Post-SSRI sexual dysfunction • Hacker News Board

Re: Post-SSRI sexual dysfunction

#101

Post by diskzero » Thu, Oct 28, 2021, 6:03 PM UTC

tata71 wrote: post #64

Jaruzel wrote: post #22

My personal anecdote: I'm on Venlafaxine which is an SNRI (also cited in the article), and I definitely suffer some of those side-effects. It sucks. At times it makes me want to shy away from sex completely. Other times I think I'm doing OK, only to find out I can't finish, or I finish weakly with no adrenalin rush. So my choices are, come off the pills, and emotionally go down a dark well I may not come out of, or k…

Is this the only drug/treatment you've attempted to combat the dark well with? This is not medical advice, only anecdotal interest, but, have known many to leave SSRI for well-timed CBD oil. Wonder if issues requiring an SNRI are "similar" enough? Wishing you well!

Not the poster, but exercise and diet really helps with my side effects. Sometimes I think about tapering off or trying some other drug, but then I get scared. I don't want to go back into the tunnel of depression.

Re: Post-SSRI sexual dysfunction

#102

Post by n8cpdx » Thu, Oct 28, 2021, 6:07 PM UTC

symlinkk wrote: post #88

superflit2 wrote: post #68

Earlier quoted context omitted.

I am not saying it is not for you. But please consider alternatives as CBD or a healthier routine.

What makes CBD healthier necessarily? Curious of your viewpoint

It doesn’t cause permanent long term sexual dysfunction, and all the 2nd order effects that entails.

Re: Post-SSRI sexual dysfunction

#103

Post by diskzero » Thu, Oct 28, 2021, 6:07 PM UTC

jamal-kumar wrote: post #45

SSRIs need to be obsolesced already. Screw the sexual dysfunction, how about increaased risk of suicidal ideation? How about them taking two entire weeks to work? The thing is the rest of the world doesn't seem to feel the burning desire to get as many people on them as possible and even have alternatives which aren't as limited. Reversible MAOI drugs like moclobemide have been around since the 90s and while they hav…

I am in the US and I have never heard of the treatments you mentioned. I guess this is your point! This makes me very sad. I am glad a SSRI worked for me, but I know that a percentage of people will also be at great risk for self-harm.

Re: Post-SSRI sexual dysfunction

#104

Post by jac241 » Thu, Oct 28, 2021, 6:07 PM UTC

michaelgrafl wrote: post #10

On the flipside, if you have problems with premature ejaculation, taking one of those might mitigate the issue. Not a doctor, by the way.

Yes they are indicated for that.

Re: Post-SSRI sexual dysfunction

#105

Post by staticman2 » Thu, Oct 28, 2021, 6:09 PM UTC

ivraatiems wrote: post #87

staticman2 wrote: post #86

Earlier quoted context omitted.

I meant cold turkey as a synonym for no longer on drugs, I should have phrased it differently. I never said psychiatrists pressure patients. I said they only treat patients on drugs. If the patient decides to go off drugs that's the natural end of the relationship. You replied and said you saw a psychiatrist when you were still on a anxiety drug and the insurance paid for it. Well, of course they did, you were taking…

> You replied and said you saw a psychiatrist when you were still on a anxiety drug and the insurance paid for it. Well, of course they did, you were taking a drug. The insurance company doesn't know what you are discussing in your sessions and isn't going to let you see or not see a specialist just based on whether they prescribe you meds. That's not how it works - or not how it should be working if your insurer is…

"tell the doctor you're going off the drug, confirm you went off the drug, the doctor asks if you want to try another drug, you say no, and then you stop talking to the doctor."

This is completely consistent with the patient never telling the doctor that, to their surprise, after waiting months the SSRI side effects never go away.

I feel like you are arguing against my choice of phrase but not the substance of what I had to say.

When a patient terminates treatment doctors do not tell their patients "be sure to make a followup with me in 6 months after going off the drugs in the event you are permenently injured by the drug side effects in a condition that has no cure. I won't be able to help you but please pay me to chat about it."

The article this thread links to indicates there is no cure, so any patient who has done research would know discussing it with a psychiatrist would be useless.

And of course I have no data, you told an anecdote and I responded with a comment along the same lines.

I made a pretty small claim, that your psychiatrist may (not did have, may have) had patients with a condition they didn't discuss with her, that only became known to the patient after treatment had concluded. If you think a minor claim like that requires "surveys" or data, believe what you want, I don't know what to tell you.

Re: Post-SSRI sexual dysfunction

#106

Post by hellojesus » Thu, Oct 28, 2021, 6:11 PM UTC

I want to kill myself every second of every day, and it's been that way for 15ish years now.

The only thing, fleeting as it may be, that I find worthy of doing in life is sex, and these ed side effects have kept me from exploring the potential for a world in which I don't to cease to exist or murder in the sake of nihilism.

I'd rather destroy the lives of those around me or others' randomly than live without sex. It's just a function of my utility curve.

Unfortunately and as counter intuitive as it may seem, I'm very cautious of skin to skin diseases such as hsv and hpv, which has kept me from hiring prostitutes, even though the only thing in life I want is exactly that.

Re: Post-SSRI sexual dysfunction

#107

Post by ironmagma » Thu, Oct 28, 2021, 6:11 PM UTC

jamal-kumar wrote: post #45

SSRIs need to be obsolesced already. Screw the sexual dysfunction, how about increaased risk of suicidal ideation? How about them taking two entire weeks to work? The thing is the rest of the world doesn't seem to feel the burning desire to get as many people on them as possible and even have alternatives which aren't as limited. Reversible MAOI drugs like moclobemide have been around since the 90s and while they hav…

Not to mention the sometimes lifelong brain zaps which are truly disturbing and make trying to go to sleep a terrifying experience.

Re: Post-SSRI sexual dysfunction

#108

Post by ironmagma » Thu, Oct 28, 2021, 6:13 PM UTC

pyronik19 wrote: post #53

jamal-kumar wrote: post #45

SSRIs need to be obsolesced already. Screw the sexual dysfunction, how about increaased risk of suicidal ideation? How about them taking two entire weeks to work? The thing is the rest of the world doesn't seem to feel the burning desire to get as many people on them as possible and even have alternatives which aren't as limited. Reversible MAOI drugs like moclobemide have been around since the 90s and while they hav…

SSRIs took me from being unable to function and leave my home due to social anxiety to knocking out the bulk of my symptoms and having a solid 15 years of being socially and professional productive. I'd prefer we keep them.

There are probably a number of other drugs that could have done that, though.

Re: Post-SSRI sexual dysfunction

#109

Post by bduerst » Thu, Oct 28, 2021, 6:14 PM UTC

jamal-kumar wrote: post #45

SSRIs need to be obsolesced already. Screw the sexual dysfunction, how about increaased risk of suicidal ideation? How about them taking two entire weeks to work? The thing is the rest of the world doesn't seem to feel the burning desire to get as many people on them as possible and even have alternatives which aren't as limited. Reversible MAOI drugs like moclobemide have been around since the 90s and while they hav…

MAOIs have potentially serious dietary interactions and side effects. They can cause serotonin sickness just by taking it with OTC tryptophan supplements.

SSRIs are not perfect but have a safer track record of being a first-attack against depression and anxiety, before having to resort to bigger guns like MAOIs.

Re: Post-SSRI sexual dysfunction

#110

Post by watwut » Thu, Oct 28, 2021, 6:15 PM UTC

BoiledCabbage wrote: post #69

selexin wrote: post #11

I don’t usually post here, especially on such personal topics, but feel I should. I’ve been on SSRIs and SNRIs for some time now (Pristiq, and now Zolof), and can definitely attest to the some of the changes described in the article. I clearly remember reading the documentation in full that came with both drugs before starting each, and the mentioned side effects were only mentioned in passing, along with possibly ev…

As a herbal observation, it seems like such a scam that medical pamphlets will list possible side-effects, but not frequencies. Knowing that one person in one thousand saw some issue is very different from 20% of people. Especially as almost every medication I've ever seen advertised has a list two pages long of possible side effects. How is a person supposed to make an informed judgment?

The frequencies are there, they were in all pamphlets I read. It is a law.