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  • BDD Moderators: Keif’ Richards | negrogesic

Misc Post-SSRI sexual dysfunction

plumbus-nine

Bluelighter
Joined
Apr 4, 2021
Messages
3,653
How long is this supposed to last? I've been on venlafaxine for many years and quit it a good month ago. No other drugs currently. Now thing is, my dick became so sensitive that there's no way to avoid premature orgasm. I don't want to get on SSRI again and that short acting one which is used against premature ejaculation isn't available here where I live.
 
I tried a few anti depressants but as soon as they killed my sex drive I stopped them (Paxil,Lexapro) but before they totally killed my sex drive I was able to last ridiculously long which was too much,so I only used them an hour or two before sex maybe twice a week tops and they let me enjoy a normal sex life 🤪.. Dapoxatine I found to be pretty much the same thing as Paxil,Lexapro,that I’d use them an hour or two before sex and they both make you last longer and less sensitive.. 5mg cialis daily does wonders and has no side effects
 
Well when I was put on antidepressant venlafaxine for social anxiety first I could control sexual performance which was somewhat awesome but soon it would come at the price of watered down orgasm. Still it would take until stopping SSRIs many years later now before it became dysfunctional during abstinence, and the condition doesn't seem to improve much over time.

Had viagra once when I was on opiods and dissociatives, it indeed helped but purely physical, no increased libido like with stimulants sometimes.

If I can ill give dapoxetine a try.
 
Still same after ~three more months. Seems to be permanent, this sucks. Is it really the only option to continue on some sort of SSRI? Dapoxetine is also prohibitively expensive here.
 
Thoo should be happy you can get excited and cum some SSRIs permanently fry peoples dicks. Try using alcohol or a low dose opiate to make yourself last longer
 
Still same after ~three more months. Seems to be permanent, this sucks. Is it really the only option to continue on some sort of SSRI? Dapoxetine is also prohibitively expensive here.
If you were on SSRIs for several years it may take longer than 3 months, but it should go back to normal eventually.

Serotonin plays a major role in controlling orgasms. Your brain just needs more time to balance out. The brain has remarkable healing powers, but is also the slowest organ to heal.

Kratom is good for making you last longer, without making it impossible, IME.

I remember when I was coming off high dose ashwagandha (similar to SSRI) I would orgasm in literally 5 sec, it sucked, but eventually went back to normal.
 
If you were on SSRIs for several years it may take longer than 3 months, but it should go back to normal eventually.

Serotonin plays a major role in controlling orgasms. Your brain just needs more time to balance out. The brain has remarkable healing powers, but is also the slowest organ to heal.

Kratom is good for making you last longer, without making it impossible, IME.

I remember when I was coming off high dose ashwagandha (similar to SSRI) I would orgasm in literally 5 sec, it sucked, but eventually went back to normal.

I agree that this will probably even out on its own if you give it time. I understand that this can be an incredibly annoying and/or embarrassing thing to go through, but the only way to get back to normal is to wait it out. If it were me and I were with a person I love and trust, I wouldn't really have a problem with it. I imagine we would just keep going honestly, with some kind of short break in between refractory periods. If you're just out there trying to hook up with random people, I understand how totally unnerving it could be. Even if the other person wouldn't really care, your own thoughts can easily prevent you from having a good time,

There are things you can try, psychological, pharmacological, but I think the best thing is to give yourself a little more time to get back to your normal state. These things are typically not permanent and correlate directly with the levels of the drug in your body.
 
I'm totally throwing a random out here, but Dextromethorphan i.e. Robotussin i.e. "cough syrup" among Americans under 50 rendered me basically unable to go.

This was a first date scenario. All had gone well throughout the evening and I was given an invite back. Some context: this girl was both nice and I was already firmly attracted to her before the date.

I'd been on drugs my whole life. Different ones, different dosages. I never really knew what was gonna go down til it did. I was out of Opioids for 48 hours and had been taking lots of DXM. I was in the country and there was nothing else available.

Long story short, we had aex for what seemed like a couple of hours straight, more accurately an hour straight, but still, pretty substantial for people who aren't porn stars or yogis.

Well, in the end I had to pretend to organs as I felt the mood turning into WTF? territory. I told her this story on our 4th date and she spit popcorn onto the lady in front of us. The secondary lesson here is that being comfortable in the situation and with yourself can make anything work.

You can tell the girl exactly what's up and if you do it with confidence like, you could literally laugh at it all. I know that sounds like a lot but it's possible.

I was taking like 150mg DXM per day. It's also gonna make you're vision a little qonkey so be careful.
 
I'm totally throwing a random out here, but Dextromethorphan i.e. Robotussin i.e. "cough syrup" among Americans under 50 rendered me basically unable to go.
DXM indeed helps, had a hefty cold the last days and used some cough syrup. Instantly felt more relaxed (showing me that the sexual aftereffects aren't the complete picture, probably at least, I'm a jittery mess since I've quit venlafaxine and Kratom and thought it to be ADHD but no by no means sure) and lasted quite a bit longer. Unfortunately my girl doesn't want me to do DXM due to what she read on these shitty anti drug web pages on Google, sigh.
 
Still same after ~three more months. Seems to be permanent, this sucks. Is it really the only option to continue on some sort of SSRI? Dapoxetine is also prohibitively expensive here.
Try very low dose amphetamine.

Amphetamines are known to cause delayed ejaculation.

You could also try excessive masturbation as well as topical anesthetic to reduce sensitivity.
 
Hey @plumbus-nine

Basically, if a drug is what caused your problem, typically, removing the drug from the equation is going to lead to these effects dissipating. I know 3 months seems like a lot of time, but the sad truth is that these things often take a lot longer than people expect. Most medical literature regarding drugs, rather recreational or otherwise are going to focus on the acute, "observable" effects. That's what medicine is all about, observation and statistics. This makes the most sense if we're purely trying to keep a person alive and functional in our society. For instance, Opioid withdrawal ends when a person is able to pick themselves up off the bathroom floor, hold liquids down and regain control over their bodily functions. Again, this is all the easily observable stuff.

The effects of post-acute withdrawal are not discussed very often in medical literature, although there is more conversation being had over the last decade for reasons of the current Opioid epidemic. The symptoms are more vague, difficult to chart and hard for understand for someone not directly experiencing them. Situations like this are part of what has made Bluelight what it is today, as there was never really a good resource for this kind of information.

You more than likely just need more time man.

I've withdrawn from different things, as many of you know. Methadone was at least 6 months before I actually started becoming myself again. To put it in relevant terms for you OP, I would jerk off regularly at least 6 times a day until I basically had no fluids left in me. It was a long time before things started to change. In that time, there would've been little chance of me engaging with a woman in general due to my psychological symptoms, but it would have been pointless. I literally would've ejaculated by having a pretty girl touch my arm. I don't want to be too crass, but that's how it was for a long time. The point is, it did get better.

You are in a different situation. You already have a SO which needs you in different ways, including sexually.

The real deal is that lack of sex in a relationship between people (I've only ever been a man in a relationship with a woman, so I'm sure there is variability) is typically going to cause problems. Sex is just one part of a relationship, but in general, it is a very important part.

If you're SO wants to work on the problem, she is going to have to accept some kind of outside help. As it stands right now, you're unable to enjoy sex normally, but there are options for treating the situation. If you do enough reading, you will find that essentially any substance can be harmful in the appropriate dosage or in the appropriate body. Every drug is a poison in the right dosage.

As things go, Dextromethorphan (DXM) or (Robotussin) among many other names, is a pretty safe substance. In fact, it's a drug that the wider population probably has more experience with in general, as even non-drug users take Dextromethorphan when they get sick. As drugs go, it is one with a widely demonstrated safety profile, shown to be safe and non-toxic even in dosages higher than recommended on the box.

As all drugs are poisons, things get less-safe as you escalate the dosage. However, we're not implying you take a dissociative-level dosage of DXM. For me, even say, double the recommended dosage for an adult is enough to delay ejaculation significantly for me and I know plenty of other people who share this experience. I believe this is probably explained by the dissociative nature of the drug in general, which most describe as "being separated from their body" or "watching themselves move, but not being present"... that sort of thing. As drugs go, you have something here with a pretty favorable therapeutic index that might help you with a problem; a problem that could be life-changing if not addressed.

If you're SO wants to be able to enjoy sex, than you probably need to think out of the box. I would try having this discussion with them. If they're open to trying different remedies, then you can start by experimenting with relatively low doses of DXM. If that isn't effective, we can play it by ear and see what others have used. You're not the only person on BL to have experienced this problem.
 
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