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PSSD Post-SSRI sexual dysfunction


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17 minutes ago, EmptyVessle said:

 

Wow,  you are very evil person claiming that pssd is a minor symptom, you should not be a moderator offending people like this. I can't feel love, desire, emotions, lust...man, that hurts.

 

@CharlieBrown see? this is minor symptom for this moderator.

 

Let's not derail the thread. I'm sure he didn't mean to belittle what you're going through.

 

If you're anything like me, these symptoms will get better with time.

Previously - Escitalopram ("Lexapro"): 03 - 05/2018 - 10mg // 05/2018 - 12/2019 - monthly hyperbolic dose reduction to 0.

 

I am not a medical doctor.  Always consult a qualified medical professional before taking any substance.

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Back-talking the staff is not permitted on this site. This is not an unusual site rule, by the way.  @ccfb and @EmptyVessle, you need to respect it.

 

I believe what @brassmonkey meant to say is that PSSD is a major post-drug effect, greatly distressing those who experience it, but it is not a common withdrawal symptom. The magnitude of distress is great, but the frequency of occurrence is not, thus PSSD is not a main focus of this site.

 

Brassmonkey is correct in that members driven by the distress of PSSD have inappropriately spammed the site with their concerns. You may note that I often suggest those members join a site devoted to PSSD, such as pssdforum.org, rather than derailing discussions on this site, which usually do not involve PSSD.

 

We do not dismiss the importance of PSSD. With the tragic frequency of drug-induced sexual dysfunction while people are taking the drugs, iatrogenic diminishment of sexual functioning diminishes full personhood, yet medicine considers this an acceptable risk of the drugs. That is what's offensive.

 

So have some perspective about PSSD, please, and keep in mind appropriate behavior in an online community.

 

To forestall further squabbling in this topic, I am closing it temporarily.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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On 6/5/2018 at 9:26 PM, brassmonkey said:

Day1 and Spruce30-- I'm going to answer your questions here because it is a more relevant place.  From extensive reading and analyzing peoples posts about their habits and recovery I have learned the following.

 

Things that could cause PSSD to take longer to heal: It's not a snarky answer, but just about everything. ANY other medication that is taken during the recovery period can slow the process down.  This includes prescription drugs, OTC drugs, street drugs, alcohol and supplements. Any sexual stimulation what so ever, even just thinking about it. The symptoms are so similar  to those of PISD (Porn Induced Sexual Dysfunction) that they are practically the same thing and need to be treated in the same manner. Secondary anxiety from worrying about it. Anger about "why did this happen to me" and "I'm losing the best years of my life".

 

What do do about it: basically put it in your pants and don't touch it or think about it for at least a year, preferably two.  Went you're having a good day, don't try it out to make sure it still works.  Avoid all sexually explicit material and stimulating movies and games (including superheros, car chases and spy thrillers, etc.) not to mention wishful thinking and fantasies.  The body is so over stimulated/confused from the drugs and outside sources that it needs a very long time to relax and rest.

 

There isn't anything else that will help.

So you wouldn't advice to meet people and try to get intimate? 

Wouldnt that be a stimuli for the sexual organs and sexuality in general? 

Greetings

Kosta

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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I think I have to post this here too. 

 

Someone on Reddit found a connection between ssri induced dysbiosis(bacterial overgrowth in the gut like sibo)/leaky gut and the occurrence of pssd/anhedonia/brain fog. 

He successfully treated himself and alot of other people seem to profit from dysbiosis therapy greatly. 

 

The two posts from him:

First one:

https://www.reddit.com/r/PSSD/comments/q03uci/gut_microbiota_theory_how_i_finally_cured_my_pssd/?utm_medium=android_app&utm_source=share

 

Second one:

https://www.reddit.com/r/PSSD/comments/ryj0yo/gut_microbiota_theory_pt_2_pssd_is_an_autoimmune/?utm_medium=android_app&utm_source=share

 

I hope you look into it and find a few answers for yourself. 

Greetings 

Kosta

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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I haven't read through all 30 pages of this thread, so I don't know if someone has already covered this. My sense is that acupuncture and acupressure have probably already been discussed. None the less, I was able to successfully overcome PSSD through acupressure and wanted to share my story.

 

I experienced PSSD for roughly a year after discontinuing Venlafaxine treatment (I was on a 37.5mg dose for roughly six months).

 

During my treatment I suffered from significant sexual dysfunction such as genital anesthesia, erectile dysfunction and weak orgasm. After discontinuing, there was a brief window of a few days about two weeks after my last dose where I felt a return of my sex drive, but this did not last. With dismay, as time went on, I realized my sex drive was perpetually impacted, and began researching incessantly to try to figure out how to correct this.

 

I tried a few supplemental treatments. I found some relief with Tyrosine and Citicholine, though it was dependent upon regularly using these supplements, and generally the effect got weaker over time (It generally only worked for a day or two at a time). I also tried Larotidine and Diphenhydramine as I found some research that seemed to support their efficacy, but neither had any effect. Gingko Biloba also didn't help and I found it very activating and would get kind of tense after doses.

 

I eventually kind of gave up and just started using Tyrosine when I felt like I wanted to experience sexual pleasure. I got into a couple of brief relationships during this period and my lack of sexual capacity was a liability and sometimes a factor in them ending. I felt pretty crappy about the whole thing and was worried I would never have a healthy sex drive again.

 

About a year in, during another research session, I stumbled upon this anecdotal account (http://ssrisexdysfunction.blogspot.com/2011/11/healing-your-sexual-dysfunction-with.html?m=1) of someone experiencing relief and improvement from PSSD through acupuncture. I didn't have a lot of faith in the practice but figured I had nothing to lose by trying.

 

I was poor and didn't really want to talk to a stranger about my sexual dysfunction. Instead, in researching acupuncture I discovered it's free, DIY cousin acupressure and decided to try that instead. I looked up some points that were associated with treating erectile dysfunction and sexual dysfunction. The points I focused on were Kidney 1, Kidney 3 and Spleen 6. I pressed them all for a couple minutes each on both sides of my body and that was that. I went to bed and the next day I didn't really notice a difference.

 

I decided to try the following day again. I went to sleep that night and when I wake up in the morning, I had more of an erection than I normally did (I generally didn't get very strong morning wood as part of my PSSD). I took note of that and decided to try again, pressing all the same points that day. The next day I had a solid morning wood election, and during the day I noticed some semblance or sexual attraction or desire over the course of the day. Just minor stuff like physically appreciating a woman's beauty more. Things like that. That night I masturbated and to my surprise, I experienced an erection that was markedly stronger than I had experienced in ages.

 

Over the course of the next few days my sex drive gradually returned. I kept practicing acupressure but found after a while I didn't to it daily. Eventually I no longer experienced erectile dysfunction, my orgasm pleasure improved, and I experienced increased sensation and pleasure. Things basically went back to normal.

 

I should note as part of my story that my function returned almost exclusively in the context of masturbation to pornography. I was single for a long time and this was how I had sex. I think due to chronically using porn when I finally did end up in a relationship again, I had some issues with performance early on. Fortunately this resolved as our connection grew and as I became used to intercourse again.

 

Anyway, if it hasn't come up before, I would recommend people consider acupressure/acupuncture. I understand that this can pose a challenge for some, so obviously everyone needs to make their own decision around this, but I'm happy to report that it helped me as well and I enjoy healthy sexual functioning again.

1998- Fluoxetine

2012- One dose of Escitalopram causes suicidal ideation. Started Venlafaxine. Successfully discontinued using a Fluoxetine bridge.

December 2021- 4 days of 5-HTP. Had some severe dysphoric symptoms trying to discontinue. Started Fluoxetine 10mg. Provided with five 1mg doses of Ativan as well.

January 6th- Continued to take Fluoxetine 10mg. Experienced deepened depression and suicidal ideation.

January 9th- 5mg dose. Experiencing deepened depression and suicidal ideation.

January 10th- Quit Fluoxerine CT

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12 hours ago, Scrountz said:

I haven't read through all 30 pages of this thread, so I don't know if someone has already covered this. My sense is that acupuncture and acupressure have probably already been discussed. None the less, I was able to successfully overcome PSSD through acupressure and wanted to share my story.

 

I experienced PSSD for roughly a year after discontinuing Venlafaxine treatment (I was on a 37.5mg dose for roughly six months).

 

During my treatment I suffered from significant sexual dysfunction such as genital anesthesia, erectile dysfunction and weak orgasm. After discontinuing, there was a brief window of a few days about two weeks after my last dose where I felt a return of my sex drive, but this did not last. With dismay, as time went on, I realized my sex drive was perpetually impacted, and began researching incessantly to try to figure out how to correct this.

 

I tried a few supplemental treatments. I found some relief with Tyrosine and Citicholine, though it was dependent upon regularly using these supplements, and generally the effect got weaker over time (It generally only worked for a day or two at a time). I also tried Larotidine and Diphenhydramine as I found some research that seemed to support their efficacy, but neither had any effect. Gingko Biloba also didn't help and I found it very activating and would get kind of tense after doses.

 

I eventually kind of gave up and just started using Tyrosine when I felt like I wanted to experience sexual pleasure. I got into a couple of brief relationships during this period and my lack of sexual capacity was a liability and sometimes a factor in them ending. I felt pretty crappy about the whole thing and was worried I would never have a healthy sex drive again.

 

About a year in, during another research session, I stumbled upon this anecdotal account (http://ssrisexdysfunction.blogspot.com/2011/11/healing-your-sexual-dysfunction-with.html?m=1) of someone experiencing relief and improvement from PSSD through acupuncture. I didn't have a lot of faith in the practice but figured I had nothing to lose by trying.

 

I was poor and didn't really want to talk to a stranger about my sexual dysfunction. Instead, in researching acupuncture I discovered it's free, DIY cousin acupressure and decided to try that instead. I looked up some points that were associated with treating erectile dysfunction and sexual dysfunction. The points I focused on were Kidney 1, Kidney 3 and Spleen 6. I pressed them all for a couple minutes each on both sides of my body and that was that. I went to bed and the next day I didn't really notice a difference.

 

I decided to try the following day again. I went to sleep that night and when I wake up in the morning, I had more of an erection than I normally did (I generally didn't get very strong morning wood as part of my PSSD). I took note of that and decided to try again, pressing all the same points that day. The next day I had a solid morning wood election, and during the day I noticed some semblance or sexual attraction or desire over the course of the day. Just minor stuff like physically appreciating a woman's beauty more. Things like that. That night I masturbated and to my surprise, I experienced an erection that was markedly stronger than I had experienced in ages.

 

Over the course of the next few days my sex drive gradually returned. I kept practicing acupressure but found after a while I didn't to it daily. Eventually I no longer experienced erectile dysfunction, my orgasm pleasure improved, and I experienced increased sensation and pleasure. Things basically went back to normal.

 

I should note as part of my story that my function returned almost exclusively in the context of masturbation to pornography. I was single for a long time and this was how I had sex. I think due to chronically using porn when I finally did end up in a relationship again, I had some issues with performance early on. Fortunately this resolved as our connection grew and as I became used to intercourse again.

 

Anyway, if it hasn't come up before, I would recommend people consider acupressure/acupuncture. I understand that this can pose a challenge for some, so obviously everyone needs to make their own decision around this, but I'm happy to report that it helped me as well and I enjoy healthy sexual functioning again.

Thank you for you're post!!! This is very exciting. I don't know about all the supplements you took but maybe one of them functions as a antimicrobial, maybe that contributed too.(the new pssd theory) Also acupuncture can treat gut problems. 

Did you suffer from other symptoms from pssd or protracted withdrawal like anhedonia, brain fog?

I hope it stays that way and I'm very happy for you that you successfully treated youre pssd :))). I wish you much enjoyement with you're regained libido ;))). 

 

Greetings 

Kosta

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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Hey @kostakonkordia,

 

I was pretty fortunate in that I used a Fluoxetine bridge to discontinue Venlafaxine without any significant side effects. I think my withdrawal experience was pretty tolerable with PSSD being the main persistent symptom, as well as DP/DR. The DP/DR was something I had to come to accept before it started to subside and go away.

 

I'm not familiar with the antimicrobial theory of PSSD and would be curious to know more about that.

 

I discontinued Venlafaxine 10 years ago and have enjoyed a healthy sex drive mostly since the acupressure helped resolve my PSSD. So for what my story is worth, its a hopeful one.

 

I believe the Spleen 6 point was the most impactful one for me. Occasionally I would feel waves of heat or energy emanating from this point after my acupressure sessions, and it was also the most tender point for me.

1998- Fluoxetine

2012- One dose of Escitalopram causes suicidal ideation. Started Venlafaxine. Successfully discontinued using a Fluoxetine bridge.

December 2021- 4 days of 5-HTP. Had some severe dysphoric symptoms trying to discontinue. Started Fluoxetine 10mg. Provided with five 1mg doses of Ativan as well.

January 6th- Continued to take Fluoxetine 10mg. Experienced deepened depression and suicidal ideation.

January 9th- 5mg dose. Experiencing deepened depression and suicidal ideation.

January 10th- Quit Fluoxerine CT

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Hi , I am glad to see your doing better. You mentioned you recovered from dpdr , that gives me hope. I have severe dpdr triggered by Zoloft discontinuation….

would you mind telling me how did u experience dpdr and how long before it was gone?

thank you 

Aug. 16-17, 2020, cipralex: went CRAZY! Recovered in 24hrs

Aug.28,2020; 3.5 weeks 25mg sertraline/4.5 weeks taper

Oct. 25: Last dose (4mg)

Symptoms while on zoloft

DPDR/out of my body/soul despair/feeling dead; tinnitus/no appetite; fear, anxiety/panics

4 months OFF: soul despair, anxiety/fear, brain disconnection/ DPDR, brain feels swollen-numb/crazy/bedridden barely functioning, tinnitus, eye lid twitches; face spasms. Feeling slightly better after 10pm.

- sleep & appetite are fine

9 months OFF: hell, no windows, same symptoms as above  (only eye and face twitches have stopped) plus intense arm/shoulder pain and visual issues. Tinnitus replaced by head buzzing. 

10 months-1 year: all above plus Insomnia (out of nowhere), depression, no peace of mind (mental Akathisia); 2.5mg melatonin

14months off: sleep resumed. All rest symptoms remain. Bedridden vegetable all day. DP is relentless. 

1.5 years off: still severely disabled, not much changed except some improvement in vision.

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14 hours ago, Scrountz said:

I haven't read through all 30 pages of this thread, so I don't know if someone has already covered this. My sense is that acupuncture and acupressure have probably already been discussed. None the less, I was able to successfully overcome PSSD through acupressure and wanted to share my story.

 

I experienced PSSD for roughly a year after discontinuing Venlafaxine treatment (I was on a 37.5mg dose for roughly six months).

 

During my treatment I suffered from significant sexual dysfunction such as genital anesthesia, erectile dysfunction and weak orgasm. After discontinuing, there was a brief window of a few days about two weeks after my last dose where I felt a return of my sex drive, but this did not last. With dismay, as time went on, I realized my sex drive was perpetually impacted, and began researching incessantly to try to figure out how to correct this.

 

I tried a few supplemental treatments. I found some relief with Tyrosine and Citicholine, though it was dependent upon regularly using these supplements, and generally the effect got weaker over time (It generally only worked for a day or two at a time). I also tried Larotidine and Diphenhydramine as I found some research that seemed to support their efficacy, but neither had any effect. Gingko Biloba also didn't help and I found it very activating and would get kind of tense after doses.

 

I eventually kind of gave up and just started using Tyrosine when I felt like I wanted to experience sexual pleasure. I got into a couple of brief relationships during this period and my lack of sexual capacity was a liability and sometimes a factor in them ending. I felt pretty crappy about the whole thing and was worried I would never have a healthy sex drive again.

 

About a year in, during another research session, I stumbled upon this anecdotal account (http://ssrisexdysfunction.blogspot.com/2011/11/healing-your-sexual-dysfunction-with.html?m=1) of someone experiencing relief and improvement from PSSD through acupuncture. I didn't have a lot of faith in the practice but figured I had nothing to lose by trying.

 

I was poor and didn't really want to talk to a stranger about my sexual dysfunction. Instead, in researching acupuncture I discovered it's free, DIY cousin acupressure and decided to try that instead. I looked up some points that were associated with treating erectile dysfunction and sexual dysfunction. The points I focused on were Kidney 1, Kidney 3 and Spleen 6. I pressed them all for a couple minutes each on both sides of my body and that was that. I went to bed and the next day I didn't really notice a difference.

 

I decided to try the following day again. I went to sleep that night and when I wake up in the morning, I had more of an erection than I normally did (I generally didn't get very strong morning wood as part of my PSSD). I took note of that and decided to try again, pressing all the same points that day. The next day I had a solid morning wood election, and during the day I noticed some semblance or sexual attraction or desire over the course of the day. Just minor stuff like physically appreciating a woman's beauty more. Things like that. That night I masturbated and to my surprise, I experienced an erection that was markedly stronger than I had experienced in ages.

 

Over the course of the next few days my sex drive gradually returned. I kept practicing acupressure but found after a while I didn't to it daily. Eventually I no longer experienced erectile dysfunction, my orgasm pleasure improved, and I experienced increased sensation and pleasure. Things basically went back to normal.

 

I should note as part of my story that my function returned almost exclusively in the context of masturbation to pornography. I was single for a long time and this was how I had sex. I think due to chronically using porn when I finally did end up in a relationship again, I had some issues with performance early on. Fortunately this resolved as our connection grew and as I became used to intercourse again.

 

Anyway, if it hasn't come up before, I would recommend people consider acupressure/acupuncture. I understand that this can pose a challenge for some, so obviously everyone needs to make their own decision around this, but I'm happy to report that it helped me as well and I enjoy healthy sexual functioning again.

This sounds very promissing, I will give it a try! How long did you press each point? Did you massage or just press? How do you find the exact spot?

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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59 minutes ago, JesusSavemefromWD said:

Hi , I am glad to see your doing better. You mentioned you recovered from dpdr , that gives me hope. I have severe dpdr triggered by Zoloft discontinuation….

would you mind telling me how did u experience dpdr and how long before it was gone?

thank you 

 

Hey @JesusSavemefromWD. My experience with DP/DR is maybe a little bit unique. I believe mine was trauma induced. I had a very traumatic experience while high on psilocybin mushrooms back I'm 2011 and after this, I had fairly persistent experiences of DP/DR. It was terrifying! (As I'm sure you can understand). It's what ultimately led me to taking SSRIs in the first place, as I felt like I was going crazy and needed something to fix my brain.

 

Unfortunately taking Venlafaxine did nothing for my DP/DR, and might have actually made it a little bit worse. It was pretty chronic while I was taking Venlafaxine, and also persistent when I came off. Here is what I think really helped, though please understand that it took a lot of time and patience before I started noticing a reduction.

 

1. Recognizing that DR/DP is not harmful. For a long time I think I associated DR/DP with "going crazy". When I experienced DR/DP, it would always make me anxious. I thought something was wrong or that I was dying. With much reassurance from professionals and my own research into DP/DR, I began to appreciate that it wouldn't kill me. This was enough to allow me to start to accept it, even a little bit.

 

2. Facing the fear that DR/DP was protecting me from. I came to learn that DP/DR is the body's natural defense against trauma. When faced with trauma, the brain releases endorphins to distance you from the painful experience and sometimes this can get "stuck" and become chronic. While accepting DP/DR helped, it was slowly beginning to face my fears that really helped to reduce it. I had a constant fear of death and dying, and I had to start to lean into this and accept that I was mortal and at some point was going to die. This was really really hard, but over time as I felt soothed and cared for by myself in my fear, it began to subside. When we can face and release fear, the body no longer needs to protect us from it, and my nervous system felt safe enough to let go of the DP/DR defense.

 

I realize that my experience may not be applicable to everyone facing DP/DR due to protracted SSRI withdrawal. If you didn't have DP/DR before taking SSRIs like I did, my advice might not work for you. My learning on my recovery journey though is that we recover better when we can accept the experience. As scary and painful as it is, when we resist what happens to us, it often makes it worse. I do hope you find some relief and that your nervous system continues to heal over time @JesusSavemefromWD. Keep up hop. Recovery is possible.

1998- Fluoxetine

2012- One dose of Escitalopram causes suicidal ideation. Started Venlafaxine. Successfully discontinued using a Fluoxetine bridge.

December 2021- 4 days of 5-HTP. Had some severe dysphoric symptoms trying to discontinue. Started Fluoxetine 10mg. Provided with five 1mg doses of Ativan as well.

January 6th- Continued to take Fluoxetine 10mg. Experienced deepened depression and suicidal ideation.

January 9th- 5mg dose. Experiencing deepened depression and suicidal ideation.

January 10th- Quit Fluoxerine CT

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18 minutes ago, Avicii said:

This sounds very promissing, I will give it a try! How long did you press each point? Did you massage or just press? How do you find the exact spot?

 

About 2-3 minutes each. I did both pressing and massaging. I'm not certain if one was better than the other. It seemed consistency was the most important factor. Please note I'm not an acupuncturist so I can't be trusted to give the best advice about acupuncture and acupressure. I just looked these points up online. If you're really serious about this, it's probably best to consult with an acupuncturist or get some sessions of acupuncture for erectile dysfunction or sexual dysfunction the way that man in that post that I linked did. I hope this helps you though, PSSD is the worst.

1998- Fluoxetine

2012- One dose of Escitalopram causes suicidal ideation. Started Venlafaxine. Successfully discontinued using a Fluoxetine bridge.

December 2021- 4 days of 5-HTP. Had some severe dysphoric symptoms trying to discontinue. Started Fluoxetine 10mg. Provided with five 1mg doses of Ativan as well.

January 6th- Continued to take Fluoxetine 10mg. Experienced deepened depression and suicidal ideation.

January 9th- 5mg dose. Experiencing deepened depression and suicidal ideation.

January 10th- Quit Fluoxerine CT

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Thank you for your detailed reply. My dpdr was clearly a result of Zoloft discontinuation and that’s why I can’t help wondering if going back to it could relieve me, but I dare not in fear of making things worse. Thanks again 

Aug. 16-17, 2020, cipralex: went CRAZY! Recovered in 24hrs

Aug.28,2020; 3.5 weeks 25mg sertraline/4.5 weeks taper

Oct. 25: Last dose (4mg)

Symptoms while on zoloft

DPDR/out of my body/soul despair/feeling dead; tinnitus/no appetite; fear, anxiety/panics

4 months OFF: soul despair, anxiety/fear, brain disconnection/ DPDR, brain feels swollen-numb/crazy/bedridden barely functioning, tinnitus, eye lid twitches; face spasms. Feeling slightly better after 10pm.

- sleep & appetite are fine

9 months OFF: hell, no windows, same symptoms as above  (only eye and face twitches have stopped) plus intense arm/shoulder pain and visual issues. Tinnitus replaced by head buzzing. 

10 months-1 year: all above plus Insomnia (out of nowhere), depression, no peace of mind (mental Akathisia); 2.5mg melatonin

14months off: sleep resumed. All rest symptoms remain. Bedridden vegetable all day. DP is relentless. 

1.5 years off: still severely disabled, not much changed except some improvement in vision.

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35 minutes ago, Scrountz said:

 

About 2-3 minutes each. I did both pressing and massaging. I'm not certain if one was better than the other. It seemed consistency was the most important factor. Please note I'm not an acupuncturist so I can't be trusted to give the best advice about acupuncture and acupressure. I just looked these points up online. If you're really serious about this, it's probably best to consult with an acupuncturist or get some sessions of acupuncture for erectile dysfunction or sexual dysfunction the way that man in that post that I linked did. I hope this helps you though, PSSD is the worst.

Thanks mate, I’ll start tonight 😅

 

And yes, PSSD is the worst….

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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2 hours ago, Scrountz said:

Hey @kostakonkordia,

 

I was pretty fortunate in that I used a Fluoxetine bridge to discontinue Venlafaxine without any significant side effects. I think my withdrawal experience was pretty tolerable with PSSD being the main persistent symptom, as well as DP/DR. The DP/DR was something I had to come to accept before it started to subside and go away.

 

I'm not familiar with the antimicrobial theory of PSSD and would be curious to know more about that.

 

I discontinued Venlafaxine 10 years ago and have enjoyed a healthy sex drive mostly since the acupressure helped resolve my PSSD. So for what my story is worth, its a hopeful one.

 

I believe the Spleen 6 point was the most impactful one for me. Occasionally I would feel waves of heat or energy emanating from this point after my acupressure sessions, and it was also the most tender point for me.

Such a nice story thank you. 

 

That's the new theory:

 

First article:

https://www.reddit.com/r/PSSD/comments/q03uci/gut_microbiota_theory_how_i_finally_cured_my_pssd/?utm_medium=android_app&utm_source=share

 

Second article:

https://www.reddit.com/r/PSSD/comments/ryj0yo/gut_microbiota_theory_pt_2_pssd_is_an_autoimmune/?utm_medium=android_app&utm_source=share

 

Greetings 

Kosta

 

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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  • 2 weeks later...

Graphic post: 

 

any males experience hard flaccid, or it feels physically different, with sharp pains ? I’m gonna do NO fap and see if it helps, but it feels like my sexual system is completely ruined with no chance of recovery. I’m trying to keep my hope up. 
 

I had no sexual issues on SSRI- besides delayed ejaculation and 2 times no feeling when orgasm. But they were rare. 
 

 

i took citalopram for 11 days in November and 5 days after stopping I lost all functioning - which is strange cause 3-4 days after stopping I was fine.  
 

 

i have numbness - no libido - hard flaccid - anorgasm - and more.  I thought I saw improvements a week ago but they have ceased I’m almost certain. 

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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4 hours ago, OptimisticRP said:

Graphic post: 

 

any males experience hard flaccid, or it feels physically different, with sharp pains ? I’m gonna do NO fap and see if it helps, but it feels like my sexual system is completely ruined with no chance of recovery. I’m trying to keep my hope up. 
 

I had no sexual issues on SSRI- besides delayed ejaculation and 2 times no feeling when orgasm. But they were rare. 
 

 

i took citalopram for 11 days in November and 5 days after stopping I lost all functioning - which is strange cause 3-4 days after stopping I was fine.  
 

 

i have numbness - no libido - hard flaccid - anorgasm - and more.  I thought I saw improvements a week ago but they have ceased I’m almost certain. 

I have all of the things you mention…it’s been one year now since I quit Sertraline CT after 4 months of use. My life is pretty much ruined with a CNS that is completely out of order. I have a constant electric feeling from my waist down to my feet. It’s like the brain sending wrong signals to the wrong parts of my body.

 

My symptoms are:

Shrunk penis

pain in penis, legs and feet

soft and extremly weak erections

no morning erections

decrease in sperm production 

Unable to think sexual thoughts

numb orgasm

brain fog 

anhedonia

no feelings of joy 

 

I have seen some improvements over the past 4 months but it’s still a disaster. I am a good looking guy in my late 30’s who wants to meet a new partner after my divorce 4 years ago. This dream is now impossible and I am going to live alone for the rest of my life…thanks to the sh*tty doctors…

 

this physical trauma has also givning me Mondors disease (blood clot in penis) and spermatocele. Isn’t that great….

 

if I didn’t have my kids and my parents I would probably kill myself because this life is not worth living. Having pain all day and having your sexuality ruined is just a tradegy…

 

Well well, it’s morning here and a new day arises. It’s time for me to go to war one more day 😔

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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4 hours ago, OptimisticRP said:

Graphic post: 

 

any males experience hard flaccid, or it feels physically different, with sharp pains ? I’m gonna do NO fap and see if it helps, but it feels like my sexual system is completely ruined with no chance of recovery. I’m trying to keep my hope up. 
 

I had no sexual issues on SSRI- besides delayed ejaculation and 2 times no feeling when orgasm. But they were rare. 
 

 

i took citalopram for 11 days in November and 5 days after stopping I lost all functioning - which is strange cause 3-4 days after stopping I was fine.  
 

 

i have numbness - no libido - hard flaccid - anorgasm - and more.  I thought I saw improvements a week ago but they have ceased I’m almost certain. 

Youre only 2 months in, take it easy! My problems started about 6 weeks after stopping Sertraline. I remember the day my CNS was ruined. There was an electric feeling thoughout my whole body and I have been numb ever since. In my early days (2 months in) I couldn’t feel my penis at all and my pain started. About 4 months in my penis shrunk….

 

There are PSSD-suffers healing during the first year, I am obviously not one of them. I am going to be a long time suffer and I am happy if I even heal at all….

 

Being a man, your sexuality is your drive and have that taken away from you should be a crime!

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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For those with PSSD:

Check hormone levels

Test for SIBO

Zoloft, November 2019.  I worked up to 50 mg and stayed there until 1 year later. I tapered for 3 months, which should consider to be cold turkey.
Tapering schedule:
Month 1: 37.5 mg

Month 2: 25 mg

Month 3: 12.5 mg

Month 4(Half the month): 6.75 mg
Month 4(Other half): 0 mg December 9, 2020

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33 minutes ago, curiousnootropics said:

For those with PSSD:

Check hormone levels

Test for SIBO

I have absolutely no problem at all with my stormatch…could it still be Sibo?

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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39 minutes ago, Avicii said:

I have absolutely no problem at all with my stormatch…could it still be Sibo?

Yes it can. If you can afford a test for SIBO, do it

 

Also, check hormones. My testosterone is like 85 year old man

Zoloft, November 2019.  I worked up to 50 mg and stayed there until 1 year later. I tapered for 3 months, which should consider to be cold turkey.
Tapering schedule:
Month 1: 37.5 mg

Month 2: 25 mg

Month 3: 12.5 mg

Month 4(Half the month): 6.75 mg
Month 4(Other half): 0 mg December 9, 2020

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48 minutes ago, curiousnootropics said:

Yes it can. If you can afford a test for SIBO, do it

 

Also, check hormones. My testosterone is like 85 year old man

How long since you quit SSRI?

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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6 hours ago, Avicii said:

Youre only 2 months in, take it easy! My problems started about 6 weeks after stopping Sertraline. I remember the day my CNS was ruined. There was an electric feeling thoughout my whole body and I have been numb ever since. In my early days (2 months in) I couldn’t feel my penis at all and my pain started. About 4 months in my penis shrunk….

 

There are PSSD-suffers healing during the first year, I am obviously not one of them. I am going to be a long time suffer and I am happy if I even heal at all….

 

Being a man, your sexuality is your drive and have that taken away from you should be a crime!

Is your pain like a tingling pain ? Kinda like burning ?

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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55 minutes ago, OptimisticRP said:

Is your pain like a tingling pain ? Kinda like burning ?

It’s more like an electric feeling which puts the whole lower part (from my waist down to my feet) under pressure. Must be some kind of dysfunction in the CNS….

 

I also have like nerve stings over my whole body. It can appear anywhere and lasts only a second or so….


I hope one day my body will come to peace….there are improvements so hopefully one day this is a lost memory.

 

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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7 minutes ago, Avicii said:

It’s more like an electric feeling which puts the whole lower part (from my waist down to my feet) under pressure. Must be some kind of dysfunction in the CNS….

 

I also have like nerve stings over my whole body. It can appear anywhere and lasts only a second or so….


I hope one day my body will come to peace….there are improvements so hopefully one day this is a lost memory.

 

Glad you have improvements - I heard reverse keagles can help hard flaccid and no fap 🤷🏻‍♂️ Idk these other withdrawal symptoms are brutal too - I think I get nerve stings in my genital area. 

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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3 hours ago, Avicii said:

How long since you quit SSRI?

14 months off soon

Zoloft, November 2019.  I worked up to 50 mg and stayed there until 1 year later. I tapered for 3 months, which should consider to be cold turkey.
Tapering schedule:
Month 1: 37.5 mg

Month 2: 25 mg

Month 3: 12.5 mg

Month 4(Half the month): 6.75 mg
Month 4(Other half): 0 mg December 9, 2020

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14 minutes ago, OptimisticRP said:

Glad you have improvements - I heard reverse keagles can help hard flaccid and no fap 🤷🏻‍♂️ Idk these other withdrawal symptoms are brutal too - I think I get nerve stings in my genital area. 

I have nerve stings in my genital area everyday….earlier I had constant pain there aswell but that has improved. All of this has been such a trauma for my genital area and the doctors dont even want to listen. I can honestly say that I hate doctors with all my heart….

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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2 minutes ago, curiousnootropics said:

14 months off soon

Have you improved? Issues on it or only coming off?

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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1 minute ago, Avicii said:

I have nerve stings in my genital area everyday….earlier I had constant pain there aswell but that has improved. All of this has been such a trauma for my genital area and the doctors dont even want to listen. I can honestly say that I hate doctors with all my heart….

I only have it in the tip area and I don’t blame doctors I blame the whole system - shouldn’t prescribe something they don’t know what it does entirely. 
 

 

I might try pelvic floor rehab an stuff 

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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1 hour ago, OptimisticRP said:

I only have it in the tip area and I don’t blame doctors I blame the whole system - shouldn’t prescribe something they don’t know what it does entirely. 
 

 

I might try pelvic floor rehab an stuff 

Thanks for the tip, I’ll try that to together with reversed kegle.

 

i just tried to think about sex and it instantly made my legs hurt…that is not normal…

2018 Isotretoin 80mg

2019 Tetracycline 500mg

2020 Sertraline 50mg (okt 2020 - Jan 2021)

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9 minutes ago, Avicii said:

Thanks for the tip, I’ll try that to together with reversed kegle.

 

i just tried to think about sex and it instantly made my legs hurt…that is not normal…

I don’t think you thinking about sex, caused pain in your legs - I think the more we hyper fixate on it the worse it’s gonna get.  
 

but yeah I’m gonna try the keagles too my other withdrawal symptoms are severe. So I just need to focus on eating and school right now. Keep in touch!  

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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16 hours ago, OptimisticRP said:

Graphic post: 

 

any males experience hard flaccid, or it feels physically different, with sharp pains ? I’m gonna do NO fap and see if it helps, but it feels like my sexual system is completely ruined with no chance of recovery. I’m trying to keep my hope up. 
 

I had no sexual issues on SSRI- besides delayed ejaculation and 2 times no feeling when orgasm. But they were rare. 
 

 

i took citalopram for 11 days in November and 5 days after stopping I lost all functioning - which is strange cause 3-4 days after stopping I was fine.  
 

 

i have numbness - no libido - hard flaccid - anorgasm - and more.  I thought I saw improvements a week ago but they have ceased I’m almost certain. 

Better don't masturbate when you have hard flaccid. 

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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8 hours ago, curiousnootropics said:

For those with PSSD:

Check hormone levels

Test for SIBO

Yes that's very important. It's not sibo it's dysbiosis. Sibo is just a form of dysbiosis. Hormone levels are also influenced by gut health. 

Ad's since 2016 (I was 16 then...) (Escitalopram) 

Nov 2018 switch to venlafaxin 150mg

Nov 2019 to march 2020 tapered by 37,5mg to cero. (breakdown, minor w/d symptoms for a few days only panic attacks followed by deep depression came a month later duo to stress). 

Reinstated venla 150mg in Juli 2020.

Nov 2020 to April 2021 tapering by 15mg every month or so until I reached approximately 50 mg(no w/d symptoms) 

Since April 2021 tapered once by 5% and once by 10% of the last dose because I'm not stable enough for w/d. 

Current dose 50mg venlafaxin

No other medication. 

No supplements

Stopped smoking 29.12.2021

No alcohol 

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4 hours ago, OptimisticRP said:

Have you improved? Issues on it or only coming off?

In the PSSD department? I have no improvement but my testosterone is very low, I need to adress that somehow. How are you?

Zoloft, November 2019.  I worked up to 50 mg and stayed there until 1 year later. I tapered for 3 months, which should consider to be cold turkey.
Tapering schedule:
Month 1: 37.5 mg

Month 2: 25 mg

Month 3: 12.5 mg

Month 4(Half the month): 6.75 mg
Month 4(Other half): 0 mg December 9, 2020

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Just now, curiousnootropics said:

In the PSSD department? I have no improvement but my testosterone is very low, I need to adress that somehow. How are you?

Pretty terrible, but onward. A solider goes into battle knowing the risks in hopes to come home. I just hope one day I can come home. 

ProzacNovember 2019: 10MG start

January 2021: up to 60MG 

march 2021: Valium everyday 2MG twice a day for a month or after that take as needed 

April 2021-May: taper to 0MG

June 2021: Zoloft 7 days and ween off. 
August 2021: escitalopram 5MG-10MG

August 2021: Propanol 10MG-20MG as needed 

September 2021: weened off escitalopram over a week.

October 30th: Citalopram 20MG 

November 10th: stopped - 10MG 2 days. 
November 14th: Prozac 20MG

November 18th: stop C/T 

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Hello, how are you all?  I'm depressed right now.  I have had it all since stopping my antidepressant a month ago after several relapses to take it again because I was in pain.  Mentally it's horrible I don't even talk about it the impression of being somewhere else permanently.  And sexually loss of desire, sex that has shrunk, premature ejaculation, orgasm without pleasure or very little.  But I see that there is worse by reading you so I consider myself "happy".  Courage to everyone.  When I see that it's most likely persistent and definitive it's still terrifying.  Same for emotions if I never go back to how I used to be before I took this **** what's the use of living.  What can I do but wait?  For some it came back?  I'm losing hope even though it's only been a month there's no improvement

Hello everyone, I was on seroplex 10mg in October 2019 for over a year and then on brintellix from March to September for maybe 8 months. I made several attempts to stop abruptly then I resumed the treatment of brintellix recently for a few weeks because it was too difficult to stop.

Symptom when stopped: premature ejaculation, ejaculation with less orgasm. Severe insomnia, transient headaches, sensitivity to noise and light.

Last intake of brintellix 5mg: Saturday, September 11, 2021

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On the other hand, having read a good part of the subject and being interested in it because it concerns me, I note that for me it is different from some.  Under seroplex 10mg I had a really very very strong libido a good erection on the other hand I could not manage to ejaculate or it was difficult to delay ejaculation much.  Some people say that their libido had dropped by taking an antidepressant, but it was quite the opposite.  And since the stop I ejaculate very very quickly so really the opposite.  If it's permanent, it's still terrible.  Are there people who have managed to stop the treatment without resuming it and who can testify please?  To know their evolution if it is to fix and after how long thank you in advance

Hello everyone, I was on seroplex 10mg in October 2019 for over a year and then on brintellix from March to September for maybe 8 months. I made several attempts to stop abruptly then I resumed the treatment of brintellix recently for a few weeks because it was too difficult to stop.

Symptom when stopped: premature ejaculation, ejaculation with less orgasm. Severe insomnia, transient headaches, sensitivity to noise and light.

Last intake of brintellix 5mg: Saturday, September 11, 2021

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