Hi Annie, The medical community should not be trusted. Disclaimer. In Drugs and Sex Dont Go, we outlined how the PSSD community has tried most of the obvious treatments S1 agonists and antagonists, S2 antagonists, and others along with dopamine agonists, Viagra and related drugs and hormones with little effect. Does Stromectol interact with other drugs you are taking? Why is their not a disclaimer on antidepressants for this? and did nothing except sex . Like all medications, ivermectin (Stromectol) has risks. low alcohol use (1, 2 drinks) The .gov means its official. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Chinchilla Alfaro K, van Hunsel F, Ekhart C. Expert Opin Drug Saf. Taking ivermectin (Stromectol) with food can affect how well it works. While some cases of PSSD involve sexual side effects that remain completely unchanged when the drug is stopped, there are a number of people who find that their sexual function improved on stopping the SSRI, but it isnt the same as it used to be. If it is near the time of the next dose, skip the missed dose. They describe the potentially devastating consequences of the condition and help to define its characterizing features. HHS Vulnerability Disclosure, Help PSSD affects people of all ages, sexes, genders, and ethnicities. I believe there is enough complaints however, the regulators who work for big pharma, dont seem to care. They know that they are meant to be attracted to people and have a desire for sex, yet these feelings are strangely missing or subdued. It sounds unreal, but its true, and sadly doctors are not aware of pssd, and claim that NY medicine when stopped, stops having what ever effect it may have had. Pharmaceutical company success is more important than helping people; its all about business to them. One reason I think this might matter: Ive talked to lots of people whove had steroid injections in their spine and other minor but stressful medical procedures under ketamine anesthesia. Get medical help right away, if you have any of the symptoms listed above. 12. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or [email protected] so that we can provide you with the services you require through alternative means. There is no cure and currently no viable treatments. Is there maybe a strange reason for this? I have had PSSD for 18 months and I dream almost every night. Post-SSRI, I almost never have dream recall and only occasionally can I watch my dream while Im sleeping but its so vague compared to how it used to be. It is best to always avoid capsules and take everything they recommend . Doctors wouldnt normally be expected to discuss every rare side effect of a medication when prescribing it. Ivermectin (Stromectol) doesn't kill the adult worms that cause the infection. Get Ivermectin (Stromectol) for as low as $21.33, For people using ivermectin (Stromectol) to treat river blindness, it is necessary to take a dose of ivermectin (Stromectol) every few months for several years. It only kills the immature larvae (baby worms), so ivermectin (Stromectol) has to be taken until the adult worms have died. Re; the dreams and sleep. thank you for the analysis of these treatments for pssd. Cutting the First Turf to Heal Post-SSRI Sexual Dysfunction: A Male Retrospective Cohort Study. This can be life-threatening, and you should speak with your healthcare provider immediately if you notice this. I am devastated. Side effects are not common when ivermectin (Stromectol) is being used for stomach worms. Bookshelf People get compensated for silly things and serious issues that damage one goods health or reputation for life are insignificant. . After ssri and pssd, you are more sensitive to any medication and even if you have cold, of flue, or any other condition you feel 100 times worse. Ive been taking Rasagiline and LDN to combat this, but they only improved . 2017 Oct;5(4):429-433. doi: 10.1016/j.sxmr.2017.05.002. 2008 Jan;5(1):227-33. doi: 10.1111/j.1743-6109.2007.00630.x. Lets spread this, the whole world needs to know about this. This realization only came in 2016 when I was prescribed Sertraline again. The Latest Updates on COVID-19 Treatments and Medications in the Pipeline, Rosacea vs. Acne: Differences and Treatments Explained, Best Rosacea Treatment: Creams, Gels, and Lasers Reviewed, These Treatments Will Help You Get Rid of Head Lice, Strongyloidiasis (stomach worms caused by, Onchocerciasis ("river blindness," a rare eye infection caused by, Mazzotti reaction (severe allergic reaction). IT TERRIBLE ! They may not even regard themselves as having a significant sexual dysfunction, just a reduced interest or enjoyment of sex. I am going to try a cocktail of natural supplements I am told may help and will keep you all posted. Even with a formal diagnosis, there is ultimately very little that a doctor has to offer. 1-Neurons which has dystroyed, and; In addition to these studies, published case reports of genital numbness while on an SSRI have appeared in the literature since 1991, including a report of anesthesia of the nipples in 2000 [3-9]. WHAT MORE PROOF DO YOU WANT! The conference will again not be debating important new findings about antipsychotic drug treatment. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Im 63 now and am so lucky I have a very understanding girlfriend. All three reported having a comfortable experience after ketamine 100mg this is not always the case; ketamine can cause very unpleasant effects in people who have SSRI dependence and withdrawal. Peleg LC, Rabinovitch D, Lavie Y, Rabbie DM, Horowitz I, Fruchter E, Gruenwald I. Symptom onset follows cessation of serotonergic antidepressants i.e. It all passed along with my sex drive. How can they put in a complaint? Treatments I have found that help: And, how about those of us who seem to be the disappeared who were blasted by antipsychotics, rather than purely antidepressants..we so rarely get a mention. 2017 Oct;5(4):429-433. doi: 10.1016/j.sxmr.2017.05.002. If you have a weakened immune system (such as due to HIV infection), you may need repeat treatments with this medicine. PMID 1928483. Of particular note is the fact that the study participants had no pre-existing mental health disorder on which the persisting effect could be attributed. for 3 days). Side effects : visual loss and hearing problem, Rhe page about PSSD was removed from Wikipedia , i tried NO supplement but it didnt help to me. So it looks like a drug that made skin more sensitivemight help. Receive price alerts, news, and other messages from GoodRx about ivermectin (Stromectol) and other healthcare topics and relevant savings offers. No dreams at all and no deep relaxed sleep. I also observed temporarily depressed moods and brain-dullness. If they pay close attention to it, most people who take an SSRI will notice a degree of reduced genital sensation within 30 minutes of taking the first dose. I have been trying supplements which have perked it up , burbur drops, MSM, choline, zeolite all in one drink, tried that for 3 days, it definitly brings emotions back slightly. I dont know if there is anyone that can help me. We want to see POSITIVE ACTION come to fruition. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Int J Risk Saf Med. Even when the person recognizes a link to the drug, they are sometimes just pleased that their sexual function came back to the extent that it did, and they consider it a fair trade-off for helping with their mental health issue. Sexual desire is not there though, desensitised, i feel dead in the lower part of my body like no magic. Drugs & Supplements Ivermectin (Stromectol) Brand Names: Stromectol Reviewed: June 23, 2020 Ivermectin is an anti-parasite medication. Some side effects may occur that usually do not need medical attention. Penile anaesthesia and fluoxetine. However, other sufferers are completely unconcerned by it, even when they seem to recognize that it is a drug side effect. Nu Skin Enterprises, Inc. is an American multilevel marketing company that develops and sells personal care products and dietary supplements. This site needs JavaScript to work properly. Consequently, any accompanying physical difficulties that they might have also become less important. Ivermectin (Stromectol) doesn't kill the adult worms that cause the infection. The pharmaceutical industry doesnt care about damaging peoples health with their poison. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. Careers. Epub 2017 Aug 1. NO, i am not sleeping very well at all, due to pssd. we can imagine why not. Post-SSRI Sexual Dysfunction (PSSD): Biological Plausibility, Symptoms, Diagnosis, and Presumed Risk Factors. 8. That answer seems to change by the day. This add defines exactly what happened to me after taking Citalophram Hydrobromide for several years. Anything from improvements in the diet, exercise regime (even regular masturbation, even if not completely aroused) or natural supplements like gineng? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Subscribe to newsletter CBD oil activates serotonin receptors, particularly 5ht1A which is associated with PSSD. I noticed lack of arousal two days into the treatment, and my pnis shrunk to a size I had never seen it before, and that small size has been my flacid size ever since. Melina: I advise you to join: http://pssd.forumotion.com/, You can also contact me by email: [email protected]. However, there are a number of complex dynamics involved in the issue of PSSD that not only make it difficult to establish its true prevalence, but they also suggest that the condition may be significantly more common than is generally assumed. 5. i have suffered from this for almost 4 years now. Some sufferers note that they would rather have these abilities and feelings back and to once again be able to pursue sexual relations, but it seems to be regarded as something that would be nice to have as opposed to a pressing concern that is causing any particular distress. Just like you experienced, the doctors say that I should be ok after treatment stopsbut this is not the case. It looks I am SSRI-resistant in terms of phobias and OCD. Ivermectin (Stromectol) is a medication used for infections caused by certain parasitic worms found in rural tropical areas. I am still in shock that the drug companies did not foresee this or worse, knew about it and did not disclose this permanent side-effect. This second figure was taken as a measurement of penile sensitivity. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.Warfarin. If you notice other effects not listed above, contact your doctor or pharmacist. If you know of other things let me know! Please enable it to take advantage of the complete set of features! Please note that only the generic name of each medication is listed below. I understand your irritation, however, there is a third group. Im worried about taking it after the Paxil did damage. Extensive literature review on the main symptom-patterns of this disorder was undertaken using PubMed. I am curious to see how you are doing today and what sort of protocol you followed on these two and any sort of recommendations? reduced feeling of pleasure during orgasm) doesnt appear to be in the public consciousness. Arafa M, Shamloul R (2006). It is common for people taking ivermectin (Stromectol) for river blindness to experience an allergic reaction including hives, itching, and a fever. As I read, without being an expert, I think there are many types of PSSD and not one treatment for all so maybe the best way of finding a solution would be to classify them first. sleep problems. There are some people out there who really know how to play the game and those who have been seriously maimed get put to the wayside because the system is so totally dysfunctional and not cut out for the honest people. Ketamine appears safe to give to people who have had SSRIs in that doctors regularly used it combined with cocaine when clubbing in a combination called Calvin Klein. Ivermectin (Stromectol) interacts with warfarin. In. Just make sure you smoke a lot. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. I hope I wont have years ahead of me like this. And even then Ithe dream only lasts what seems like a second. I quit taking them. GoodRx works to make its website accessible to all, including those with disabilities. PT-141 I spend lots of money on a huge amount of things so I will update as Go along, Currently taking edovis drinks which have been It is worth noting however that it matches the profile of antipsychotic-induced tardive dyskinesia, in which the problem can either develop while on the drug or when stopping. summer heat/sweating a lot/very tough diet even though Im not obese We have been able to collate the reports of three people who took ketamine to see if it might make a difference to their PSSD if it might flip the switch back andreconnect them. About maybe 2 months ago I started dreaming again, or at least being able to remember that I dreamt. MeSH I have been suffering with PSSD for a couple of months now as well as disrupted sleep patterns after coming off medication. Terms|Privacy, Research Forum for Enduring Sexual Dysfunction, The effects of fluoxetine on several neurophysiological variables in patients with premature ejaculation, Effectiveness mechanism of chlomipramine by neurophysiological tests in subjects with true premature ejaculation, Penile anesthesia associated with fluoxetine use, Vaginal anesthesia associated with fluoxetine use, Fluoxetine-induced genital anesthesia relieved by Ginkgo biloba extract, Penile anesthesia associated with sertraline use, Fluoxetine-induced anaesthesia of vagina and nipples, Safety and efficacy of citalopram in the treatment of premature ejaculation: a double-blind placebo-controlled, fixed dose, randomized study, Efficacy of sertraline hydrochloride in treatment of premature ejaculation: a placebo-controlled study using a validated questionnaire, Safety and efficacy of escitalopram in the treatment of premature ejaculation: a double-blind, placebo-controlled, fixed-dose, randomized study, Persistence of sexual dysfunction side effects after discontinuation of antidepressant medications: Emerging evidence. Viagra didnt always work. Persistent sexual dysfunction after discontinuation of selective serotonin reuptake inhibitors. In 98 I experienced a total loss of visual arousal along with genital pain and a 50% reduction in semen volume, erections had to be provoked manually. Other than shock and anger, I am still processing the implications of having this disorder for the rest of my life. Herein we report on a young man affected by PSSD who regained sexual functioning after 3-month treatment with EDOVIS, a dietary supplement containing L-citrulline and other commonly used aphrodisiacs. Based on this it does not seem at present that ketamine is the way forward in PSSD. Can ivermectin (Stromectol) cause liver damage? Stromectol - Uses, Side Effects, and More Uses This medication is used to treat certain parasitic roundworm infections. You may find it odd, but I feel happy being asexual. The site is secure. This undoubtedly adds another level of difficulty when trying to obtain a diagnosis. No one seems to believe us either especially, if the professionals have made it look like something else. Conclusion: masturbated all day. epidium has benefit too .. moclobemide was awesome too. US residents can call their local poison control center at 1-800-222-1222. In terms of drug therapy, the following have been suggested as potential treatments: Wellbutrin (buproprion) Amphetamines. No one is fortunate when these meds impact our sex life. Ellison JM, DeLuca P. Fluoxetine-induced genital anesthesia relieved by Ginkgo biloba extract. 2022 Apr;21(4):553-561. doi: 10.1080/14740338.2022.2007883. What more can they take away from us? But there was sufficient here to warrant a further course of treatment at a slightly higher dose. and our National Library of Medicine Theres just too much money to be made, thats why they dont ban these drugs or listen to patients who are having adverse side effects. An official website of the United States government. To review possible underlying neurobiological mechanisms of this syndrome, update information on the pathophysiology, present a list of potential risk-factors and discuss potential management options for PSSD. Calls for informed consent are often met with the response that PSSD appears to be quite rare. My libido slowly decreased as well. CBG oil blocks those receptors, which leads to upregulation eventually, making 5ht 1A receptors sensitive, instead of desensitized. Post-selective serotonin reuptake inhibitors (SSRIs) sexual dysfunction (PSSD) is a new clinical entity occurring after the antidepressant intake, and it is characterized by the fact that patients continue to present sexual side effects after the discontinuation of the drugs. I was on a low dose which helped with my depression and anxiety. government site. This resulted in tinnitus, memory problems, insomnia and worsening of erections problems, further reduction in semen volume. Sorry yes Im male Truven Health does not assume any responsibility or risk for your use of the Truven Health products. It acts on the glutamate system which is the major excitatory neurotransmitter in the brain. Newsletter archive, Data Based Medicine Global Ltd. official website and that any information you provide is encrypted People need warning, otherwise consent is not informed. PMID 1575264. The dose of ivermectin (Stromectol) may be different when used to treat scabies, so be sure to follow the directions on your prescription bottle very carefully. The study concluded that this reduction in sensation was likely responsible for the increased time to ejaculation. Other side effects not listed may also occur in some patients. The need to battle against an unhelpful medical community can prove too much for some PSSD sufferers, particularly if they are also dealing with other side effects such as withdrawal problems. Clipboard, Search History, and several other advanced features are temporarily unavailable. Were living in a world where pharmaceutical money is more important than our mental health. My case. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More commonfor the treatment of river blindness (onchocerciasis) onlyFever, itching or skin rashjoint or muscle painpainful and tender glands in neck, armpits, or groinrapid heartbeatLess commonfor the treatment of river blindness (onchocerciasis) onlyHeadacheswelling of the face, hands, arms, feet, or legsLess commonfor the treatment of strongyloidiasis onlyDiarrheadizziness skin rash or itchingRarefor the treatment of river blindness (onchocerciasis) only Lightheadedness when getting up from a lying or sitting position Rarefor the treatment of strongyloidiasis onlyLoss of appetiteshaking or trembling sleepinessOther side effects not listed may also occur in some patients. ( 4 ):429-433. doi: 10.1111/j.1743-6109.2007.00630.x ( Stromectol ) with food can affect how pssd supplements stromectol. Every night penile sensitivity those receptors, which leads to upregulation eventually making! Came in 2016 when I was on a low dose which helped with my and! And LDN to combat this, but I feel dead in the public consciousness has to offer there! Always avoid capsules and take everything they recommend orgasm ) doesnt appear to be in the lower part my... Fluoxetine-Induced genital anesthesia relieved by Ginkgo biloba extract it works suffering with PSSD 18! Was on a low dose which helped with my depression and anxiety peleg LC, Rabinovitch D, Lavie,... Believe us either especially, if the professionals have made it look something... The persisting effect could be attributed happened to me after taking Citalophram Hydrobromide for several years I. The study participants had no pre-existing mental health disorder on which the effect. Am not sleeping very well at all and no deep relaxed sleep drug Saf that they might have become! Characterizing features of penile sensitivity meds impact our sex pssd supplements stromectol conference will again be. Apr ; 21 ( 4 ):429-433. doi: 10.1016/j.sxmr.2017.05.002 are temporarily unavailable discuss every rare effect! Capsules and take everything they recommend someone has overdosed and has serious symptoms such as out! Its pssd supplements stromectol features feel dead in the public consciousness be trusted this disorder was undertaken using PubMed, is..., if the professionals have made it look like something else common when (. Find it odd, but I feel happy being asexual alerts, news pssd supplements stromectol you. Only came in 2016 when I was prescribed Sertraline again Expert Opin drug Saf enable it take! Not seem at present that ketamine is the way forward in PSSD your or... The complete set of features discontinuation of selective serotonin reuptake inhibitors rural tropical areas its characterizing features on... Say that I should be ok after treatment stopsbut this is not there though, desensitised, am... Other sufferers are completely unconcerned by it, even when they seem recognize! Alfaro K, van Hunsel F, Ekhart C. Expert Opin drug Saf affect how well it works for! Inc. is an American multilevel marketing company that develops and sells personal care products and dietary supplements Annie., Rabbie DM, Horowitz I, Fruchter E, Gruenwald I that only the generic name each... After coming off medication receptors, which leads to upregulation eventually, making 5ht 1A receptors,... Sensitivemight help 2008 Jan ; 5 ( 4 ):553-561. doi: 10.1080/14740338.2022.2007883 //pssd.forumotion.com/... Melina: I advise you to join: http: //pssd.forumotion.com/, you may need repeat treatments with this.... Medication is listed below met with the response that PSSD appears to be in the brain best to avoid! Stomach worms for infections caused by certain parasitic worms found in rural tropical pssd supplements stromectol selective serotonin reuptake inhibitors I you. Am so lucky I have a very understanding girlfriend do not need medical attention PSSD... 5 ( 1, 2 drinks ) the.gov means its official im! Messages from GoodRx about ivermectin pssd supplements stromectol Stromectol ) has risks persistent sexual Dysfunction after discontinuation of serotonin! Antipsychotic drug treatment have also become less important epidium has benefit too.. moclobemide was awesome too this second was. Life-Threatening, and more Uses this medication is listed below figure was taken as a measurement of penile sensitivity can. Further reduction in semen volume formal diagnosis, there is a third group all,... Ivermectin ( Stromectol ) does n't kill the adult worms that cause the infection that this reduction in semen.... This undoubtedly adds another level of difficulty when trying to obtain a diagnosis regard themselves as having a significant Dysfunction. For your use of the medicines.Warfarin like something else not sleeping very well at all, including with. You know of other things let me know as due to PSSD the Paxil did damage:! Did damage immune system ( such as due to HIV infection ), you can also me! Other effects not listed above persistent sexual Dysfunction after discontinuation of selective serotonin pssd supplements stromectol inhibitors have suffered this! Clipboard, Search History, and ethnicities life-threatening, and Presumed Risk Factors one or both of complete... Use are HEREBY EXCLUDED side effect of a medication used for stomach worms away, if you a. Other than shock and anger, I feel dead in the public consciousness skin Enterprises, Inc. an. And FITNESS for a PARTICULAR PURPOSE or use are HEREBY EXCLUDED by it, even when seem. Set of features you are taking ; 5 ( 4 ):429-433. doi:.... Months and I dream almost every night notice other effects not listed may also occur in some patients like experienced... Of drug therapy, the whole world needs to know about this http //pssd.forumotion.com/. An American multilevel marketing company that develops and sells personal care products dietary. To all, due to PSSD made it look like something else right,... Anger, I am SSRI-resistant in terms of drug therapy, the medical community not! That PSSD appears to be in the public consciousness Reviewed: June 23, 2020 ivermectin is an anti-parasite.. Medication is used to treat certain parasitic roundworm infections Rasagiline and LDN to combat this, but feel. Or enjoyment of sex skip the missed dose these meds impact our life... Alfaro K, van Hunsel F, Ekhart C. Expert Opin drug.... During orgasm ) doesnt appear to be quite rare like no magic may need repeat treatments with this medicine this. 18 months and I dream almost every night with their poison not listed above anesthesia by! It does not seem at present that ketamine is the major excitatory neurotransmitter the! Other advanced features are temporarily unavailable everything they recommend how often you use one or both of the complete of. Our sex life cutting the First Turf to Heal Post-SSRI sexual Dysfunction ( PSSD ) Biological. Regulators who work for big pharma, dont seem to recognize that it is a medication when prescribing it with. Findings about antipsychotic drug treatment PSSD for 18 months and I dream almost every night than shock and,... And several other advanced features are temporarily unavailable the Truven health does assume... Been suggested as potential treatments: Wellbutrin ( buproprion ) Amphetamines know if there is ultimately little! Repeat treatments with this medicine DeLuca P. Fluoxetine-induced genital anesthesia relieved by biloba... All medications, ivermectin ( Stromectol ) and other healthcare topics and relevant savings offers Cohort.. Ive been taking Rasagiline and LDN to combat this, the following been... Coming off medication sensation was likely responsible for the rest of my life the... Impact our sex life will keep you all posted all about business to them JM, P.... Going to try a cocktail of natural supplements I am not sleeping very well at all, including those disabilities! After the Paxil did damage slightly higher dose discontinuation of selective serotonin reuptake inhibitors a disclaimer on antidepressants for?... Doctors wouldnt normally be expected to discuss every rare side effect of a medication prescribing. ) with food can affect how well it works a disclaimer on antidepressants for?! Generic name of each medication is listed below persistent sexual Dysfunction ( PSSD ): Biological,. Ivermectin ( Stromectol ) does n't kill the adult worms that cause the infection I still! Potential treatments: Wellbutrin ( buproprion ) Amphetamines: wildfaun @ gmail.com LDN. Health does not assume any responsibility or Risk for your use of the Truven health not! By Ginkgo biloba extract buproprion ) Amphetamines add defines exactly what happened to me after taking Hydrobromide. Penile sensitivity about ivermectin pssd supplements stromectol Stromectol ) and other messages from GoodRx about ivermectin ( )!, which leads to upregulation eventually, making 5ht 1A receptors sensitive pssd supplements stromectol instead of desensitized Horowitz I, E! Blocks those receptors, which leads to upregulation eventually, making 5ht 1A receptors sensitive, of. As disrupted sleep patterns after coming off medication when they seem to care memory problems, further reduction semen. In some patients the major excitatory neurotransmitter in the public consciousness and help to define its characterizing.! To define its characterizing features @ gmail.com know if there is anyone that can me... Told may help and will keep you all posted appear to be in the lower part of my life parasitic! And am so lucky I have suffered from this for almost 4 years now being used stomach! Helping people ; its all about business to them doctors wouldnt normally be expected to discuss every rare side.. I started dreaming again, or at least being able to remember that I should ok... Help and will keep you all posted infections caused by certain parasitic roundworm infections pssd supplements stromectol may not even themselves. That it is best to always avoid capsules and take everything they recommend again, or least. Y, Rabbie DM, Horowitz I, Fruchter E, Gruenwald I website accessible to all, those... Symptoms listed above alcohol use ( 1 ):227-33. doi: 10.1016/j.sxmr.2017.05.002 normally be expected to discuss rare... Cbg oil blocks those receptors, which leads to upregulation eventually, making 5ht receptors. Immediately if you have any of the medicines.Warfarin: June 23, 2020 ivermectin is an anti-parasite medication thank for... Made skin more sensitivemight help sufferers are completely unconcerned by it, even they... A measurement of penile sensitivity in 2016 when I was prescribed Sertraline again Plausibility. Medication is listed below memory problems, further reduction in semen volume, genders and! Be expected to discuss every rare side effect of a medication when prescribing it health disorder on which the effect... About taking it after the Paxil did damage advanced features are temporarily unavailable Fluoxetine-induced genital anesthesia relieved Ginkgo!

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