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[–]spelllingchamp 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (3 children)

When fluvoxamine is used for long periods of time, some people have a very hard time getting off it. (Also, many doctors aren't aware of withdrawal issues with psychiatric drugs and don't receive training on how to taper patients off them.) So it's probably not helpful as a prophylaxis.

[–]stereomatch[S] 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (2 children)

@spelllingchamp

Sorry for the late reply.

Yes, that is a concern - some have issue with it from the start.

So it adds an extra layer of logistics to handle for an outpatient doctor - more monitoring and more abrupt change of medications (if patient cannot tolerate Fluvoxamine then have to fall back to steroids-by-day8).

However, I asked this of Dr Angela Rieirsen on twitter - and she said that a one week course should not make dependent.

However, we have direct feedback from Dr Syed Haider who is using it as his main line of defence i.e. ivermectin + fluvoxamine - and the idea being that this avoids need for steroids-at-day8 (I pressed him on this).

Though I am not sure of the edge cases - i.e. if start Fluvoxamine late or later patient arrives.

Dr Syed Haider also addressed the dependence issue on Fluvoxamine in a tweet response - and he also is less concerned about that.

But he has said from the start that some proportion of patients do have issue with Fluvoxamine i.e. cannot continue with it etc.

 

Fluvoxamine has been reported by some on reddit as does have impact on libido and ejaculation.

(In fact it is used by urologists to treat premature ejaculation in men it seems)

Here are some comments about difficulty weaning off SSRIs:

https://www.reddit.com/r/askscience/comments/qhexf7/_/hiea9zy

[–]spelllingchamp 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

aw nuts, Syed Haider got yeeted off Twitter recently right? https://mobile.twitter.com/drsyedhaider his account is suspended right now

[–]stereomatch[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

Yes.