Notability is turning to a subscription model with v11.0. Existing users will have to pay in a year to use features they already bought.

I posted this here in hope more people would be aware of the long term risks involved with SSRI, which are often not discussed from the doctors. These symptoms might only appear after the withdrawal.

Some manufacturers and healthcare organisations are being to label this as a potential side effect. You can find a one line warning on NHS website now.

People take the drug are usually desperate and at their most vulnerable periods in life. It’s very risky to make life-changing decisions, more so without complete knowledge.

Doctors usually won’t even listen to cases of PSSD by simply attributing the SD as remission of depression. But there’re some recent studies on how SSRI could change neutral receptors in a non-reversible way, which could be the potential mechanism.

Be aware that the said antidepressant is an SSRI, which has the potential to cause permanent sexual dysfunction (PSSD) [1]. It seems that we don’t quite understand how the drug works. Most doctors threw this condition out of the window by claiming SD is caused by depression. There have been some recent studies showing possible mechanisms behind it. Some manufacturers and healthcare organisations (NHS) are beginning to label this as a potential side effect. But in general it’s not well known.

[1] https://rxisk.org/post-ssri-sexual-dysfunction-pssd/