might be coming from - DP/DR is so hard to treat, that really, you can't let all of these anti-hyper-sex-drugs come in the way of treating it - it's just sooo much easier when you can just UNLOAD on DP/DR, and absolutely pummel it wildly, without having to bother with your sexuality - it really does make everything hell'a much harder!