Label wording by medicine and country: a table

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name sertraline.

Sexual side effects, as listed4.8 Undesirable effects · Table 1 · Reproductive system and breast disorders · Very Common (≥1/10)ejaculation failure

Sexual side effects, as listed4.8 Undesirable effects · Table 1 · Reproductive system and breast disorders · Common (≥1/100 to <1/10)menstruation irregular∗, erectile dysfunction

Sexual side effects, as listed4.8 Undesirable effects · Table 1 · Reproductive system and breast disorders · Uncommon (≥1/1,000 to <1/100)sexual dysfunction (see section 4.4), menorrhagia, vaginal haemorrhage, female sexual dysfunction (see section 4.4)

Sexual side effects, as listed4.8 Undesirable effects · Table 1 · Reproductive system and breast disorders · Rare (≥1/10,000 to <1/1,000)galactorrhoea*, atrophic vulvovaginitis, genital discharge, balanoposthitis∗§, gynaecomastia∗, priapism*

Sexual side effects that continue after stopping2. What you need to know before you take Lustral · Warnings and precautions · Sexual problems:Medicines like Lustral (so called SSRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have continued after stopping treatment.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name sertraline.

Sexual side effects that continue after stoppingAnswerThe Medicines and Healthcare products Regulatory Agency (MHRA) approved product information provided to healthcare professionals and patients for all selective serotonin reuptake inhibitors (SSRIs) was updated in 2019 to inform them that reports had been received of long-lasting sexual dysfunction where symptoms continue despite discontinuation of the SSRI.

That document is about the whole class of medicines. It does not name sertraline.

Contains Parliamentary information licensed under the Open Parliament Licence v3.0.

Sexual side effects that continue after stoppingNews storyThe CHM has also recommended updates to the PILs for certain antidepressants to better reflect patient feedback and emerging evidence on the potential for sexual dysfunction that may continue after stopping treatment.

This document does not say which medicines it means. It does not name sertraline.

Sexual side effects that continue after stoppingNews Roundup · Patient and family experiences inform antidepressant safety information reviewThe CHM advised updates to the PILs for some antidepressants on the risk of sexual dysfunction where symptoms continue after stopping treatment to better reflect the views of patients and evolving data.

This document does not say which medicines it means. It does not name sertraline.

Sexual side effects that continue after stoppingAdvice for Healthcare Professionalsdiscuss with patients when starting or changing the dose of an antidepressant, or at their next review, that there is evidence that some antidepressants[footnote 1]. are associated with a risk of sexual dysfunction and that symptoms may continue after stopping treatment with certain antidepressants. Some patients refer to this as “PSSD”

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsdo not stop taking your medicine without first speaking to your healthcare professional

Sexual side effects that continue after stoppingAdvice for Healthcare Professionals to Provide to Patientsthere is the potential for you to experience sexual dysfunction with some antidepressants, which may continue even after you stop the medicine. Please contact your healthcare professional if you have any concerns

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsthese are not new risks for these medicines, but it is important to be aware of them

What the regulator saidNew measuresThe term “Post SSRI Sexual Dysfunction” (“PSSD”) will be added to the PILs of antidepressants associated with a risk of sexual dysfunction that may continue even after the drug is stopped[footnote 1]. Some patients refer to this as post selective serotonin reuptake inhibitors (SSRI) sexual dysfunction (“PSSD”). This will better reflect the experiences of patients and help raise awareness.

This document is about a whole class of medicines and names sertraline among them.

Sexual side effects that continue after stopping3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)In 2019, an EU/UK review of data associated with antidepressant use and sexual dysfunction which continued after stopping treatment was conducted. The review concluded that for certain[footnote 2] antidepressants included in that review, long-lasting sexual dysfunction symptoms have continued despite discontinuation of the SSRIs/SNRI.

The same text also says3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The term “PSSD” was not included in the update to the product information for those antidepressants where evidence showed an association with sexual dysfunction.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The EWG recommended that the patient information leaflets for certain[footnote 3] antidepressants should be updated to reflect clinical practice.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)Medicines like [medicines name] may cause symptoms of sexual dysfunction. Rarely people can experience more persistent sexual side-effects after they have stopped taking SSRIs. The term ‘post SSRI sexual dysfunction’ (PSSD) has been used by some people to describe these symptoms. For these people, PSSD can have a significant and distressing impact on their lives. Research is needed to understand why this happens and how common it is. It is important that people experiencing ongoing sexual side-effects receive appropriate and timely support.

This document is about a whole class of medicines and names sertraline among them.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to EMA, 11 June 2019.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.On record since 2019, according to EMA, 11 June 2019.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

This is wording for national product texts. There is no single EU product text for this medicine.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects, as listed5 WARNINGS AND PRECAUTIONS · 5.11 Sexual DysfunctionUse of SSRIs, including ZOLOFT, may cause symptoms of sexual dysfunction [see Adverse Reactions (6.1)]. In male patients, SSRI use may result in ejaculatory delay or failure, decreased libido, and erectile dysfunction. In female patients, SSRI use may result in decreased libido and delayed or absent orgasm.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

On 13 October 2026 we searched the labels in the FDA's open database. A sentence about sexual dysfunction continuing after stopping stood on none of the 423 labels that name sertraline.

Sexual side effects, as listedWhat is the most important information I should know about ZOLOFT?Sexual problems (dysfunction). Taking selective serotonin reuptake inhibitors (SSRIs), including ZOLOFT, may cause sexual problems.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

What the regulator said09/20/2021 (SUPPL-100) · 5 Warnings and Precautions · 5.11 Sexual Dysfunction(Newly added subsection)

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stopping7 WARNINGS AND PRECAUTIONS · Reproductive Health: Female and Male Potential · FunctionSexual Dysfunction: Selective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction. Patients should be informed that there have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

Sexual side effects, as listed8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · DepressionThe most commonly observed adverse events associated with the use of ZOLOFT were: gastrointestinal complaints; including nausea, diarrhea/loose stools and dyspepsia; male sexual dysfunction (primarily ejaculatory delay) (see 7 WARNINGS AND PRECAUTIONS); insomnia and somnolence; tremor; increased sweating and dry mouth; and dizziness.

Sexual side effects, as listedSerious side effects and what to do about them · COMMONSexual dysfunction: low sex drive, not being able to ejaculate, delayed ejaculation, erectile dysfunction

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stoppingConclusions and actionsHealth Canada will work with manufacturers to update the product safety information for all SSRIs and SNRIs to recommend that healthcare professionals inform patients about the potential risk of long lasting (possibly weeks to years) sexual symptoms persisting after stopping SSRI or SNRI treatment.

The same text also saysConclusions and actionsHealth Canada's review could not confirm, nor rule out, a causal link between stopping SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names sertraline among them.

Sexual side effects that continue after stoppingProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)The Warnings and Precautions section of the Canadian product monographs for SSRIs (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, vilazodone and vortioxetine) and SNRIs (desvenlafaxine, duloxetine, levomilnacipran and venlafaxine) has been, or will be, updated with new safety information concerning reports of long-lasting sexual dysfunction where the symptoms have continued despite treatment discontinuation.

This document is about a whole class of medicines and names sertraline among them.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual DysfunctionSection 4.4 of Australia's product information for Zoloft has a warning headed sexual dysfunction. It says there are reports of sexual dysfunction that lasted a long time, with symptoms going on after SSRIs were stopped.Summarised, not quoted, because of the TGA's access terms.

Sexual side effects, as listedSection 4.8 · Reproductive system and breast disorders · CommonSection 4.8 lists ejaculation disorder and sexual dysfunction as common side effects and points back to section 4.4.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

Sexual side effects that continue after stoppingLess serious side effectsAustralia's consumer medicine information for Zoloft lists sexual dysfunction among the less serious side effects. It says medicines like this one may cause sexual problems, and that in some cases these have carried on after treatment stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

We could not open this text on 13 October 2026: the site did not answer. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4. Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

The originator product is not in the list we read. This is another product from that list.

Sexual side effects that continue after stoppingBefore you take SETRONA · Before you start to take itMedicines like SETRONA may cause symptoms of sexual dysfunction (see “Side effects” section). In some cases, these symptoms have continued after stopping treatment.

The originator product is not in the list we read. This is another product from that list.

Sexual side effects that continue after stopping3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the European product information on this issue and determined, based on their review of the available information, that updates to the data sheets regarding the risk of persistent sexual dysfunction are necessary.

The same text also says3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the strength of the evidence to be low and it is difficult to draw conclusions from the available data.

What the regulator said3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunction · Recommendation 5The Committee recommended that Medsafe writes to the sponsors of serotonin reuptake inhibitors requesting updates to New Zealand data sheets.

That document is about the whole class of medicines. It does not name sertraline.

Sexual side effects that continue after stopping3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · BackgroundA warning that long-lasting symptoms of sexual dysfunction following discontinuing of treatment with selective serotonin reuptake inhibitors (SSRIs) and serotonin and noradrenaline reuptake inhibitors (SNRIs) have been reported, is currently listed in section 4.4 of the data sheets for these medicines.

That document is about the whole class of medicines. It does not name sertraline.

Sexual side effects that continue after stoppingCARM ID: 138298 · Reaction description and data sheet informationThe Arrow Sertraline data sheet states that selective serotonin reuptake inhibitors (SSRIs)/serotonin norepinephrine reuptake inhibitors (SNRIs) may cause symptoms of sexual dysfunction. There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects that continue after stopping4.4 Besondere Warnhinweise und Vorsichtsmaßnahmen für die Anwendung · Sexuelle FunktionsstörungEs wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRIs bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRIs being stopped.

This is the copy in a compendium of product information. The regulator's database asks visitors to accept its terms first, which we did not do.

Sexual side effects that continue after stopping2. Was sollten Sie vor der Einnahme von Zoloft beachten? · Warnhinweise und Vorsichtsmaßnahmen · Sexuelle ProblemeIn bestimmten Fällen blieben diese Symptome nach Beendigung der Behandlung bestehen.Original text: German. Our translation:In certain cases these symptoms continued after treatment was ended.

This is the copy in a compendium of product information. The regulator's database asks visitors to accept its terms first, which we did not do.

Sexual side effects that continue after stoppingPRAC-Meldungen · Neufassung des Wortlauts der Produktinformationen – Auszüge aus den Empfehlungen des PRAC zu Signalen · Serotonin- und Noradrenalin-Wiederaufnahmehemmer (SNRI); selektive Serotonin-Wiederaufnahmehemmer (SSRI) – persistierende sexuelle Funktionsstörung nach Absetzen von Arzneimitteln (EPITT Nr. 19277)Es wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects that continue after stopping4.4. Mises en garde spéciales et précautions d'emploi · Dysfonction sexuelleDes cas de dysfonction sexuelle dont les symptômes se sont prolongés malgré l’arrêt du traitement par des ISRS ont été rapportés.Original text: French. Our translation:Cases of sexual dysfunction in which the symptoms continued despite stopping treatment with SSRIs have been reported.

The text itself prints no date of revision.

Sexual side effects that continue after stopping2. QUELLES SONT LES INFORMATIONS A CONNAITRE AVANT DE PRENDRE ZOLOFT 50 mg, gélule ? · Avertissements et précautions · Dysfonction sexuelleDans certains cas, ces symptômes se sont prolongés après l’arrêt du traitement.Original text: French. Our translation:In some cases, these symptoms continued after treatment was stopped.

The text itself prints no date of revision.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stopping4.4 Avvertenze speciali e precauzioni di impiego · Disfunzione sessualeSono stati segnalati casi di disfunzione sessuale a lungo termine con persistenza dei sintomi dopo l’interruzione dell’uso di SSRI.Original text: Italian. Our translation:Cases of long-term sexual dysfunction have been reported, with the symptoms persisting after the use of SSRIs was stopped.

The text itself prints no date of revision.

Sexual side effects that continue after stopping2. Cosa deve sapere prima di prendere Zoloft · Avvertenze e precauzioni · Problemi sessuali:In alcuni casi, si è osservata la persistenza di questi sintomi dopo l’interruzione del trattamento.Original text: Italian. Our translation:In some cases, these symptoms have been seen to persist after treatment was stopped.

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4. Advertencias y precauciones especiales de empleo · Disfunción sexualSe han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la suspensión del ISRS.Original text: Spanish. Our translation:Cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite the SSRI being stopped.

Sexual side effects that continue after stopping2. Qué necesita saber antes de empezar a tomar Besitran · Advertencias y precauciones · Problemas sexuales:En algunos casos, estos síntomas persisten después de suspender el tratamiento.Original text: Spanish. Our translation:In some cases, these symptoms persist after treatment is stopped.

Sexual side effects that continue after stoppingInformación sobre seguridad · Nueva información de seguridad procedente de la evaluación periódica de los datos de farmacovigilancia · Inhibidores selectivos de la recaptación de serotonina (SRS)/serotonina y noradrenalina (ISRN): persistencia de disfunción sexualEn pacientes a tratamiento con inhibidores de la recaptación de serotonina y noradrenalina, o con inhibidores selectivos de la recaptación de serotonina, se han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la interrupción del tratamiento. Se incorporará este hallazgo a las advertencias de estos medicamentos.Original text: Spanish. Our translation:In patients treated with serotonin and noradrenaline reuptake inhibitors, or with selective serotonin reuptake inhibitors, cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite treatment being stopped. This finding will be added to the warnings of these medicines.

That document is about the whole class of medicines. It does not name sertraline.

Spelling and punctuation are the document's own.

Sexual side effects that continue after stopping5. ADVERTÊNCIAS E PRECAUÇÕES · Disfunção sexualInibidores seletivos da recaptação da serotonina (ISRSs) podem causar sintomas de disfunção sexual (vide item 9. Reações Adversas). Houve relatos de disfunção sexual de longa duração onde os sintomas continuaram apesar da descontinuação dos ISRSs.Original text: Portuguese. Our translation:Selective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see item 9. Adverse reactions). There have been reports of long-lasting sexual dysfunction where the symptoms continued despite the SSRIs being stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

Sexual side effects that continue after stopping4. O QUE DEVO SABER ANTES DE USAR ESTE MEDICAMENTO?Medicamentos inibidores seletivos da recaptação da serotonina, como o Zoloft®, podem causar sintomas de disfunção sexual. Houve relatos de disfunção sexual de longa duração onde os sintomas continuaram apesar da descontinuação destes medicamentos.Original text: Portuguese. Our translation:Selective serotonin reuptake inhibitor medicines, such as Zoloft®, may cause symptoms of sexual dysfunction. There have been reports of long-lasting sexual dysfunction where the symptoms continued despite these medicines being stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

We could not open this text on 13 October 2026: this regulator publishes no database of such texts; the holder publishes no text. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs/serotonin norepinephrine reuptake inhibitors (SNRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name citalopram.

Sexual side effects, as listed4.8 Undesirable effects · Psychiatric disorders · CommonAgitation, libido decreased, anxiety, nervousness, confusional state, abnormal orgasm (female), abnormal dreams, apathy

Sexual side effects, as listed4.8 Undesirable effects · Psychiatric disorders · UncommonAggression, depersonalisation, hallucination, mania, libido increased

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · CommonImpotence, ejaculation disorder, ejaculation failure

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Not knownFemale: Metrorrhagia, postpartum haemorrhage2 Male: Priapism Galactorrhoea

The same text also says4.8 Undesirable effectsAdverse effects observed with citalopram are in general mild and transient. They are most frequent during the first one or two weeks of treatment and usually attenuate subsequently.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. What you need to know before you take Cipramil · Warnings and precautions · Please note:Medicines like Cipramil (so called SSRIs/SNRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have continued after stopping treatment.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name citalopram.

Sexual side effects, as listed4. Possible side effects · Common side effects (may affect up to 1 in 10 people)Decreased sex drive

Sexual side effects, as listed4. Possible side effects · Common side effects (may affect up to 1 in 10 people)For men, problems with ejaculation and erection

Sexual side effects, as listed4. Possible side effects · Common side effects (may affect up to 1 in 10 people)For women, failing to reach an orgasm

Sexual side effects, as listed4. Possible side effects · Rare (may affect up to 1 in 1000 people)Increased sex drive

Sexual side effects, as listed4. Possible side effects · Some patient have reported (frequency not known)In men, painful erections

The same text also says4. Possible side effectsThe following side effects are often mild and usually disappear after a few days’ treatment.

Sexual side effects that continue after stoppingAnswerThe Medicines and Healthcare products Regulatory Agency (MHRA) approved product information provided to healthcare professionals and patients for all selective serotonin reuptake inhibitors (SSRIs) was updated in 2019 to inform them that reports had been received of long-lasting sexual dysfunction where symptoms continue despite discontinuation of the SSRI.

That document is about the whole class of medicines. It does not name citalopram.

Contains Parliamentary information licensed under the Open Parliament Licence v3.0.

Sexual side effects that continue after stoppingAdvice for Healthcare Professionalsdiscuss with patients when starting or changing the dose of an antidepressant, or at their next review, that there is evidence that some antidepressants[footnote 1]. are associated with a risk of sexual dysfunction and that symptoms may continue after stopping treatment with certain antidepressants. Some patients refer to this as “PSSD”

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsdo not stop taking your medicine without first speaking to your healthcare professional

Sexual side effects that continue after stoppingAdvice for Healthcare Professionals to Provide to Patientsthere is the potential for you to experience sexual dysfunction with some antidepressants, which may continue even after you stop the medicine. Please contact your healthcare professional if you have any concerns

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsthese are not new risks for these medicines, but it is important to be aware of them

What the regulator saidNew measuresThe term “Post SSRI Sexual Dysfunction” (“PSSD”) will be added to the PILs of antidepressants associated with a risk of sexual dysfunction that may continue even after the drug is stopped[footnote 1]. Some patients refer to this as post selective serotonin reuptake inhibitors (SSRI) sexual dysfunction (“PSSD”). This will better reflect the experiences of patients and help raise awareness.

This document is about a whole class of medicines and names citalopram among them.

Sexual side effects that continue after stopping3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)In 2019, an EU/UK review of data associated with antidepressant use and sexual dysfunction which continued after stopping treatment was conducted. The review concluded that for certain[footnote 2] antidepressants included in that review, long-lasting sexual dysfunction symptoms have continued despite discontinuation of the SSRIs/SNRI.

The same text also says3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The term “PSSD” was not included in the update to the product information for those antidepressants where evidence showed an association with sexual dysfunction.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The EWG recommended that the patient information leaflets for certain[footnote 3] antidepressants should be updated to reflect clinical practice.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)Medicines like [medicines name] may cause symptoms of sexual dysfunction. Rarely people can experience more persistent sexual side-effects after they have stopped taking SSRIs. The term ‘post SSRI sexual dysfunction’ (PSSD) has been used by some people to describe these symptoms. For these people, PSSD can have a significant and distressing impact on their lives. Research is needed to understand why this happens and how common it is. It is important that people experiencing ongoing sexual side-effects receive appropriate and timely support.

This document is about a whole class of medicines and names citalopram among them.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to EMA, 11 June 2019.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.On record since 2019, according to EMA, 11 June 2019.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

This is wording for national product texts. There is no single EU product text for this medicine.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects, as listed5 WARNINGS AND PRECAUTIONS · 5.10 Sexual DysfunctionUse of SSRIs, including CELEXA, may cause symptoms of sexual dysfunction [see Adverse Reactions (6.1)]. In male patients, SSRI use may result in ejaculatory delay or failure, decreased libido, and erectile dysfunction. In female patients, SSRI use may result in decreased libido and delayed or absent orgasm.

The same text also says5 WARNINGS AND PRECAUTIONS · 5.10 Sexual DysfunctionWhen evaluating changes in sexual function, obtaining a detailed history (including timing of symptom onset) is important because sexual symptoms may have other causes, including the underlying psychiatric disorder.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

On 14 October 2026 we searched the labels in openFDA, the FDA's open database. A sentence about sexual dysfunction continuing after stopping stood on none of the 320 labels in that database that name citalopram.

Sexual side effects, as listedWhat are the possible side effects of CELEXA?Sexual problems (dysfunction). Taking selective serotonin reuptake inhibitors (SSRIs), including CELEXA, may cause sexual problems.

Sexual side effects, as listedWhat are the possible side effects of CELEXA? · Sexual problems (dysfunction) · Symptoms in males may include:Delayed ejaculation or inability to have an ejaculation

Sexual side effects, as listedWhat are the possible side effects of CELEXA? · Sexual problems (dysfunction) · Symptoms in males may include:Decreased sex drive

Sexual side effects, as listedWhat are the possible side effects of CELEXA? · Sexual problems (dysfunction) · Symptoms in males may include:Problems getting or keeping an erection

Sexual side effects, as listedWhat are the possible side effects of CELEXA? · Sexual problems (dysfunction) · Symptoms in females may include:Decreased sex drive

Sexual side effects, as listedWhat are the possible side effects of CELEXA? · Sexual problems (dysfunction) · Symptoms in females may include:Delayed orgasm or inability to have an orgasm

Sexual side effects, as listedWhat are the possible side effects of CELEXA?The most common side effect of CELEXA is delayed ejaculation.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stopping7. Warnings and Precautions · Reproductive Health · FunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction. Patients should be informed that there have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

Sexual side effects that continue after stopping8. Adverse Reactions · 8.2. Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsFurthermore, there have been reports of long-lasting sexual dysfunction where these symptoms have continued despite discontinuation of SSRIs.

The same text also says8. Adverse Reactions · 8.2. Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsThis is a difficult area to study because patients may not spontaneously report symptoms of this nature, and therefore, it is thought that sexual side effects with SSRIs may be underestimated.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

Sexual side effects that continue after stoppingOther warnings you should know about:Effects on Sexual Function: Taking medicines like CELEXA may cause symptoms of sexual dysfunction. In some cases these symptoms have continued after stopping CELEXA treatment.

Sexual side effects, as listedPossible side effects from using CELEXA · Side effects may include:Ejaculation disorder

Sexual side effects that continue after stoppingConclusions and actionsHealth Canada will work with manufacturers to update the product safety information for all SSRIs and SNRIs to recommend that healthcare professionals inform patients about the potential risk of long lasting (possibly weeks to years) sexual symptoms persisting after stopping SSRI or SNRI treatment.

The same text also saysConclusions and actionsHealth Canada's review could not confirm, nor rule out, a causal link between stopping SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names citalopram among them.

Sexual side effects that continue after stoppingProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)The Warnings and Precautions section of the Canadian product monographs for SSRIs (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, vilazodone and vortioxetine) and SNRIs (desvenlafaxine, duloxetine, levomilnacipran and venlafaxine) has been, or will be, updated with new safety information concerning reports of long-lasting sexual dysfunction where the symptoms have continued despite treatment discontinuation.

The same text also saysProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) · Key messages for healthcare professionals:Health Canada’s review could not confirm, nor rule out, a causal link between discontinuing SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names citalopram among them.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSection 4.4 of Australia's product information for Cipramil has a warning headed sexual dysfunction. It says there are reports of sexual dysfunction that lasted a long time, with symptoms going on after SSRIs or SNRIs were stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

Sexual side effects that continue after stoppingSection 2 · WarningsAustralia's consumer medicine information for Cipramil says medicines like this one may cause sexual problems, and that in some cases these have carried on after treatment stopped.Summarised, not quoted, because of the TGA's access terms.

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Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Warnings · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs)/serotonin norepinephrine reuptake inhibitors (SNRIs) may cause symptoms of sexual dysfunction (see Section 4.8 Undesirable effects). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

Sexual side effects that continue after stoppingWhile you are taking it · Things you must doMedicines like Cipramil may cause symptoms of sexual dysfunction (see section "Side effects"). In some cases, these symptoms have continued after stopping treatment.

Sexual side effects, as listedSide effects · Tell your doctor if you notice any of the following and they worry you:sexual disturbances (decreased sexual drive, problems with orgasm; problems with ejaculation or erection)

The same text also saysSide effectsThe side effects of Cipramil are, in general, mild and disappear after a short period of time.

Sexual side effects that continue after stopping3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the European product information on this issue and determined, based on their review of the available information, that updates to the data sheets regarding the risk of persistent sexual dysfunction are necessary.

The same text also says3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the strength of the evidence to be low and it is difficult to draw conclusions from the available data.

What the regulator said3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunction · Recommendation 5The Committee recommended that Medsafe writes to the sponsors of serotonin reuptake inhibitors requesting updates to New Zealand data sheets.

That document is about the whole class of medicines. It does not name citalopram.

Sexual side effects that continue after stopping3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · BackgroundA warning that long-lasting symptoms of sexual dysfunction following discontinuing of treatment with selective serotonin reuptake inhibitors (SSRIs) and serotonin and noradrenaline reuptake inhibitors (SNRIs) have been reported, is currently listed in section 4.4 of the data sheets for these medicines.

The same text also says3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · DiscussionIt was highlighted that this makes it difficult to confirm a causal relationship with SSRIs/SNRIs

That document is about the whole class of medicines. It does not name citalopram.

Sexual side effects that continue after stopping2. Was sollten Sie vor der Einnahme von Cipramil beachten? · Warnhinweise und VorsichtsmaßnahmenIn bestimmten Fällen blieben diese Symptome nach Beendigung der Behandlung bestehen.Original text: German. Our translation:In certain cases these symptoms continued after treatment was ended.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Häufig (kann bis zu 1 von 10 Behandelten betreffen)Störungen der Sexualfunktion, wie Ejakulationsstörungen, ausbleibende Ejakulation, Impotenz, Minderung des sexuellen Interesses, bei Frauen OrgasmusstörungenOriginal text: German. Our translation:Disorders of sexual function, such as ejaculation disorders, absent ejaculation, impotence, reduced sexual interest, and in women orgasm disorders

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Nicht bekannt (Häufigkeit auf Grundlage der verfügbaren Daten nicht abschätzbar)Männer: Schmerzhafte ErektionenOriginal text: German. Our translation:Men: painful erections

The same text also says4. Welche Nebenwirkungen sind möglich?Die Nebenwirkungen sind im Allgemeinen leicht und klingen gewöhnlich nach wenigen Behandlungswochen ab. Sie sollten auch wissen, dass viele dieser Symptome auch auf Ihre Krankheit zurückzuführen sein können und daher abklingen, wenn Sie beginnen, sich besser zu fühlen.Original text: German. Our translation:The side effects are generally mild and usually subside after a few weeks of treatment. You should also know that many of these symptoms may also be due to your illness and will therefore subside when you begin to feel better.

This is the copy in a compendium of product information. The regulator's database asks visitors to accept its terms first, which we did not do.

We could not open this text on 14 October 2026: the site asks for a login; the site asks visitors to accept its terms first, which we did not do. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Besondere Warnhinweise und Vorsichtsmaßnahmen für die Anwendung · Sexuelle FunktionsstörungEs wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

Sexual side effects, as listed4.8 Nebenwirkungen · Psychiatrische Erkrankungen · HäufigAgitiertheit, verringerte Libido, Ängstlichkeit, Nervosität, Verwirrtheit, Frauen: Orgasmusstörungen, anormale Träume, ApathieOriginal text: German. Our translation:Agitation, decreased libido, anxiety, nervousness, confusion, women: orgasm disorders, abnormal dreams, apathy

Sexual side effects, as listed4.8 Nebenwirkungen · Psychiatrische Erkrankungen · SeltenGesteigerte LibidoOriginal text: German. Our translation:Increased libido

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · HäufigImpotenz, Ejakulationsstörungen, ausbleibende Ejakulation, DysmenorrhöOriginal text: German. Our translation:Impotence, ejaculation disorders, absent ejaculation, dysmenorrhoea

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · Nicht bekanntFrauen: Metrorrhagie, postpartale Hämorrhagie2; Männer: Priapismus; GalaktorrhöOriginal text: German. Our translation:Women: metrorrhagia, postpartum haemorrhage2; men: priapism; galactorrhoea

The same text also says4.8 NebenwirkungenDie unter Citalopram beobachteten Nebenwirkungen sind im Allgemeinen leicht und vorübergehend. Sie treten am häufigsten in den ersten ein oder zwei Behandlungswochen auf und klingen anschließend im Allgemeinen wieder ab.Original text: German. Our translation:The side effects observed with citalopram are generally mild and transient. They occur most often in the first one or two weeks of treatment and generally subside afterwards.

This is the holder's own copy. The regulator's database asks visitors to accept its terms first, which we did not do.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stoppingPRAC-Meldungen · Neufassung des Wortlauts der Produktinformationen – Auszüge aus den Empfehlungen des PRAC zu Signalen · Serotonin- und Noradrenalin-Wiederaufnahmehemmer (SNRI); selektive Serotonin-Wiederaufnahmehemmer (SSRI) – persistierende sexuelle Funktionsstörung nach Absetzen von Arzneimitteln (EPITT Nr. 19277)Es wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects that continue after stopping4.4. Mises en garde spéciales et précautions d'emploi · Dysfonction sexuelleDes cas de dysfonction sexuelle dont les symptômes se sont prolongés malgré l’arrêt du traitement par des ISRS/IRSN ont été rapportés.Original text: French. Our translation:Cases of sexual dysfunction in which the symptoms continued despite stopping treatment with SSRIs/SNRIs have been reported.

Sexual side effects, as listed4.8. Effets indésirables · Affections psychiatriques · FréquentAgitation, baisse de la libido, anxiété, nervosité, confusion, anorgasmie chez la femme, rêves anormauxOriginal text: French. Our translation:Agitation, decreased libido, anxiety, nervousness, confusion, anorgasmia in women, abnormal dreams

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · FréquentChez l’homme : impuissance, troubles de l’éjaculationOriginal text: French. Our translation:In men: impotence, ejaculation disorders

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · Fréquence indéterminéeGalactorrhée Chez la femme : métrorragie, hémorragie du post-partum3 Chez l’homme : priapismeOriginal text: French. Our translation:Galactorrhoea In women: metrorrhagia, postpartum haemorrhage3 In men: priapism

The same text also says4.8. Effets indésirablesLes effets indésirables observés durant le traitement par citalopram sont en général d’intensité peu sévère et transitoires et sont plus fréquemment observés durant la première voire les deux premières semaines du traitement et s'estompent par la suite en intensité et en fréquence.Original text: French. Our translation:The adverse effects observed during treatment with citalopram are in general mild in intensity and transient, are seen more often during the first week, or even the first two weeks, of treatment, and then fade in intensity and in frequency.

The text itself prints no date of revision.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. QUELLES SONT LES INFORMATIONS A CONNAITRE AVANT DE PRENDRE SEROPRAM 20 mg, comprimé pelliculé sécable ? · Avertissements et précautionsDans certains cas, ces symptômes se sont prolongés après l’arrêt du traitement.Original text: French. Our translation:In some cases, these symptoms continued after treatment was stopped.

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquemment (de 1 à 10 personnes sur 100) :Diminution de la libido,Original text: French. Our translation:Decreased libido,

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquemment (de 1 à 10 personnes sur 100) :Troubles de l’orgasme chez la femme,Original text: French. Our translation:Orgasm disorders in women,

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquemment (de 1 à 10 personnes sur 100) :Troubles de l’éjaculation et de l’érection chez l’homme,Original text: French. Our translation:Ejaculation and erection disorders in men,

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Effets indésirables dont on ne connaît pas la fréquence :Erections douloureuses,Original text: French. Our translation:Painful erections,

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Effets indésirables dont on ne connaît pas la fréquence :Erection douloureuse et qui dure dans le temps,Original text: French. Our translation:Painful erection that goes on for a long time,

The same text also says4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ?Les effets indésirables disparaissent habituellement après quelques semaines de traitement. Certains effets indésirables peuvent être des symptômes de la maladie pour laquelle vous êtes traité, qui par conséquent s’amélioreront quand vous commencerez à aller mieux.Original text: French. Our translation:The side effects usually disappear after a few weeks of treatment. Some side effects may be symptoms of the illness you are being treated for, and will therefore improve when you start to feel better.

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4 Avvertenze speciali e precauzioni di impiego · Disfunzione sessualeSono stati segnalati casi di disfunzione sessuale a lungo termine con persistenza dei sintomi dopo l’interruzione dell’uso di SSRI/SNRI.Original text: Italian. Our translation:Cases of long-term sexual dysfunction have been reported, with the symptoms persisting after the use of SSRIs/SNRIs was stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · Disturbi psichiatrici · ComuneAgitazione, riduzione della libido, ansia, nervosismo, stato confusionale, orgasmo anormale (donne), disturbi dell’attività oniricaOriginal text: Italian. Our translation:Agitation, decreased libido, anxiety, nervousness, confusional state, abnormal orgasm (women), disturbed dreaming

Sexual side effects, as listed4.8 Effetti indesiderati · Patologie dell’apparato riproduttivo e della mammella · ComuneImpotenza, disturbi di eiaculazione, mancata eiaculazioneOriginal text: Italian. Our translation:Impotence, ejaculation disorders, failure to ejaculate

Sexual side effects, as listed4.8 Effetti indesiderati · Patologie dell’apparato riproduttivo e della mammella · Non notaGalattorrea Donne: metrorragia, emorragia postpartum2 Uomini: priapismoOriginal text: Italian. Our translation:Galactorrhoea Women: metrorrhagia, postpartum haemorrhage2 Men: priapism

The same text also says4.8 Effetti indesideratiGli effetti indesiderati osservati con citalopram sono in generale, di lieve entità e di tipo transitorio. Essi si manifestano soprattutto nella prima o seconda settimana di terapia, per poi attenuarsi successivamente.Original text: Italian. Our translation:The adverse effects observed with citalopram are in general mild and transient. They appear mostly in the first or second week of treatment and then lessen.

The text itself prints no date of revision.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. Cosa deve sapere prima di prendere SEROPRAM · Avvertenze e precauzioniIn alcuni casi, si è osservata la persistenza di questi sintomi dopo l’interruzione del trattamento.Original text: Italian. Our translation:In some cases, these symptoms have been seen to persist after treatment was stopped.

Sexual side effects, as listed4. Possibili effetti indesiderati · Comuni (possono interessare fino a 1 su 10 persone):agitazione, riduzione del desiderio sessuale (libido), ansia, nervosismo, confusione (stato confusionale), orgasmo anormale nelle donne, sogni anomali (disturbi dell’attività onirica);Original text: Italian. Our translation:agitation, reduced sexual desire (libido), anxiety, nervousness, confusion (confusional state), abnormal orgasm in women, abnormal dreams (disturbed dreaming);

Sexual side effects, as listed4. Possibili effetti indesiderati · Comuni (possono interessare fino a 1 su 10 persone):disturbi sessuali nell’uomo (impotenza, disturbi di eiaculazione, mancata eiaculazione)Original text: Italian. Our translation:sexual disorders in men (impotence, ejaculation disorders, failure to ejaculate)

Sexual side effects, as listed4. Possibili effetti indesiderati · Frequenza non nota (la cui frequenza non può essere definita sulla base dei dati disponibili):erezione prolungata e dolorosa (priapismo)Original text: Italian. Our translation:prolonged and painful erection (priapism)

The same text also says4. Possibili effetti indesideratiGli effetti indesiderati si manifestano soprattutto nella prima o seconda settimana di terapia, per poi successivamente scomparire.Original text: Italian. Our translation:The side effects appear mostly in the first or second week of treatment and then disappear.

The text itself prints no date of revision.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping4.4. Advertencias y precauciones especiales de empleo · Disfunción sexualSe han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la suspensión del ISRS/IRSN.Original text: Spanish. Our translation:Cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite the SSRI/SNRI being stopped.

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos psiquiátricos · FrecuenteAgitación, disminución de la libido, ansiedad, nerviosismo, estado de confusión, mujeres: orgasmos anormales, sueños anormalesOriginal text: Spanish. Our translation:Agitation, decreased libido, anxiety, nervousness, confusional state, women: abnormal orgasms, abnormal dreams

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos del aparato reproductor y de la mama · FrecuenteImpotencia, trastornos de la eyaculación, insuficiencia eyaculatoriaOriginal text: Spanish. Our translation:Impotence, ejaculation disorders, ejaculation failure

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos del aparato reproductor y de la mama · No conocidaGalactorrea Mujeres: metrorragia, hemorragia posparto2 Hombres: priapismoOriginal text: Spanish. Our translation:Galactorrhoea Women: metrorrhagia, postpartum haemorrhage2 Men: priapism

The same text also says4.8. Reacciones adversasLas reacciones adversas observadas con citalopram son generalmente de intensidad leve y transitoria. Son más frecuentes durante la primera o las dos primeras semanas del tratamiento, y posteriormente, normalmente, van desapareciendo.Original text: Spanish. Our translation:The adverse reactions observed with citalopram are generally mild in intensity and transient. They are most frequent during the first one or two weeks of treatment, and afterwards they normally fade away.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. Qué necesita saber antes de empezar a tomar Seropram · Advertencias y precaucionesEn algunos casos, estos síntomas persisten después de suspender el tratamiento.Original text: Spanish. Our translation:In some cases, these symptoms persist after treatment is stopped.

Sexual side effects, as listed4. Posibles efectos adversos · Efectos adversos frecuentes (Pueden afectar hasta 1 de cada 10 personas):Disminución de la conducta sexual.Original text: Spanish. Our translation:Decrease in sexual behaviour.

Sexual side effects, as listed4. Posibles efectos adversos · Efectos adversos frecuentes (Pueden afectar hasta 1 de cada 10 personas):Los hombres pueden experimentar problemas con la eyaculación y erección.Original text: Spanish. Our translation:Men may experience problems with ejaculation and erection.

Sexual side effects, as listed4. Posibles efectos adversos · Efectos adversos frecuentes (Pueden afectar hasta 1 de cada 10 personas):Las mujeres pueden experimentar dificultad para alcanzar el orgasmo.Original text: Spanish. Our translation:Women may experience difficulty reaching orgasm.

Sexual side effects, as listed4. Posibles efectos adversos · Frecuencia no conocida (no puede estimarse a partir de los datos disponibles):Erecciones dolorosas.Original text: Spanish. Our translation:Painful erections.

The same text also says4. Posibles efectos adversosLos siguientes efectos adversos son generalmente leves y normalmente desaparecen después de algunos días de tratamiento.Original text: Spanish. Our translation:The following side effects are generally mild and normally disappear after a few days of treatment.

Sexual side effects that continue after stoppingInformación sobre seguridad · Nueva información de seguridad procedente de la evaluación periódica de los datos de farmacovigilancia · Inhibidores selectivos de la recaptación de serotonina (SRS)/serotonina y noradrenalina (ISRN): persistencia de disfunción sexualEn pacientes a tratamiento con inhibidores de la recaptación de serotonina y noradrenalina, o con inhibidores selectivos de la recaptación de serotonina, se han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la interrupción del tratamiento. Se incorporará este hallazgo a las advertencias de estos medicamentos.Original text: Spanish. Our translation:In patients treated with serotonin and noradrenaline reuptake inhibitors, or with selective serotonin reuptake inhibitors, cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite treatment being stopped. This finding will be added to the warnings of these medicines.

That document is about the whole class of medicines. It does not name citalopram.

Spelling and punctuation are the document's own.

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Distúrbios psiquiátricos · ComumAgitação, diminuição da libido, ansiedade, nervosismo, confusão, sonhos anormais, orgasmo anormal em mulheresOriginal text: Portuguese. Our translation:Agitation, decreased libido, anxiety, nervousness, confusion, abnormal dreams, abnormal orgasm in women

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Distúrbios do sistema reprodutor e mamas · ComumImpotência, alterações da ejaculação, falha da ejaculaçãoOriginal text: Portuguese. Our translation:Impotence, ejaculation disorders, ejaculation failure

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Distúrbios do sistema reprodutor e mamas · DesconhecidoGalactorréia Mulheres: metrorragia, Hemorragia pós-parto² Homens: priapismoOriginal text: Portuguese. Our translation:Galactorrhoea Women: metrorrhagia, postpartum haemorrhage² Men: priapism

The same text also says9. REAÇÕES ADVERSASAs reações adversas observadas com citalopram são em geral moderadas e transitórias. As reações adversas são mais frequentes durante a primeira ou segunda semana de tratamento e, geralmente, diminuem de intensidade e frequência com a continuação do tratamento.Original text: Portuguese. Our translation:The adverse reactions observed with citalopram are in general moderate and transient. Adverse reactions are most frequent during the first or second week of treatment and generally decrease in intensity and frequency as treatment continues.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

The originator product's text could not be opened. This is the text of another product, the one named in this row.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

We could not open this text on 14 October 2026: the site refused our requests (it blocks by country; we asked from Denmark); the holder publishes no text. This says nothing about what the text contains.

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR? · Reação comum - ocorre entre 1% e 10% (> 1/100 e ≤ 1/10) dos pacientes que utilizam este medicamento:diminuição do desejo sexualOriginal text: Portuguese. Our translation:decreased sexual desire

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR? · Reação comum - ocorre entre 1% e 10% (> 1/100 e ≤ 1/10) dos pacientes que utilizam este medicamento:homens podem apresentar problemas de ereção e ejaculação,e mulheres podem apresentar dificuldade para chegar ao orgasmoOriginal text: Portuguese. Our translation:men may have problems with erection and ejaculation, and women may have difficulty reaching orgasm

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR? · Alguns pacientes já apresentaram (frequência desconhecida):ereção dolorosa (priapismo)Original text: Portuguese. Our translation:painful erection (priapism)

The same text also says8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR?Os seguintes efeitos adversos descritos a seguir são geralmente ligeiros e desaparecem habitualmente após alguns dias de tratamento.Original text: Portuguese. Our translation:The adverse effects described below are generally mild and usually disappear after a few days of treatment.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum (ocorre entre 1% e 10% (> 1/100 e < 1/10) dos pacientes que utilizam este medicamento):diminuição do desejo sexualOriginal text: Portuguese. Our translation:decreased sexual desire

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum (ocorre entre 1% e 10% (> 1/100 e < 1/10) dos pacientes que utilizam este medicamento):homens podem apresentar problemas de ereção e ejaculação, e mulheres podem apresentar dificuldade para chegar ao orgasmoOriginal text: Portuguese. Our translation:men may have problems with erection and ejaculation, and women may have difficulty reaching orgasm

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Alguns pacientes já apresentaram (frequência desconhecida):ereção dolorosa (priapismo)Original text: Portuguese. Our translation:painful erection (priapism)

The same text also says8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR?Os seguintes efeitos adversos descritos a seguir são geralmente ligeiros e desaparecem habitualmente após alguns dias de tratamento.Original text: Portuguese. Our translation:The adverse effects described below are generally mild and usually disappear after a few days of treatment.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

We could not open this text on 14 October 2026: the site refused our requests (it blocks by country; we asked from Denmark); the holder publishes no text. This says nothing about what the text contains.

We could not open this text on 14 October 2026: this regulator publishes no database of such texts. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs)/serotonin norepinephrine reuptake inhibitors (SNRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name escitalopram.

Sexual side effects, as listed4.8 Undesirable effects · Psychiatric disorders · CommonAnxiety, restlessness, abnormal dreams libido decreased Female: anorgasmia

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · CommonMale: ejaculation disorder, impotence

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Not knownGalactorrhoea Male: priapism Postpartum haemorrhage3

The same text also says4.8 Undesirable effectsAdverse reactions are most frequent during the first or second week of treatment and usually decrease in intensity and frequency with continued treatment.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. What you need to know before you take Cipralex · Warning and Precautions · Please noteMedicines like Cipralex (so called SSRIs/SNRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have continued after stopping treatment.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name escitalopram.

Sexual side effects, as listed4. POSSIBLE SIDE EFFECTS · Common (may affect up to 1 in 10 people):Sexual disturbances (delayed ejaculation, problems with erection, decreased sexual drive and women may experience difficulties achieving orgasm)

Sexual side effects, as listed4. POSSIBLE SIDE EFFECTS · Not known (frequency cannot be estimated from the available data):Painful erections (priapism)

The same text also says4. POSSIBLE SIDE EFFECTSThe side effects usually disappear after a few weeks of treatment. Please be aware that many of the effects may also be symptoms of your illness and therefore will improve when you start to get better.

Sexual side effects that continue after stoppingAnswerThe Medicines and Healthcare products Regulatory Agency (MHRA) approved product information provided to healthcare professionals and patients for all selective serotonin reuptake inhibitors (SSRIs) was updated in 2019 to inform them that reports had been received of long-lasting sexual dysfunction where symptoms continue despite discontinuation of the SSRI.

That document is about the whole class of medicines. It does not name escitalopram.

Contains Parliamentary information licensed under the Open Parliament Licence v3.0.

Sexual side effects that continue after stoppingAdvice for Healthcare Professionalsdiscuss with patients when starting or changing the dose of an antidepressant, or at their next review, that there is evidence that some antidepressants[footnote 1]. are associated with a risk of sexual dysfunction and that symptoms may continue after stopping treatment with certain antidepressants. Some patients refer to this as “PSSD”

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsdo not stop taking your medicine without first speaking to your healthcare professional

Sexual side effects that continue after stoppingAdvice for Healthcare Professionals to Provide to Patientsthere is the potential for you to experience sexual dysfunction with some antidepressants, which may continue even after you stop the medicine. Please contact your healthcare professional if you have any concerns

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsthese are not new risks for these medicines, but it is important to be aware of them

What the regulator saidNew measuresThe term “Post SSRI Sexual Dysfunction” (“PSSD”) will be added to the PILs of antidepressants associated with a risk of sexual dysfunction that may continue even after the drug is stopped[footnote 1]. Some patients refer to this as post selective serotonin reuptake inhibitors (SSRI) sexual dysfunction (“PSSD”). This will better reflect the experiences of patients and help raise awareness.

This document is about a whole class of medicines and names escitalopram among them.

Sexual side effects that continue after stopping3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)In 2019, an EU/UK review of data associated with antidepressant use and sexual dysfunction which continued after stopping treatment was conducted. The review concluded that for certain[footnote 2] antidepressants included in that review, long-lasting sexual dysfunction symptoms have continued despite discontinuation of the SSRIs/SNRI.

The same text also says3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The term “PSSD” was not included in the update to the product information for those antidepressants where evidence showed an association with sexual dysfunction.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The EWG recommended that the patient information leaflets for certain[footnote 3] antidepressants should be updated to reflect clinical practice.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)Medicines like [medicines name] may cause symptoms of sexual dysfunction. Rarely people can experience more persistent sexual side-effects after they have stopped taking SSRIs. The term ‘post SSRI sexual dysfunction’ (PSSD) has been used by some people to describe these symptoms. For these people, PSSD can have a significant and distressing impact on their lives. Research is needed to understand why this happens and how common it is. It is important that people experiencing ongoing sexual side-effects receive appropriate and timely support.

This document is about a whole class of medicines and names escitalopram among them.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to EMA, 11 June 2019.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.On record since 2019, according to EMA, 11 June 2019.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

This is wording for national product texts. There is no single EU product text for this medicine.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects, as listed5 WARNINGS AND PRECAUTIONS · 5.11 Sexual DysfunctionUse of SSRIs, including Lexapro, may cause symptoms of sexual dysfunction [see Adverse Reactions (6.1)]. In male patients, SSRI use may result in ejaculatory delay or failure, decreased libido, and erectile dysfunction. In female patients, SSRI use may result in decreased libido and delayed or absent orgasm.

The same text also says5 WARNINGS AND PRECAUTIONS · 5.11 Sexual DysfunctionWhen evaluating changes in sexual function, obtaining a detailed history (including timing of symptom onset) is important because sexual symptoms may have other causes, including the underlying psychiatric disorder.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

On 14 October 2026 we searched the labels in openFDA, the FDA's open database. A sentence about sexual dysfunction continuing after stopping stood on none of the 332 labels in that database that name escitalopram.

Sexual side effects, as listedWhat are the possible side effects of Lexapro?Sexual problems (dysfunction). Taking Lexapro may cause sexual problems.

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · Sexual problems (dysfunction) · Symptoms in males may include:delayed ejaculation or inability to have an ejaculation

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · Sexual problems (dysfunction) · Symptoms in males may include:decreased sex drive

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · Sexual problems (dysfunction) · Symptoms in males may include:problems getting or keeping an erection

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · Sexual problems (dysfunction) · Symptoms in females may include:decreased sex drive

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · Sexual problems (dysfunction) · Symptoms in females may include:delayed orgasm or inability to have an orgasm

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · The most common side effects of Lexapro include:decreased sex drive

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · The most common side effects of Lexapro include:delayed ejaculation

Sexual side effects, as listedWhat are the possible side effects of Lexapro? · The most common side effects of Lexapro include:delayed orgasm or inability to have an orgasm

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stopping7 WARNINGS AND PRECAUTIONS · Reproductive Health: Female and Male Potential · FunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction. Patients should be informed that there have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

Sexual side effects that continue after stopping8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsFurthermore, there have been reports of long-lasting sexual dysfunction where these symptoms have continued despite discontinuation of SSRIs.

The same text also says8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsThis is a difficult area to study because patients may not spontaneously report symptoms of this nature, and therefore, it is thought that sexual side effects with SSRIs may be underestimated.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

Sexual side effects that continue after stoppingOther warnings you should know about:Effects on Sexual Function: Taking medicines like CIPRALEX may cause symptoms of sexual dysfunction. In some cases these symptoms have continued after stopping CIPRALEX treatment.

Sexual side effects, as listedWhat are possible side effects from using CIPRALEX? · Side effects may include:decreased interest in sex

Sexual side effects, as listedWhat are possible side effects from using CIPRALEX? · Side effects may include:decreased ability to reach orgasm

Sexual side effects, as listedWhat are possible side effects from using CIPRALEX? · Side effects may include:erectile dysfunction

Sexual side effects that continue after stoppingConclusions and actionsHealth Canada will work with manufacturers to update the product safety information for all SSRIs and SNRIs to recommend that healthcare professionals inform patients about the potential risk of long lasting (possibly weeks to years) sexual symptoms persisting after stopping SSRI or SNRI treatment.

The same text also saysConclusions and actionsHealth Canada's review could not confirm, nor rule out, a causal link between stopping SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names escitalopram among them.

Sexual side effects that continue after stoppingProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)The Warnings and Precautions section of the Canadian product monographs for SSRIs (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, vilazodone and vortioxetine) and SNRIs (desvenlafaxine, duloxetine, levomilnacipran and venlafaxine) has been, or will be, updated with new safety information concerning reports of long-lasting sexual dysfunction where the symptoms have continued despite treatment discontinuation.

The same text also saysProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) · Key messages for healthcare professionals:Health Canada’s review could not confirm, nor rule out, a causal link between discontinuing SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names escitalopram among them.

Sexual side effects that continue after stoppingSection 4.4 · Sexual DysfunctionSection 4.4 of Australia's product information for Lexapro has a warning headed sexual dysfunction. It says there are reports of sexual dysfunction that lasted a long time, with symptoms going on after SSRIs or SNRIs were stopped.Summarised, not quoted, because of the TGA's access terms.In this product's text since 2023, according to the text for professionals, 23 August 2023.

The regulator's site asks readers to accept its terms before it shows this text.

Sexual side effects that continue after stoppingSection 2 · WarningsAustralia's consumer medicine information for Lexapro tablets says medicines like this one may cause sexual problems, and that in some cases these have carried on after treatment stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Warnings · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs)/serotonin norepinephrine reuptake inhibitors (SNRIs) may cause symptoms of sexual dysfunction (see Section 4.8 Undesirable effects). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

Sexual side effects that continue after stoppingWhile you are taking it · Things you must doMedicines like Lexapro may cause symptoms of sexual dysfunction (see section "Side effects"). In some cases, these symptoms have continued after stopping treatment.

Sexual side effects, as listedSide effects · Tell your doctor if you notice any of the following and they worry you:sexual disturbances (decreased sexual drive; problems with ejaculation or erection; women may experience difficulties achieving orgasm)

The same text also saysSide effectsThe side effects of Lexapro are, in general, mild and disappear after a short period of time.

Sexual side effects that continue after stopping3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the European product information on this issue and determined, based on their review of the available information, that updates to the data sheets regarding the risk of persistent sexual dysfunction are necessary.

The same text also says3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the strength of the evidence to be low and it is difficult to draw conclusions from the available data.

What the regulator said3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunction · Recommendation 5The Committee recommended that Medsafe writes to the sponsors of serotonin reuptake inhibitors requesting updates to New Zealand data sheets.

That document is about the whole class of medicines. It does not name escitalopram.

Sexual side effects that continue after stopping3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · BackgroundA warning that long-lasting symptoms of sexual dysfunction following discontinuing of treatment with selective serotonin reuptake inhibitors (SSRIs) and serotonin and noradrenaline reuptake inhibitors (SNRIs) have been reported, is currently listed in section 4.4 of the data sheets for these medicines.

The same text also says3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · DiscussionIt was highlighted that this makes it difficult to confirm a causal relationship with SSRIs/SNRIs

That document is about the whole class of medicines. It does not name escitalopram.

Sexual side effects that continue after stopping2. Was sollten Sie vor der Einnahme von Cipralex beachten? · Warnhinweise und VorsichtsmaßnahmenIn bestimmten Fällen blieben diese Symptome nach Beendigung der Behandlung bestehen.Original text: German. Our translation:In certain cases these symptoms continued after treatment was ended.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Häufig (kann bis zu 1 von 10 Behandelten betreffen):Störungen der Sexualfunktion (verzögerte Ejakulation, Erektionsstörungen, Minderung des sexuellen Interesses und bei Frauen Orgasmusstörungen)Original text: German. Our translation:Disorders of sexual function (delayed ejaculation, erection problems, reduced sexual interest and, in women, orgasm problems)

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Nicht bekannt (Häufigkeit auf Grundlage der verfügbaren Daten nicht abschätzbar):Schmerzhafte Erektionen (Priapismus)Original text: German. Our translation:Painful erections (priapism)

The same text also says4. Welche Nebenwirkungen sind möglich?Die Nebenwirkungen klingen gewöhnlich nach wenigen Behandlungswochen ab. Sie sollten auch wissen, dass viele dieser Symptome auch auf Ihre Krankheit zurückzuführen sein können und daher abklingen, wenn Sie beginnen, sich besser zu fühlen.Original text: German. Our translation:The side effects usually wear off after a few weeks of treatment. You should also know that many of these symptoms can also be due to your illness and so wear off when you begin to feel better.

This is the copy in a compendium of product information. The regulator's database asks visitors to accept its terms first, which we did not do.

We could not open this text on 14 October 2026: the site asks for a login; the site asks visitors to accept its terms first, which we did not do. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Besondere Warnhinweise und Vorsichtsmaßnahmen für die Anwendung · Sexuelle FunktionsstörungEs wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

Sexual side effects, as listed4.8 Nebenwirkungen · Psychiatrische Erkrankungen · HäufigÄngstlichkeit, Ruhelosigkeit, anormale Träume, verringerte Libido Frauen: AnorgasmieOriginal text: German. Our translation:Anxiety, restlessness, abnormal dreams, decreased libido Women: anorgasmia

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · HäufigMänner: Ejakulationsstörungen, ImpotenzOriginal text: German. Our translation:Men: ejaculation disorders, impotence

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · Nicht bekanntGalaktorrhö, postpartale Hämorrhagie3 Männer: PriapismusOriginal text: German. Our translation:Galactorrhoea, postpartum haemorrhage3 Men: priapism

The same text also says4.8 NebenwirkungenAm häufigsten treten Nebenwirkungen in der ersten oder zweiten Behandlungswoche auf und nehmen normalerweise bei fortgesetzter Behandlung an Intensität und Häufigkeit ab.Original text: German. Our translation:Side effects occur most often in the first or second week of treatment and normally decrease in intensity and frequency with continued treatment.

This is the holder's own copy. The regulator's database asks visitors to accept its terms first, which we did not do.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stoppingPRAC-Meldungen · Neufassung des Wortlauts der Produktinformationen – Auszüge aus den Empfehlungen des PRAC zu Signalen · Serotonin- und Noradrenalin-Wiederaufnahmehemmer (SNRI); selektive Serotonin-Wiederaufnahmehemmer (SSRI) – persistierende sexuelle Funktionsstörung nach Absetzen von Arzneimitteln (EPITT Nr. 19277)Es wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects that continue after stopping4.4. Mises en garde spéciales et précautions d'emploi · Dysfonction sexuelleDes cas de dysfonction sexuelle dont les symptômes se sont prolongés malgré l’arrêt du traitement par des ISRS/IRSN ont été rapportés.Original text: French. Our translation:Cases of sexual dysfunction in which the symptoms continued despite stopping treatment with SSRIs/SNRIs have been reported.

Sexual side effects, as listed4.8. Effets indésirables · Affections psychiatriques · FréquentAnxiété, impatiences, rêves anormaux, baisse de la libido Chez la femme : anorgasmieOriginal text: French. Our translation:Anxiety, restlessness, abnormal dreams, decreased libido In women: anorgasmia

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · FréquentChez l’homme : troubles de l’éjaculation, impuissanceOriginal text: French. Our translation:In men: ejaculation disorders, impotence

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · Fréquence indéterminéeGalactorrhée Chez l’homme : priapisme Hémorragie du post-partum3Original text: French. Our translation:Galactorrhoea In men: priapism Postpartum haemorrhage3

The same text also says4.8. Effets indésirablesLes effets indésirables sont surtout notés durant la première ou la seconde semaine du traitement et s'estompent habituellement par la suite en intensité et en fréquence.Original text: French. Our translation:The adverse effects are noted above all during the first or second week of treatment and usually fade afterwards in intensity and frequency.

The text itself prints no date of revision.

Texts for other products in this country do not all say the same. We searched them for sentences about sexual side effects continuing after stopping and did not read them whole. This row shows the product named, and no other.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. QUELLES SONT LES INFORMATIONS A CONNAITRE AVANT DE PRENDRE SEROPLEX 10 mg, comprimé pelliculé sécable ? · Avertissements et précautionsDans certains cas, ces symptômes se sont prolongés après l’arrêt du traitement.Original text: French. Our translation:In some cases, these symptoms continued after treatment was stopped.

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquemment (peut concerner jusqu’à 1 patient sur 10) :Troubles sexuels (éjaculation retardée, troubles de l’érection, baisse de la libido, troubles de l’orgasme chez la femme).Original text: French. Our translation:Sexual disorders (delayed ejaculation, erection problems, decreased libido, orgasm problems in women).

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquence indéterminée (fréquence ne pouvant pas être estimée à partir des données disponibles) :Erections douloureuses (priapisme).Original text: French. Our translation:Painful erections (priapism).

The same text also says4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ?Ces effets indésirables s’estompent habituellement après quelques semaines de traitement. Sachez que certains de ces effets peuvent aussi être des symptômes liés à votre maladie qui s’amélioreront ainsi quand vous commencerez à vous sentir mieux.Original text: French. Our translation:These side effects usually fade after a few weeks of treatment. Be aware that some of these effects may also be symptoms of your illness, which will improve when you begin to feel better.

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4 Avvertenze speciali e precauzioni di impiego · Disfunzione sessualeSono stati segnalati casi di disfunzione sessuale a lungo termine con persistenza dei sintomi dopo l’interruzione dell’uso di SSRI/SNRI.Original text: Italian. Our translation:Cases of long-term sexual dysfunction have been reported, with the symptoms persisting after the use of SSRIs/SNRIs was stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · Disturbi psichiatrici · ComuneAnsia, irrequietezza, sogni anomali, riduzione della libido Donne: anorgasmiaOriginal text: Italian. Our translation:Anxiety, restlessness, abnormal dreams, decreased libido Women: anorgasmia

Sexual side effects, as listed4.8 Effetti indesiderati · Patologie del sistema riproduttivo e della mammella · ComuneUomini: disturbi di eiaculazione, impotenzaOriginal text: Italian. Our translation:Men: ejaculation disorders, impotence

Sexual side effects, as listed4.8 Effetti indesiderati · Patologie del sistema riproduttivo e della mammella · Non notaGalattorea Uomini: priapismo emorragia postpartum3Original text: Italian. Our translation:Galactorrhoea Men: priapism postpartum haemorrhage3

The same text also says4.8 Effetti indesideratiLe reazioni avverse si manifestano più frequentemente durante la prima o seconda settimana di trattamento, per poi diminuire d’intensità e frequenza con la continuazione del trattamento.Original text: Italian. Our translation:Adverse reactions occur most frequently during the first or second week of treatment and then decrease in intensity and frequency as treatment continues.

The text itself prints no date of revision.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. Cosa deve sapere prima di prendere Cipralex · Avvertenze e precauzioniIn alcuni casi, si è osservata la persistenza di questi sintomi dopo l’interruzione del trattamentoOriginal text: Italian. Our translation:In some cases, these symptoms have been seen to persist after treatment was stopped

Sexual side effects, as listed4. Possibili effetti indesiderati · Comune (può interessare fino a 1 persona su 10):disturbi sessuali (ritardata eiaculazione, problemi di erezione, diminuzione degli impulsi sessuali e le donne possono avere difficoltà nel raggiungere l’orgasmo)Original text: Italian. Our translation:sexual disorders (delayed ejaculation, erection problems, reduced sexual drive, and women may have difficulty reaching orgasm)

Sexual side effects, as listed4. Possibili effetti indesiderati · Non nota (la frequenza non può essere stimata sulla base dei dati disponibili):erezioni dolorose (priapismo)Original text: Italian. Our translation:painful erections (priapism)

The same text also says4. Possibili effetti indesideratiGli effetti indesiderati solitamente scompaiono dopo alcune settimane di trattamento.Original text: Italian. Our translation:The side effects usually disappear after a few weeks of treatment.

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4. Advertencias y precauciones especiales de empleo · Disfunción sexualSe han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la suspensión del ISRS/IRSN.Original text: Spanish. Our translation:Cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite the SSRI/SNRI being stopped.

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos psiquiátricos · FrecuenteAnsiedad, inquietud, sueños anormales libido disminuida Mujeres: anorgasmiaOriginal text: Spanish. Our translation:Anxiety, restlessness, abnormal dreams decreased libido Women: anorgasmia

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos del aparato reproductor y de la mama · FrecuenteHombres: trastorno de la eyaculación, impotenciaOriginal text: Spanish. Our translation:Men: ejaculation disorder, impotence

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos del aparato reproductor y de la mama · DesconocidaGalactorrea Hombres: priapismo Hemorragia posparto3Original text: Spanish. Our translation:Galactorrhoea Men: priapism Postpartum haemorrhage3

The same text also says4.8. Reacciones adversasLas reacciones adversas son más frecuentes durante la primera o segunda semana del tratamiento y habitualmente disminuyen en intensidad y frecuencia con el tratamiento continuado.Original text: Spanish. Our translation:Adverse reactions are most frequent during the first or second week of treatment and usually decrease in intensity and frequency with continued treatment.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. Qué necesita saber antes de empezar a tomar Cipralex · Advertencias y precaucionesEn algunos casos, estos síntomas persisten después de suspender el tratamiento.Original text: Spanish. Our translation:In some cases, these symptoms persist after treatment is stopped.

Sexual side effects, as listed4. Posibles efectos adversos · Frecuente (puede afectar hasta 1 de cada 10 personas):Alteraciones sexuales (retraso de la eyaculación, problemas con la erección, disminución de la conducta sexual y las mujeres pueden experimentar dificultades para alcanzar el orgasmo).Original text: Spanish. Our translation:Sexual disturbances (delayed ejaculation, problems with erection, reduced sexual behaviour, and women may have difficulty reaching orgasm).

Sexual side effects, as listed4. Posibles efectos adversos · Desconocido (no se puede determinar la frecuencia a partir de los datos disponibles):Erecciones dolorosas (priapismo).Original text: Spanish. Our translation:Painful erections (priapism).

The same text also says4. Posibles efectos adversosLos efectos adversos normalmente desaparecen después de pocas semanas de tratamiento.Original text: Spanish. Our translation:The side effects usually disappear after a few weeks of treatment.

Sexual side effects that continue after stoppingInformación sobre seguridad · Nueva información de seguridad procedente de la evaluación periódica de los datos de farmacovigilancia · Inhibidores selectivos de la recaptación de serotonina (SRS)/serotonina y noradrenalina (ISRN): persistencia de disfunción sexualEn pacientes a tratamiento con inhibidores de la recaptación de serotonina y noradrenalina, o con inhibidores selectivos de la recaptación de serotonina, se han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la interrupción del tratamiento. Se incorporará este hallazgo a las advertencias de estos medicamentos.Original text: Spanish. Our translation:In patients treated with serotonin and noradrenaline reuptake inhibitors, or with selective serotonin reuptake inhibitors, cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite treatment being stopped. This finding will be added to the warnings of these medicines.

That document is about the whole class of medicines. It does not name escitalopram.

Spelling and punctuation are the document's own.

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Distúrbios psiquiátricos · ComumAnsiedade, inquietude, sonhos anormais, diminuição da libido, anorgasmia femininaOriginal text: Portuguese. Our translation:Anxiety, restlessness, abnormal dreams, decreased libido, female anorgasmia

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Distúrbios do sistema reprodutor e mama · ComumHomens: distúrbios da ejaculação e impotênciaOriginal text: Portuguese. Our translation:Men: ejaculation disorders and impotence

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Distúrbios do sistema reprodutor e mama · DesconhecidoGalactorreia Mulheres: hemorragia pós-parto3 Homens: priapismoOriginal text: Portuguese. Our translation:Galactorrhoea Women: postpartum haemorrhage3 Men: priapism

The same text also says9. REAÇÕES ADVERSASAs reações adversas são mais frequentes durante a primeira ou segunda semana de tratamento e, geralmente, diminuem de intensidade e frequência com a continuação do tratamento.Original text: Portuguese. Our translation:Adverse reactions are most frequent during the first or second week of treatment and generally decrease in intensity and frequency as treatment continues.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

The originator product's text could not be opened. This is the text of another product, the one named in this row.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

We could not open this text on 14 October 2026: the site refused our requests (it blocks by country; we asked from Denmark); the holder publishes no text. This says nothing about what the text contains.

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum - ocorre entre 1% e 10% (> 1/100 e ≤ 1/10) dos pacientes que utilizam este medicamento:Distúrbios sexuais (retardo ejaculatório, dificuldades de ereção, diminuição do desejo sexual e, em mulheres, dificuldades para chegar ao orgasmo)Original text: Portuguese. Our translation:Sexual disorders (delayed ejaculation, erection difficulties, reduced sexual desire and, in women, difficulty reaching orgasm)

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Desconhecida (frequência não pode ser estimada a partir dos dados disponíveis):Ereção dolorosa (priapismo)Original text: Portuguese. Our translation:Painful erection (priapism)

The same text also says8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR?Os efeitos adversos são geralmente amenos e desaparecem espontaneamente após alguns dias de tratamento.Original text: Portuguese. Our translation:The side effects are generally mild and disappear on their own after a few days of treatment.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum - ocorre entre 1% e 10% (> 1/100 e ≤ 1/10) dos pacientes que utilizam este medicamento:Distúrbios sexuais (retardo ejaculatório, dificuldades de ereção, diminuição do desejo sexual e, em mulheres, dificuldades para chegar ao orgasmo)Original text: Portuguese. Our translation:Sexual disorders (delayed ejaculation, erection difficulties, reduced sexual desire and, in women, difficulty reaching orgasm)

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Desconhecida (frequência não pode ser estimada a partir dos dados disponíveis):Ereção dolorosa (priapismo)Original text: Portuguese. Our translation:Painful erection (priapism)

The same text also says8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR?Os efeitos adversos são geralmente amenos e desaparecem espontaneamente após alguns dias de tratamento.Original text: Portuguese. Our translation:The side effects are generally mild and disappear on their own after a few days of treatment.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

We could not open this text on 14 October 2026: the site refused our requests (it blocks by country; we asked from Denmark); the holder publishes no text. This says nothing about what the text contains.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This is the holder's own copy. This regulator publishes no database of such texts.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

We could not open this text on 14 October 2026: the holder publishes no text; this regulator publishes no database of such texts. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRI) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name fluoxetine.

Sexual side effects, as listed4.8 Undesirable effects · b) Tabulated list of adverse reactions · Psychiatric disorders · CommonAnxiety Nervousness Restlessness Tension Libido decreased3 Sleep disorder Abnormal dreams4

Sexual side effects, as listed4.8 Undesirable effects · b) Tabulated list of adverse reactions · Psychiatric disorders · UncommonDepersonalisation Elevated mood Euphoric mood Thinking abnormal Orgasm abnormal5 Bruxism Suicidal thoughts and behaviour 6

Sexual side effects, as listed4.8 Undesirable effects · b) Tabulated list of adverse reactions · Reproductive system and breast disorders · CommonGynaecological bleeding14 Erectile dysfunction Ejaculation disorder15

Sexual side effects, as listed4.8 Undesirable effects · b) Tabulated list of adverse reactions · Reproductive system and breast disorders · UncommonSexual dysfunction16

Sexual side effects that continue after stopping4.8 Undesirable effects · b) Tabulated list of adverse reactions · footnote 16Occasionally persisting after treatment discontinuation

Sexual side effects, as listed4.8 Undesirable effects · b) Tabulated list of adverse reactions · Reproductive system and breast disorders · RareGalactorrhoea, Hyperprolactinaemia Priapism

The same text also says4.8 Undesirable effects · a) Summary of the safety profileUndesirable effects may decrease in intensity and frequency with continued treatment and do not generally lead to cessation of therapy.

Sexual side effects, as listed4.8 Undesirable effects · d) Paediatric populationIsolated cases of adverse events potentially indicating delayed sexual maturation or sexual dysfunction have been reported from paediatric clinical use (see also section 5.3).

The originator product is not in the list we read. This is another product from that list.

Texts for other products in this country do not all say the same. We searched them for sentences about sexual side effects continuing after stopping and did not read them whole. This row shows the product named, and no other.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. What you need to know before you take Fluoxetine · Sexual dysfunctionMedicines like Fluoxetine (so called SSRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have continued after stopping treatment.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name fluoxetine.

Sexual side effects, as listed4. Possible side effects · Some patients have had:prolonged and painful erection;

Sexual side effects, as listed4. Possible side effects · Common (may affect up to 1 in 10 people)decreased sex drive or sexual problems (including difficulty maintaining an erection for sexual activity)

Sexual side effects that continue after stopping4. Possible side effects · Uncommon (may affect up to 1 in 100 people)sexual problems, including orgasm problems, occasionally persisting after treatment discontinuation

The same text also says4. Possible side effectsMost of these side effects are likely to disappear with continued treatment.

The originator product is not in the list we read. This is another product from that list.

Sexual side effects that continue after stoppingAnswerThe Medicines and Healthcare products Regulatory Agency (MHRA) approved product information provided to healthcare professionals and patients for all selective serotonin reuptake inhibitors (SSRIs) was updated in 2019 to inform them that reports had been received of long-lasting sexual dysfunction where symptoms continue despite discontinuation of the SSRI.

That document is about the whole class of medicines. It does not name fluoxetine.

Contains Parliamentary information licensed under the Open Parliament Licence v3.0.

Sexual side effects that continue after stoppingAdvice for Healthcare Professionalsdiscuss with patients when starting or changing the dose of an antidepressant, or at their next review, that there is evidence that some antidepressants[footnote 1]. are associated with a risk of sexual dysfunction and that symptoms may continue after stopping treatment with certain antidepressants. Some patients refer to this as “PSSD”

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsdo not stop taking your medicine without first speaking to your healthcare professional

Sexual side effects that continue after stoppingAdvice for Healthcare Professionals to Provide to Patientsthere is the potential for you to experience sexual dysfunction with some antidepressants, which may continue even after you stop the medicine. Please contact your healthcare professional if you have any concerns

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsthese are not new risks for these medicines, but it is important to be aware of them

What the regulator saidNew measuresThe term “Post SSRI Sexual Dysfunction” (“PSSD”) will be added to the PILs of antidepressants associated with a risk of sexual dysfunction that may continue even after the drug is stopped[footnote 1]. Some patients refer to this as post selective serotonin reuptake inhibitors (SSRI) sexual dysfunction (“PSSD”). This will better reflect the experiences of patients and help raise awareness.

This document is about a whole class of medicines and names fluoxetine among them.

Sexual side effects that continue after stopping3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)In 2019, an EU/UK review of data associated with antidepressant use and sexual dysfunction which continued after stopping treatment was conducted. The review concluded that for certain[footnote 2] antidepressants included in that review, long-lasting sexual dysfunction symptoms have continued despite discontinuation of the SSRIs/SNRI.

The same text also says3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The term “PSSD” was not included in the update to the product information for those antidepressants where evidence showed an association with sexual dysfunction.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The EWG recommended that the patient information leaflets for certain[footnote 3] antidepressants should be updated to reflect clinical practice.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)Medicines like [medicines name] may cause symptoms of sexual dysfunction. Rarely people can experience more persistent sexual side-effects after they have stopped taking SSRIs. The term ‘post SSRI sexual dysfunction’ (PSSD) has been used by some people to describe these symptoms. For these people, PSSD can have a significant and distressing impact on their lives. Research is needed to understand why this happens and how common it is. It is important that people experiencing ongoing sexual side-effects receive appropriate and timely support.

This document is about a whole class of medicines and names fluoxetine among them.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to EMA, 11 June 2019.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.On record since 2019, according to EMA, 11 June 2019.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

This is wording for national product texts. There is no single EU product text for this medicine.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects, as listed5 WARNINGS AND PRECAUTIONS · 5.17 Sexual DysfunctionUse of SSRIs, including PROZAC, may cause symptoms of sexual dysfunction [see Adverse Reactions (6.1)]. In male patients, SSRI use may result in ejaculatory delay or failure, decreased libido, and erectile dysfunction. In female patients, SSRI use may result in decreased libido and delayed or absent orgasm.

The same text also says5 WARNINGS AND PRECAUTIONS · 5.17 Sexual DysfunctionWhen evaluating changes in sexual function, obtaining a detailed history (including timing of symptom onset) is important because sexual symptoms may have other causes, including the underlying psychiatric disorder.

Sexual side effects that continue after stopping6 ADVERSE REACTIONS · 6.1 Clinical Trials Experience · Male and female sexual dysfunction with SSRIsSymptoms of sexual dysfunction occasionally persist after discontinuation of fluoxetine treatment.In this product's text since 2011, according to FDA, 15 June 2011.

The same text also says6 ADVERSE REACTIONS · 6.1 Clinical Trials Experience · Male and female sexual dysfunction with SSRIsThere are no adequate and well-controlled studies examining sexual dysfunction with fluoxetine treatment.

The date given is for this product. Texts for other products carry other dates.

An official list of medicines we read shows this product as discontinued or no longer marketed, and the text in this row is still this product's own.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

On 14 October 2026 we searched the labels in openFDA, the FDA's open database. The sentence about sexual dysfunction persisting after stopping, which this row shows, stood on 388 of the 439 labels in that database that contain fluoxetine. Five of the 388 are labels of the combination of olanzapine with fluoxetine. On those 388 labels the sentence stood among the adverse reactions and in no warnings section.

Sexual side effects, as listedWhat is the most important information I should know about PROZAC?Sexual problems (dysfunction). Taking selective serotonin reuptake inhibitors (SSRIs), including PROZAC, may cause sexual problems.

Sexual side effects, as listedWhat is the most important information I should know about PROZAC? · Sexual problems (dysfunction) · Symptoms in males may include:Delayed ejaculation or inability to have an ejaculation

Sexual side effects, as listedWhat is the most important information I should know about PROZAC? · Sexual problems (dysfunction) · Symptoms in males may include:Decreased sex drive

Sexual side effects, as listedWhat is the most important information I should know about PROZAC? · Sexual problems (dysfunction) · Symptoms in males may include:Problems getting or keeping an erection

Sexual side effects, as listedWhat is the most important information I should know about PROZAC? · Sexual problems (dysfunction) · Symptoms in females may include:Decreased sex drive

Sexual side effects, as listedWhat is the most important information I should know about PROZAC? · Sexual problems (dysfunction) · Symptoms in females may include:Delayed orgasm or inability to have an orgasm

Sexual side effects, as listedWhat are the possible side effects of PROZAC? · Common possible side effects in people who take PROZAC include:sexual problems

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stoppingADVERSE REACTIONS · section 6.1, Clinical Trials ExperienceAdded text related to occasional persistence of sexual dysfunction following discontinuation of fluoxetine treatment.

Sexual side effects that continue after stopping7 WARNINGS AND PRECAUTIONS · Reproductive Health: Female and Male Potential · FunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see 8.2 Clinical Trial Adverse Reactions). Patients should be informed that there have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

Sexual side effects that continue after stopping8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsSymptoms of sexual dysfunction occasionally persisting after discontinuation of fluoxetine treatment have been observed in spontaneous reports.

The same text also says8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsThere are no adequate and well-controlled studies examining sexual dysfunction with fluoxetine treatment.

An official list of medicines we read shows the originator product as cancelled, revoked or archived. This is the text of another product, the one named in this row.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

Sexual side effects that continue after stoppingOther warnings you should know about:Effects on Sexual Function: Taking medicines like APO-FLUOXETINE may cause symptoms of sexual dysfunction. In some cases these symptoms have continued after stopping APO-FLUOXETINE treatment.

Sexual side effects, as listedWhat are possible side effects from using APO-FLUOXETINE? · What are possible side effects from using APO-FLUOXETINE?low sex drive

Sexual side effects, as listedSerious side effects and what to do about them · UNKNOWNIncrease in the hormone prolactin: In women: breast discomfort, leakage of milk from the breasts, missed periods, or other problems with your menstrual cycle. In men: decreased body and facial hair, breast swelling, difficulty in getting or maintaining erections, or other sexual dysfunction

An official list of medicines we read shows the originator product as cancelled, revoked or archived. This is the text of another product, the one named in this row.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stoppingConclusions and actionsHealth Canada will work with manufacturers to update the product safety information for all SSRIs and SNRIs to recommend that healthcare professionals inform patients about the potential risk of long lasting (possibly weeks to years) sexual symptoms persisting after stopping SSRI or SNRI treatment.

The same text also saysConclusions and actionsHealth Canada's review could not confirm, nor rule out, a causal link between stopping SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names fluoxetine among them.

Sexual side effects that continue after stoppingProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)The Warnings and Precautions section of the Canadian product monographs for SSRIs (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, vilazodone and vortioxetine) and SNRIs (desvenlafaxine, duloxetine, levomilnacipran and venlafaxine) has been, or will be, updated with new safety information concerning reports of long-lasting sexual dysfunction where the symptoms have continued despite treatment discontinuation.

The same text also saysProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) · Key messages for healthcare professionals:Health Canada’s review could not confirm, nor rule out, a causal link between discontinuing SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names fluoxetine among them.

Sexual side effects that continue after stoppingSection 4.4 · Sexual dysfunctionSection 4.4 of Australia's product information for APO-Fluoxetine has a warning headed sexual dysfunction. It says there are reports of sexual dysfunction that lasted a long time, with symptoms going on after SSRIs or SNRIs were stopped.Summarised, not quoted, because of the TGA's access terms.

Sexual side effects that continue after stoppingSection 4.8 · Urogenital System · UncommonIn section 4.8, the list of side effects of the urogenital system has sexual dysfunction among the uncommon ones, and adds in brackets that it occasionally persists after treatment is stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

The originator product is not in the list we read. This is another product from that list.

Sexual side effects that continue after stoppingSection 6 · Less serious side effects · General symptoms:Australia's consumer medicine information for APO-Fluoxetine lists sexual problems among its side effects: a lower sex drive, and trouble with erection, ejaculation or orgasm. It says that in some cases these have carried on after treatment stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

The originator product is not in the list we read. This is another product from that list.

Sexual side effects, as listed4.8 Undesirable effects · b. Adverse reactions from clinical trials · Nervous system disorders · Commonabnormal dreams, libido decreased, sleep disorder, thinking abnormal, chills;

Sexual side effects that continue after stopping4.8 Undesirable effects · b. Adverse reactions from clinical trials · Reproductive system and breast disordersCommon: abnormal ejaculation (male only), gynaecological bleeding (female only), impotence (male only); Uncommon: anorgasmia, breast pain, sexual dysfunction (occasionally persisting after treatment discontinuation); Rare: priapism (male only).

The same text also says4.8 Undesirable effects · b. Adverse reactions from clinical trialsIt is important to emphasise that, although the events reported did occur during treatment with fluoxetine, they were not necessarily caused by it.

The originator product is not in the list we read. This is another product from that list.

This sentence stands in the list of adverse reactions. The warnings section of this text has no entry on sexual function.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects, as listed4.8 Undesirable effects · Nervous system disorders · Common:abnormal dreams, libido decreased, sleep disorder, thinking abnormal, chills

Sexual side effects that continue after stopping4.8 Undesirable effects · Reproductive system and breast disordersabnormal ejaculation (male only), gynaecological bleeding (female only), impotence (male only) anorgasmia, breast pain, sexual dysfunction (occasionally persisting after treatment discontinuation) priapism (male only)

The same text also says4.8 Undesirable effectsIt is important to emphasise that, although the events reported did occur during treatment with fluoxetine, they were not necessarily caused by it.

This sentence stands in the list of adverse reactions. The warnings section of this text has no entry on sexual function.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stoppingSide effectssexual disturbances (decreased sexual drive, problems with orgasm, ejaculation or erection). In some cases, these symptoms have continued after stopping treatment.

The same text also saysSide effectsSide effects vary from patient to patient and often lessen with continued use.

The originator product is not in the list we read. This is another product from that list.

Another product's leaflet reads differently. This row shows the product named, and no other.

Sexual side effects that continue after stoppingBefore you take Fluox · Before you start to take it:Medicines like Fluox may cause symptoms of sexual dysfunction (see Side Effects section). In some cases, these symptoms have continued after stopping treatment.

Sexual side effects that continue after stoppingSide effectssexual function problems: such as delayed ejaculation, problems with erection, decreased sex drive or difficulties achieving orgasm (In some cases, these symptoms have continued after stopping treatment)

The same text also saysSide effectsThis medicine may have unwanted side effects in a few people.

Sexual side effects that continue after stopping4.4 Besondere Warnhinweise und Vorsichtsmaßnahmen für die Anwendung · Sexuelle FunktionsstörungEs wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI being stopped.

Sexual side effects, as listed4.8 Nebenwirkungen · Psychiatrische Erkrankungen · HäufigAngst, Nervosität Ruhelosigkeit Angespanntheit verminderte Libido3 Schlafstörung abnormale Träume4Original text: German. Our translation:Anxiety, nervousness restlessness tension decreased libido3 sleep disorder abnormal dreams4

Sexual side effects, as listed4.8 Nebenwirkungen · Psychiatrische Erkrankungen · GelegentlichDepersonalisation, gehobene Stimmung, euphorische Stimmung, abnormales Denken abnormaler Orgasmus5 Zähneknirschen, suizidale Gedanken und suizidales Verhalten6Original text: German. Our translation:Depersonalisation, elevated mood, euphoric mood, abnormal thinking abnormal orgasm5 teeth grinding, suicidal thoughts and suicidal behaviour6

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · Häufiggynäkologische Blutung14 Erektile Dysfunktion Ejakulationsstörung15Original text: German. Our translation:gynaecological bleeding14 Erectile dysfunction Ejaculation disorder15

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · Gelegentlichsexuelle Dysfunktion16Original text: German. Our translation:sexual dysfunction16

Sexual side effects that continue after stopping4.8 Nebenwirkungen · Tabellarische Zusammenfassung der Nebenwirkungen · Fußnote 16Gelegentlich anhaltend nach Absetzung der TherapieOriginal text: German. Our translation:Occasionally persisting after the therapy is stopped

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · SeltenGalaktorrhoe, Hyperprolaktinämie, PriapismusOriginal text: German. Our translation:Galactorrhoea, hyperprolactinaemia, priapism

The same text also says4.8 Nebenwirkungen · Zusammenfassung des SicherheitsprofilsSchweregrad und Häufigkeit von Nebenwirkungen können im Verlauf der Behandlung abnehmen und führen im Allgemeinen nicht zu einem Abbruch der Behandlung.Original text: German. Our translation:The severity and frequency of side effects may decrease in the course of treatment and do not generally lead to treatment being stopped.

Sexual side effects, as listed4.8 Nebenwirkungen · Kinder und JugendlicheEinzelfälle von Nebenwirkungen, die möglicherweise auf eine verzögerte sexuelle Entwicklung oder Störung der Sexualfunktion hinweisen, wurden während der klinischen Anwendung bei Kindern und Jugendlichen berichtet (siehe auch Abschnitt 5.3).Original text: German. Our translation:Isolated cases of side effects that may point to delayed sexual development or a disorder of sexual function were reported during clinical use in children and adolescents (see also section 5.3).

This is the holder's own copy. The regulator's database asks visitors to accept its terms first, which we did not do.

The originator product's text could not be opened. This is the text of another product, the one named in this row.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

We could not open this text on 14 October 2026: the holder publishes no text; the site asks for a login. This says nothing about what the text contains.

Sexual side effects that continue after stopping2. Was sollten Sie vor der Einnahme von Fluoxetin-ratiopharm® beachten? · Warnhinweise und Vorsichtsmaßnahmen · Sexuelle FunktionsstörungIn bestimmten Fällen blieben diese Symptome nach Beendigung der Behandlung bestehen.Original text: German. Our translation:In certain cases these symptoms continued after treatment was ended.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Einige Patienten hattenverlängerte und schmerzhafte Erektion;Original text: German. Our translation:prolonged and painful erection;

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Häufig (kann bis zu 1 von 10 Behandelten betreffen)Verminderter Sexualtrieb oder sexuelle Probleme (einschließlich Schwierigkeit, eine Erektion zur sexuellen Aktivität aufrecht zu halten)Original text: German. Our translation:Reduced sex drive or sexual problems (including difficulty keeping an erection for sexual activity)

Sexual side effects that continue after stopping4. Welche Nebenwirkungen sind möglich? · Gelegentlich (kann bis zu 1 von 100 Behandelten betreffen)Sexuelle Funktionsstörungen, einschließlich Orgasmusprobleme, die gelegentlich nach Beendigung der Behandlung bestehen bleibenOriginal text: German. Our translation:Sexual dysfunction, including orgasm problems, which occasionally persists after treatment has ended

The same text also says4. Welche Nebenwirkungen sind möglich?Die meisten dieser Nebenwirkungen gehen wahrscheinlich vorüber, während Sie Ihr Arzneimittel weiter einnehmen.Original text: German. Our translation:Most of these side effects are likely to pass while you go on taking your medicine.

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Sexual side effects that continue after stoppingPRAC-Meldungen · Neufassung des Wortlauts der Produktinformationen – Auszüge aus den Empfehlungen des PRAC zu Signalen · Serotonin- und Noradrenalin-Wiederaufnahmehemmer (SNRI); selektive Serotonin-Wiederaufnahmehemmer (SSRI) – persistierende sexuelle Funktionsstörung nach Absetzen von Arzneimitteln (EPITT Nr. 19277)Es wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects that continue after stopping4.4. Mises en garde spéciales et précautions d'emploi · Dysfonction sexuelleDes cas de dysfonction sexuelle dont les symptômes se sont prolongés malgré l’arrêt du traitement par des ISRS ont été rapportés.Original text: French. Our translation:Cases of sexual dysfunction in which the symptoms continued despite stopping treatment with SSRIs have been reported.

Sexual side effects, as listed4.8. Effets indésirables · Affections psychiatriques · FréquentAnxiété. Nervosité. Impatiences. Tension. Baisse de la libido3. Troubles du sommeil. Rêves anormaux4.Original text: French. Our translation:Anxiety. Nervousness. Restlessness. Tension. Decreased libido3. Sleep disorders. Abnormal dreams4.

Sexual side effects, as listed4.8. Effets indésirables · Affections psychiatriques · Peu fréquentDépersonnalisation. Exaltation. Euphorie. Pensées anormales. Orgasmes anormaux5. Bruxisme. Pensées et comportement suicidaires6.Original text: French. Our translation:Depersonalisation. Elation. Euphoria. Abnormal thoughts. Abnormal orgasms5. Bruxism. Suicidal thoughts and behaviour6.

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · FréquentSaignements gynécologiques14. Dysfonction érectile. Troubles de l’éjaculation15.Original text: French. Our translation:Gynaecological bleeding14. Erectile dysfunction. Ejaculation disorders15.

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · Peu fréquentTroubles sexuels16.Original text: French. Our translation:Sexual disorders16.

Sexual side effects that continue after stopping4.8. Effets indésirables · b. Tableau récapitulatif des effets indésirables · note 16Pouvant parfois persister après arrêt du traitementOriginal text: French. Our translation:May sometimes persist after treatment is stopped

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · RareGalactorrhée. Hyperprolactinémie Priapisme.Original text: French. Our translation:Galactorrhoea. Hyperprolactinaemia Priapism.

The same text also says4.8. Effets indésirables · a. Résumé du profil de sécuritéLes effets indésirables peuvent diminuer en intensité et en fréquence lors de la poursuite du traitement et ne nécessitent généralement pas l’arrêt du traitement.Original text: French. Our translation:The adverse effects may decrease in intensity and frequency as treatment continues and do not generally require treatment to be stopped.

Sexual side effects, as listed4.8. Effets indésirables · d. Population pédiatriqueDes cas isolés d’effets indésirables suggérant des retards de maturation sexuelle ou une dysfonction sexuelle ont été rapportés lors de l’utilisation clinique en pédiatrie (voir également rubrique 5.3).Original text: French. Our translation:Isolated cases of adverse effects suggesting delayed sexual maturation or sexual dysfunction have been reported during paediatric clinical use (see also section 5.3).

The text itself prints no date of revision.

An official list of medicines we read shows this product as discontinued or no longer marketed, and the text in this row is still this product's own.

Texts for other products in this country do not all say the same. The ones we read are on the full record.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping4.4. Mises en garde spéciales et précautions d'emploi · Dysfonction sexuelleDes cas de dysfonction sexuelle dont les symptômes se sont prolongés malgré l’arrêt du traitement par des ISRS ont été rapportés.Original text: French. Our translation:Cases of sexual dysfunction in which the symptoms continued despite stopping treatment with SSRIs have been reported.

Sexual side effects, as listed4.8. Effets indésirables · Affections psychiatriques · FréquentAnxiété. Nervosité. Impatiences. Tension. Baisse de la libido3. Troubles du sommeil. Rêves anormaux4.Original text: French. Our translation:Anxiety. Nervousness. Restlessness. Tension. Decreased libido3. Sleep disorders. Abnormal dreams4.

Sexual side effects, as listed4.8. Effets indésirables · Affections psychiatriques · Peu fréquentDépersonnalisation. Exaltation. Euphorie. Pensées anormales. Orgasmes anormaux5. Bruxisme. Pensées et comportement suicidaires6.Original text: French. Our translation:Depersonalisation. Elation. Euphoria. Abnormal thoughts. Abnormal orgasms5. Bruxism. Suicidal thoughts and behaviour6.

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · FréquentSaignements gynécologiques14. Dysfonction érectile. Troubles de l’éjaculation15.Original text: French. Our translation:Gynaecological bleeding14. Erectile dysfunction. Ejaculation disorders15.

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · Peu fréquentTroubles sexuels16.Original text: French. Our translation:Sexual disorders16.

Sexual side effects that continue after stopping4.8. Effets indésirables · b. Tableau récapitulatif des effets indésirables · note 16Pouvant parfois persister après arrêt du traitementOriginal text: French. Our translation:May sometimes persist after treatment is stopped

Sexual side effects, as listed4.8. Effets indésirables · Affections des organes de reproduction et du sein · RareGalactorrhée. Hyperprolactinémie. Priapisme.Original text: French. Our translation:Galactorrhoea. Hyperprolactinaemia. Priapism.

The same text also says4.8. Effets indésirables · a. Résumé du profil de sécuritéLes effets indésirables peuvent diminuer en intensité et en fréquence lors de la poursuite du traitement et ne nécessitent généralement pas l’arrêt du traitement.Original text: French. Our translation:The adverse effects may decrease in intensity and frequency as treatment continues and do not generally require treatment to be stopped.

Sexual side effects, as listed4.8. Effets indésirables · d. Population pédiatriqueDes cas isolés d’effets indésirables suggérant des retards de maturation sexuelle ou une dysfonction sexuelle ont été rapportés lors de l’utilisation clinique en pédiatrie (voir également rubrique 5.3).Original text: French. Our translation:Isolated cases of adverse effects suggesting delayed sexual maturation or sexual dysfunction have been reported during paediatric clinical use (see also section 5.3).

The text itself prints no date of revision.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. QUELLES SONT LES INFORMATIONS A CONNAITRE AVANT DE PRENDRE PROZAC 20 mg, gélule ? · Avertissements et précautions · Dysfonction sexuelleDans certains cas, ces symptômes se sont prolongés après l’arrêt du traitement.Original text: French. Our translation:In some cases, these symptoms continued after treatment was stopped.

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Certains patients ont présenté :Une érection prolongée et douloureuse ;Original text: French. Our translation:A prolonged and painful erection;

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquents (pouvant affecter jusqu’à 1 patient sur 10)baisse du désir sexuel ou problèmes sexuels (tels que difficultés à conserver une érection suffisante pour une activité sexuelle),Original text: French. Our translation:decreased sexual desire or sexual problems (such as difficulty keeping an erection sufficient for sexual activity),

Sexual side effects that continue after stopping4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Peu fréquents (pouvant affecter jusqu’à 1 patient sur 100)troubles sexuels, incluant des troubles de l’orgasme, pouvant parfois persister après arrêt du traitementOriginal text: French. Our translation:sexual disorders, including orgasm disorders, which may sometimes persist after treatment is stopped

The same text also says4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ?La plupart de ces effets indésirables disparaissent avec la poursuite du traitement.Original text: French. Our translation:Most of these side effects disappear as treatment continues.

The text itself prints no date of revision.

An official list of medicines we read shows this product as discontinued or no longer marketed, and the text in this row is still this product's own.

Sexual side effects that continue after stopping2. QUELLES SONT LES INFORMATIONS A CONNAITRE AVANT DE PRENDRE FLUOXETINE ACCORD 20 mg, gélule ? · Avertissements et précautions · Dysfonction sexuelleDans certains cas, ces symptômes se sont prolongés après l’arrêt du traitement.Original text: French. Our translation:In some cases, these symptoms continued after treatment was stopped.

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Certains patients ont présenté :Une érection prolongée et douloureuse ;Original text: French. Our translation:A prolonged and painful erection;

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Fréquents (pouvant affecter jusqu’à 1 patient sur 10)baisse du désir sexuel ou problèmes sexuels (tels que difficultés à conserver une érection suffisante pour une activité sexuelle),Original text: French. Our translation:decreased sexual desire or sexual problems (such as difficulty keeping an erection sufficient for sexual activity),

Sexual side effects that continue after stopping4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Peu fréquents (pouvant affecter jusqu’à 1 patient sur 100)troubles sexuels, incluant des troubles de l’orgasme, pouvant parfois persister après arrêt du traitement,Original text: French. Our translation:sexual disorders, including orgasm disorders, which may sometimes persist after treatment is stopped,

The same text also says4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ?La plupart de ces effets indésirables disparaissent avec la poursuite du traitement.Original text: French. Our translation:Most of these side effects disappear as treatment continues.

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4 Avvertenze speciali e precauzioni di impiego · Disfunzione sessualeSono stati segnalati casi di disfunzione sessuale a lungo termine con persistenza dei sintomi dopo l’interruzione dell’uso di SSRI.Original text: Italian. Our translation:Cases of long-term sexual dysfunction have been reported, with the symptoms persisting after the use of SSRIs was stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · b. Tabella riassuntiva delle reazioni avverse · Disturbi psichiatrici · ComuneAnsia Nervosismo Irrequietezza Tensione Diminuzione della libido3 Disturbi del sonno Sogni anormali4Original text: Italian. Our translation:Anxiety Nervousness Restlessness Tension Decreased libido3 Sleep disorders Abnormal dreams4

Sexual side effects, as listed4.8 Effetti indesiderati · b. Tabella riassuntiva delle reazioni avverse · Disturbi psichiatrici · Non comuneDepersonalizzazione Umore elevato Umore euforico Pensiero anormale Orgasmo anormale5 Bruxismo Ideazioni e comportamento suicidario6Original text: Italian. Our translation:Depersonalisation Elevated mood Euphoric mood Abnormal thinking Abnormal orgasm5 Bruxism Suicidal ideation and behaviour6

Sexual side effects, as listed4.8 Effetti indesiderati · b. Tabella riassuntiva delle reazioni avverse · Patologie dell'apparato riproduttivo e della mammella · ComuneSanguinamento a carico dell'apparato riproduttivo femminile14 Disfunzione erettile Disturbo dell’eiaculazione15Original text: Italian. Our translation:Bleeding of the female reproductive system14 Erectile dysfunction Ejaculation disorder15

Sexual side effects, as listed4.8 Effetti indesiderati · b. Tabella riassuntiva delle reazioni avverse · Patologie dell'apparato riproduttivo e della mammella · Non comuneDisfunzione di natura sessuale16Original text: Italian. Our translation:Dysfunction of a sexual nature16

Sexual side effects that continue after stopping4.8 Effetti indesiderati · b. Tabella riassuntiva delle reazioni avverse · nota 16Occasionalmente persistente dopo sospensione del trattamento.Original text: Italian. Our translation:Occasionally persistent after treatment is stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · b. Tabella riassuntiva delle reazioni avverse · Patologie dell'apparato riproduttivo e della mammella · RaroGalattorrea Iperprolattinemia PriapismoOriginal text: Italian. Our translation:Galactorrhoea Hyperprolactinaemia Priapism

The same text also says4.8 Effetti indesiderati · a. Sommario del profilo di sicurezzaGli effetti indesiderati possono diminuire di intensità e frequenza con il trattamento continuato e generalmente non portano ad una interruzione della terapia.Original text: Italian. Our translation:The undesirable effects may decrease in intensity and frequency with continued treatment and do not generally lead to therapy being stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · d. Popolazione pediatrica (vedere paragrafi 4.4 e 5.1)Nell’impiego clinico in pediatria sono stati riportati casi isolati di eventi avversi potenzialmente indicanti una ritardata maturazione sessuale o una disfunzione sessuale (vedere anche paragrafo 5.3).Original text: Italian. Our translation:In paediatric clinical use, isolated cases have been reported of adverse events potentially indicating delayed sexual maturation or sexual dysfunction (see also section 5.3).

The text itself prints no date of revision.

An official list of medicines we read shows this product as discontinued or no longer marketed, and the text in this row is still this product's own.

Texts for other products in this country do not all say the same. The ones we read are on the full record.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping4.4 Avvertenze speciali e precauzioni d’impiego · Disfunzione sessualeSono stati segnalati casi di disfunzione sessuale a lungo termine con persistenza dei sintomi dopo l’interruzione dell’uso di SSRI/SNRI.Original text: Italian. Our translation:Cases of long-term sexual dysfunction have been reported, with the symptoms persisting after the use of SSRIs/SNRIs was stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · b) Elenco delle reazioni avverse · Disturbi psichiatrici · Comune:ansia, nervosismo, irrequietezza, tensione, diminuzione della libido 3, disturbi del sonno, sogni anormali 4Original text: Italian. Our translation:anxiety, nervousness, restlessness, tension, decreased libido 3, sleep disorders, abnormal dreams 4

Sexual side effects, as listed4.8 Effetti indesiderati · b) Elenco delle reazioni avverse · Disturbi psichiatrici · Non comune:depersonalizzazione, alterazioni del pensiero, umore elevato, euforia, orgasmo anormale 5, bruxismo, idea suicida e comportamento suicida 6Original text: Italian. Our translation:depersonalisation, changes in thinking, elevated mood, euphoria, abnormal orgasm 5, bruxism, suicidal ideas and suicidal behaviour 6

Sexual side effects, as listed4.8 Effetti indesiderati · b) Elenco delle reazioni avverse · Patologie dell’apparato riproduttivo e della mammella · Comune:emorragia ginecologica 13, disfunzione erettile, problemi nell’eiaculazione 14Original text: Italian. Our translation:gynaecological bleeding 13, erectile dysfunction, ejaculation problems 14

Sexual side effects, as listed4.8 Effetti indesiderati · b) Elenco delle reazioni avverse · Patologie dell’apparato riproduttivo e della mammella · Non comune:disfunzione sessualeOriginal text: Italian. Our translation:sexual dysfunction

Sexual side effects, as listed4.8 Effetti indesiderati · b) Elenco delle reazioni avverse · Patologie dell’apparato riproduttivo e della mammella · Raro:galattorrea, iperprolattinemia, priapismoOriginal text: Italian. Our translation:galactorrhoea, hyperprolactinaemia, priapism

The same text also says4.8 Effetti indesiderati · a) Sintesi del profilo di sicurezzaGli effetti indesiderati possono diminuire di intensità e frequenza con il trattamento continuato e generalmente non portano ad una interruzione della terapia.Original text: Italian. Our translation:The undesirable effects may decrease in intensity and frequency with continued treatment and do not generally lead to therapy being stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · d) Popolazione pediatrica (vedere paragrafi 4.4 e 5.1)Nell’uso clinico pediatrico sono stati riportati casi isolati di eventi avversi che potenzialmente indicano ritardo della maturazione sessuale o disfunzioni sessuali (vedere anche paragrafo 5.3).Original text: Italian. Our translation:In paediatric clinical use, isolated cases have been reported of adverse events that potentially indicate delayed sexual maturation or sexual dysfunction (see also section 5.3).

The text itself prints no date of revision.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. Cosa deve sapere prima di prendere Prozac capsule rigide · Avvertenze e precauzioni · Disfunzione sessualeIn alcuni casi, si è osservata la persistenza di questi sintomi dopo l’interruzione del trattamento.Original text: Italian. Our translation:In some cases, these symptoms have been seen to persist after treatment was stopped.

Sexual side effects, as listed4. Possibili effetti indesiderati · Alcuni pazienti hanno presentato:erezione prolungata e dolorosa;Original text: Italian. Our translation:prolonged and painful erection;

Sexual side effects, as listed4. Possibili effetti indesiderati · Comuni (che possono interessare fino a 1 paziente su 10)ridotto desiderio sessuale e problemi sessuali (inclusa la difficoltà a mantenere un’erezione per l’attività sessuale)Original text: Italian. Our translation:reduced sexual desire and sexual problems (including difficulty keeping an erection for sexual activity)

Sexual side effects that continue after stopping4. Possibili effetti indesiderati · Non comuni (che possono interessare fino a 1 paziente su 100)problemi sessuali, inclusi problemi di orgasmo, occasionalmente persistenti dopo l’interruzione del trattamentoOriginal text: Italian. Our translation:sexual problems, including orgasm problems, occasionally persisting after treatment is stopped

The same text also says4. Possibili effetti indesideratiÈ probabile che la maggior parte di questi effetti indesiderati sparisca continuando il trattamento.Original text: Italian. Our translation:Most of these side effects are likely to disappear as treatment continues.

The text itself prints no date of revision.

An official list of medicines we read shows this product as discontinued or no longer marketed, and the text in this row is still this product's own.

Sexual side effects that continue after stopping2. Cosa deve sapere prima di prendere Fluoxetina EG · Avvertenze e precauzioniIn alcuni casi, si è osservata la persistenza di questi sintomi dopo l’interruzione del trattamento.Original text: Italian. Our translation:In some cases, these symptoms have been seen to persist after treatment was stopped.

Sexual side effects, as listed4. Possibili effetti indesiderati · Effetti indesiderati comuni (possono interessare fino a 1 persona su 10):problemi sessuali, tra cui difficoltà a mantenere l'erezione per un'attività sessuale (disfunzione erettile), eiaculazione precoce o eiaculazione ritardata (disturbi dell'eiaculazione), diminuzione del desiderio sessuale (libido diminuita);Original text: Italian. Our translation:sexual problems, including difficulty keeping an erection for sexual activity (erectile dysfunction), premature or delayed ejaculation (ejaculation disorders), decreased sexual desire (decreased libido);

Sexual side effects, as listed4. Possibili effetti indesiderati · Effetti indesiderati non comuni (possono interessare fino a 1 persona su 100):problemi di orgasmo;Original text: Italian. Our translation:orgasm problems;

Sexual side effects, as listed4. Possibili effetti indesiderati · Effetti indesiderati non comuni (possono interessare fino a 1 persona su 100):problemi nell’attività sessuali (disfunzione sessuale);Original text: Italian. Our translation:problems with sexual activity (sexual dysfunction);

Sexual side effects, as listed4. Possibili effetti indesiderati · Effetti indesiderati rari (possono interessare fino a 1 persona su 1.000):erezione dolorosa persistente (priapismo);Original text: Italian. Our translation:persistent painful erection (priapism);

Sexual side effects, as listed4. Possibili effetti indesiderati · Uso nei bambini e negli adolescenti al di sotto di 18 anni d’etàmaturità sessuale ritardata o disfunzione sessuale;Original text: Italian. Our translation:delayed sexual maturity or sexual dysfunction;

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4. Advertencias y precauciones especiales de empleo · Disfunción sexualSe han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la suspensión del ISRS.Original text: Spanish. Our translation:Cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite the SSRI being stopped.

Sexual side effects, as listed4.8. Reacciones adversas · Resumen tabulado de reacciones adversas · Trastornos psiquiátricos · FrecuentesAnsiedad Nerviosismo Inquietud Tensión Disminución de la libido3 Trastornos del sueño Sueños anormales4Original text: Spanish. Our translation:Anxiety Nervousness Restlessness Tension Decreased libido3 Sleep disorders Abnormal dreams4

Sexual side effects, as listed4.8. Reacciones adversas · Resumen tabulado de reacciones adversas · Trastornos psiquiátricos · Poco frecuentesDespersonalización Estado elevado del ánimo Estado eufórico del ánimo Pensamiento anormal Orgasmo normal5 Bruxismo Comportamientos y pensamientos suicidas6Original text: Spanish. Our translation:Depersonalisation Elevated mood Euphoric mood Abnormal thinking Abnormal orgasm5 Bruxism Suicidal behaviour and thoughts6

Sexual side effects, as listed4.8. Reacciones adversas · Resumen tabulado de reacciones adversas · Trastornos del aparato reproductor y de la mama · FrecuentesHemorragia ginecológica14 Disfunción eréctil Trastorno de la eyaculación15Original text: Spanish. Our translation:Gynaecological bleeding14 Erectile dysfunction Ejaculation disorder15

Sexual side effects, as listed4.8. Reacciones adversas · Resumen tabulado de reacciones adversas · Trastornos del aparato reproductor y de la mama · Poco frecuentesDisfunción sexualOriginal text: Spanish. Our translation:Sexual dysfunction

Sexual side effects, as listed4.8. Reacciones adversas · Resumen tabulado de reacciones adversas · Trastornos del aparato reproductor y de la mama · RarasGalactorrea Hiperprolactinemia PriapismoOriginal text: Spanish. Our translation:Galactorrhoea Hyperprolactinaemia Priapism

The same text also says4.8. Reacciones adversas · Resumen del perfil de seguridadLas reacciones adversas pueden disminuir en intensidad y frecuencia con el tratamiento continuado y no conducen generalmente a la interrupción del tratamiento.Original text: Spanish. Our translation:The adverse reactions may decrease in intensity and frequency with continued treatment and do not generally lead to treatment being stopped.

Sexual side effects, as listed4.8. Reacciones adversas · Población pediátrica (ver secciones 4.4 y 5.1)Han sido notificados de la experiencia clínica en pediatría casos aislados de efectos adversos indicando potencialmente un retraso en la maduración sexual o disfunción sexual (ver también sección 5.3).Original text: Spanish. Our translation:From clinical experience in children, isolated cases have been reported of adverse effects potentially indicating delayed sexual maturation or sexual dysfunction (see also section 5.3).

An official list of medicines we read shows the originator product as cancelled, revoked or archived. This is the text of another product, the one named in this row.

Texts for other products in this country do not all say the same. We searched them for sentences about sexual side effects continuing after stopping and did not read them whole. This row shows the product named, and no other.

Spelling and punctuation are the document's own.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stopping2. Qué necesita saber antes de empezar a tomar fluoxetina cinfa · Advertencias y precauciones · Disfunción sexualEn algunos casos, estos síntomas persisten después de suspender el tratamiento.Original text: Spanish. Our translation:In some cases, these symptoms persist after treatment is stopped.

Sexual side effects, as listed4. Posibles efectos adversos · Algunos pacientes han padecido:Erección prolongada y dolorosa.Original text: Spanish. Our translation:Prolonged and painful erection.

Sexual side effects, as listed4. Posibles efectos adversos · Frecuentes (pueden afectar hasta 1 de cada 10 personas)Disminución del deseo sexual o problemas sexuales (incluyendo dificultad para mantener una erección durante la actividad sexual).Original text: Spanish. Our translation:Decreased sexual desire or sexual problems (including difficulty keeping an erection during sexual activity).

Sexual side effects that continue after stopping4. Posibles efectos adversos · Poco frecuentes (pueden afectar hasta 1 de cada 100 personas)Problemas sexuales, incluyendo problemas de orgasmo, persistiendo ocasionalmente después de la interrupción del tratamiento.Original text: Spanish. Our translation:Sexual problems, including orgasm problems, occasionally persisting after treatment is stopped.

The same text also says4. Posibles efectos adversosLa mayoría de estos efectos adversos tienden a desaparecer con la continuación del tratamiento.Original text: Spanish. Our translation:Most of these side effects tend to disappear as treatment continues.

An official list of medicines we read shows the originator product as cancelled, revoked or archived. This is the text of another product, the one named in this row.

Sexual side effects that continue after stoppingInformación sobre seguridad · Nueva información de seguridad procedente de la evaluación periódica de los datos de farmacovigilancia · Inhibidores selectivos de la recaptación de serotonina (SRS)/serotonina y noradrenalina (ISRN): persistencia de disfunción sexualEn pacientes a tratamiento con inhibidores de la recaptación de serotonina y noradrenalina, o con inhibidores selectivos de la recaptación de serotonina, se han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la interrupción del tratamiento. Se incorporará este hallazgo a las advertencias de estos medicamentos.Original text: Spanish. Our translation:In patients treated with serotonin and noradrenaline reuptake inhibitors, or with selective serotonin reuptake inhibitors, cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite treatment being stopped. This finding will be added to the warnings of these medicines.

That document is about the whole class of medicines. It does not name fluoxetine.

Spelling and punctuation are the document's own.

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reação comum (> 1/100 e < 1/10):diminuição da libido (incluindo perda da libido)Original text: Portuguese. Our translation:decreased libido (including loss of libido)

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reação comum (> 1/100 e < 1/10):distúrbios da ejaculação (incluindo falha na ejaculação, disfunção da ejaculação, ejaculação precoce, retardo na ejaculação e ejaculação retrógrada)Original text: Portuguese. Our translation:ejaculation disorders (including ejaculation failure, ejaculation dysfunction, premature ejaculation, delayed ejaculation and retrograde ejaculation)

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reação comum (> 1/100 e < 1/10):disfunção erétilOriginal text: Portuguese. Our translation:erectile dysfunction

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reação incomum (> 1/1.000 e <1/100):alteração do orgasmo (incluindo anorgasmia)Original text: Portuguese. Our translation:change in orgasm (including anorgasmia)

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reação incomum (> 1/1.000 e <1/100):aumento da libidoOriginal text: Portuguese. Our translation:increased libido

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Relatos pós-comercialização:priapismoOriginal text: Portuguese. Our translation:priapism

Sexual side effects that continue after stopping9. REAÇÕES ADVERSAS · Relatos pós-comercialização:disfunção sexual (ocasionalmente persistindo após a descontinuação do uso)Original text: Portuguese. Our translation:sexual dysfunction (occasionally persisting after use is stopped)

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

The originator product's text could not be opened. This is the text of another product, the one named in this row.

We could not open this text on 14 October 2026: the site refused our requests (it blocks by country; we asked from Denmark); the holder publishes no text. This says nothing about what the text contains.

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum (ocorre entre 1% e 10% dos pacientes que utilizam este medicamento):diminuição da libido [incluindo perda da libido (desejo sexual)]Original text: Portuguese. Our translation:decreased libido [including loss of libido (sexual desire)]

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum (ocorre entre 1% e 10% dos pacientes que utilizam este medicamento):distúrbios da ejaculaçãoOriginal text: Portuguese. Our translation:ejaculation disorders

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação comum (ocorre entre 1% e 10% dos pacientes que utilizam este medicamento):disfunção erétil (dificuldade de obtenção e/ou manutenção da ereção do pênis)Original text: Portuguese. Our translation:erectile dysfunction (difficulty getting and/or keeping an erection of the penis)

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação incomum (ocorre entre 0,1% e 1% dos pacientes que utilizam este medicamento):alteração do orgasmo [incluindo anorgasmia (incapacidade de ter orgasmo)]Original text: Portuguese. Our translation:change in orgasm [including anorgasmia (inability to have an orgasm)]

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Reação incomum (ocorre entre 0,1% e 1% dos pacientes que utilizam este medicamento):aumento da libido (aumento do desejo sexual)Original text: Portuguese. Our translation:increased libido (increased sexual desire)

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Relatos pós-comercialização:priapismo (ereção do pênis prolongada ou dolorida)Original text: Portuguese. Our translation:priapism (prolonged or painful erection of the penis)

Sexual side effects that continue after stopping8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE ME CAUSAR? · Relatos pós-comercialização:disfunção sexual (ocasionalmente persistindo após a descontinuação do uso)Original text: Portuguese. Our translation:sexual dysfunction (occasionally persisting after use is stopped)

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

We could not open this text on 14 October 2026: the site refused our requests (it blocks by country; we asked from Denmark); the holder publishes no text. This says nothing about what the text contains.

We could not open this text on 14 October 2026: this regulator publishes no database of such texts. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name paroxetine.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Very commonVery common: sexual dysfunction.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Very rareVery rare: priapism.

The same text also says4.8 Undesirable effectsSome of the adverse drug reactions listed below may decrease in intensity and frequency with continued treatment and do not generally lead to cessation of therapy.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name paroxetine.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Very commonVery common: sexual dysfunction.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Very rareVery rare: priapism.

The same text also says4.8 Undesirable effectsSome of the adverse drug reactions listed below may decrease in intensity and frequency with continued treatment and do not generally lead to cessation of therapy.

Sexual side effects that continue after stopping2 What you need to know before you take Seroxat · Warnings and precautions · Important side effects seen with SeroxatMedicines like ‘Seroxat’ (so called SSRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have continued after stopping treatment.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name paroxetine.

Sexual side effects, as listed4 Possible side effects · Very common side effectsChange in sex drive or sexual function. For example, lack of orgasm and, in men, abnormal erection and ejaculation.

Sexual side effects, as listed4 Possible side effects · Very rare side effectsPainful erection of the penis that won’t go away

Sexual side effects that continue after stopping2. What you need to know before you take Paroxetine · Warnings and precautions · Important side effects seen with ParoxetineMedicines like Paroxetine (so called SSRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms have continued after stopping treatment.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name paroxetine.

Sexual side effects, as listed4. Possible Side Effects · Very common (may affect more than 1 in 10 people):Change in sex drive or sexual function. For example, lack of orgasm and, in men, abnormal erection and ejaculation.

Sexual side effects, as listed4. Possible Side Effects · Very rare (may affect up to 1 in 10,000 people):Painful erection of the penis that won’t go away

Sexual side effects that continue after stoppingAnswerThe Medicines and Healthcare products Regulatory Agency (MHRA) approved product information provided to healthcare professionals and patients for all selective serotonin reuptake inhibitors (SSRIs) was updated in 2019 to inform them that reports had been received of long-lasting sexual dysfunction where symptoms continue despite discontinuation of the SSRI.

That document is about the whole class of medicines. It does not name paroxetine.

Contains Parliamentary information licensed under the Open Parliament Licence v3.0.

Sexual side effects that continue after stoppingAdvice for Healthcare Professionalsdiscuss with patients when starting or changing the dose of an antidepressant, or at their next review, that there is evidence that some antidepressants[footnote 1]. are associated with a risk of sexual dysfunction and that symptoms may continue after stopping treatment with certain antidepressants. Some patients refer to this as “PSSD”

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsdo not stop taking your medicine without first speaking to your healthcare professional

Sexual side effects that continue after stoppingAdvice for Healthcare Professionals to Provide to Patientsthere is the potential for you to experience sexual dysfunction with some antidepressants, which may continue even after you stop the medicine. Please contact your healthcare professional if you have any concerns

The same text also saysAdvice for Healthcare Professionals to Provide to Patientsthese are not new risks for these medicines, but it is important to be aware of them

What the regulator saidNew measuresThe term “Post SSRI Sexual Dysfunction” (“PSSD”) will be added to the PILs of antidepressants associated with a risk of sexual dysfunction that may continue even after the drug is stopped[footnote 1]. Some patients refer to this as post selective serotonin reuptake inhibitors (SSRI) sexual dysfunction (“PSSD”). This will better reflect the experiences of patients and help raise awareness.

This document is about a whole class of medicines and names paroxetine among them.

Sexual side effects that continue after stopping3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)In 2019, an EU/UK review of data associated with antidepressant use and sexual dysfunction which continued after stopping treatment was conducted. The review concluded that for certain[footnote 2] antidepressants included in that review, long-lasting sexual dysfunction symptoms have continued despite discontinuation of the SSRIs/SNRI.

The same text also says3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The term “PSSD” was not included in the update to the product information for those antidepressants where evidence showed an association with sexual dysfunction.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)The EWG recommended that the patient information leaflets for certain[footnote 3] antidepressants should be updated to reflect clinical practice.

What the regulator said3. Antidepressants and the risk of “Post SSRI Sexual Dysfunction” (“PSSD”)Medicines like [medicines name] may cause symptoms of sexual dysfunction. Rarely people can experience more persistent sexual side-effects after they have stopped taking SSRIs. The term ‘post SSRI sexual dysfunction’ (PSSD) has been used by some people to describe these symptoms. For these people, PSSD can have a significant and distressing impact on their lives. Research is needed to understand why this happens and how common it is. It is important that people experiencing ongoing sexual side-effects receive appropriate and timely support.

This document is about a whole class of medicines and names paroxetine among them.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.On record since 2019, according to EMA, 11 June 2019.

Sexual side effects that continue after stopping3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal (EPITT no 19277) · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.On record since 2019, according to EMA, 11 June 2019.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

This is wording for national product texts. There is no single EU product text for this medicine.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Summary of product characteristics · 4.4. Special warnings and precautions for use · Sexual dysfunctionThere have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects that continue after stopping1.3. Serotonin and noradrenaline reuptake inhibitors (SNRI); selective serotonin reuptake inhibitors (SSRI) – Persistent sexual dysfunction after drug withdrawal · Package leaflet · 2. What you need to know before you take [Invented name] · Warnings and precautionsIn some cases, these symptoms have continued after stopping treatment.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects, as listed5 WARNINGS AND PRECAUTIONS · 5.11 Sexual DysfunctionUse of SSRIs, including PAXIL, may cause symptoms of sexual dysfunction [see Adverse Reactions (6.1)]. In male patients, SSRI use may result in ejaculatory delay or failure, decreased libido, and erectile dysfunction. In female patients, SSRI use may result in decreased libido and delayed or absent orgasm.

The same text also says5 WARNINGS AND PRECAUTIONS · 5.11 Sexual DysfunctionWhen evaluating changes in sexual function, obtain a detailed history (including timing of symptom onset) because sexual symptoms may have other causes, including the underlying psychiatric disorder.

This text has no sentence about sexual side effects continuing after the medicine is stopped.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

On 20 October 2026 we searched the labels in openFDA, the FDA's open database. A sentence about sexual dysfunction continuing after stopping stood on none of the 274 labels in that database that name paroxetine.

Sexual side effects, as listedWhat are possible side effects of PAXIL? · Sexual problems (dysfunction)Sexual problems (dysfunction). Taking selective serotonin reuptake inhibitors (SSRIs), including PAXIL, may cause sexual problems. Symptoms in males may include: delayed ejaculation or inability to have an ejaculation decreased sex drive problems getting or keeping an erection Symptoms in females may include: decreased sex drive delayed orgasm or inability to have an orgasm Talk to your healthcare provider if you develop any changes in your sexual function or if you have any questions or concerns about sexual problems during treatment with PAXIL. There may be treatments your healthcare provider can suggest.

Sexual side effects, as listedWhat are possible side effects of PAXIL? · The most common side effects of PAXIL include:male and female sexual function problems

This text has no sentence about sexual side effects continuing after the medicine is stopped.

Sexual side effects that continue after stopping7 WARNINGS AND PRECAUTIONS · Reproductive Health: Female and Male Potential · FunctionSSRIs may cause symptoms of sexual dysfunction (see 8 ADVERSE REACTIONS, Male and Female Sexual Dysfunction with SSRIs). Patients should be informed that there have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

Sexual side effects that continue after stopping8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsFurthermore, there have been reports of long-lasting sexual dysfunction where these symptoms have continued despite discontinuation of SSRIs.

The same text also says8 ADVERSE REACTIONS · 8.2 Clinical Trial Adverse Reactions · Male and Female Sexual Dysfunction with SSRIsAlthough changes in sexual desire, sexual performance and sexual satisfaction often occur as manifestations of a psychiatric disorder, they may also be a consequence of pharmacologic treatment.

This text names sexual side effects in several places that this row does not show. Together those passages are too long to reproduce here. The document link in this row opens the text. That they are not shown says nothing about how common these side effects are.

Sexual side effects that continue after stoppingOther warnings you should know about · Fertility and sexual functionFertility and sexual function: Taking medicines like PAXIL may increase your risk of having sexual problems. This may continue after PAXIL has been discontinued, including for months or years afterwards in some cases.

Sexual side effects that continue after stoppingWhat are possible side effects from using PAXIL? · Side effects may includesexual problems (decreases in sexual desire, performance and satisfaction, and may also lead to further decreases, which may continue after the drug is stopped)

Sexual side effects, as listedWhat are possible side effects from using PAXIL? · Serious side effects and what to do about them · Symptom / effectIncrease in the hormone prolactin: In women: breast discomfort, leakage of milk from the breasts, missed periods, or other problems with your menstrual cycle In men: decreased body and facial hair, breast swelling, leakage of milk from the breasts, difficulty in getting or maintaining erections, or other sexual dysfunction.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.

Sexual side effects that continue after stoppingConclusions and actionsHealth Canada will work with manufacturers to update the product safety information for all SSRIs and SNRIs to recommend that healthcare professionals inform patients about the potential risk of long lasting (possibly weeks to years) sexual symptoms persisting after stopping SSRI or SNRI treatment.

The same text also saysConclusions and actionsHealth Canada's review could not confirm, nor rule out, a causal link between stopping SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names paroxetine among them.

Sexual side effects that continue after stoppingProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)The Warnings and Precautions section of the Canadian product monographs for SSRIs (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, vilazodone and vortioxetine) and SNRIs (desvenlafaxine, duloxetine, levomilnacipran and venlafaxine) has been, or will be, updated with new safety information concerning reports of long-lasting sexual dysfunction where the symptoms have continued despite treatment discontinuation.

The same text also saysProduct monograph updates · Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) · Key messages for healthcare professionals:Health Canada’s review could not confirm, nor rule out, a causal link between discontinuing SSRI or SNRI treatment and persistent sexual dysfunction.

This document is about a whole class of medicines and names paroxetine among them.

Sexual side effects that continue after stoppingSection 4.4 · Sexual dysfunctionSection 4.4 of Australia's product information for Aropax has a warning headed sexual dysfunction. It says there are reports of sexual dysfunction that lasted a long time, with symptoms going on after SSRIs or SNRIs were stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

Sexual side effects that continue after stoppingSection 6 · Less serious side effectsAustralia's consumer medicine information for Aropax lists impaired sexual function among the less serious side effects, and says that in some cases the problems have carried on after treatment stopped.Summarised, not quoted, because of the TGA's access terms.

The regulator's site asks readers to accept its terms before it shows this text.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunction:SSRIs may cause symptoms of sexual dysfunction (see section 4.8 Undesirable effects). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system & breast disorders · Very commonsexual dysfunction.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system & breast disorders · Very rarepriapism.

The same text also says4.8 Undesirable effectsSome of the adverse experiences listed below may decrease in intensity and frequency with continued treatment and do not generally lead to cessation of therapy.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs)/serotonin norepinephrine reuptake inhibitors (SNRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs/SNRI.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system & breast disorders · Very commonsexual dysfunction.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system & breast disorders · Very rarepriapism.

The same text also says4.8 Undesirable effectsSome of the adverse experiences listed below may decrease in intensity and frequency with continued treatment and do not generally lead to cessation of therapy.

Sexual side effects, as listed6. Are there any side effects? · Mild side effects can includeimpaired sexual function

Sexual side effects that continue after stopping2. What should I know before I take AROPAX? · WarningsMedicines like AROPAX may cause symptoms of sexual dysfunction (see Section 6. Are there any side effects?). In some cases, these symptoms have continued after stopping treatment.

Sexual side effects, as listed6. Are there any side effects? · Less serious side effects (What to do: Speak to your doctor if you have any of these less serious side effects and they worry you.)impaired sexual function

Sexual side effects, as listed6. Are there any side effects? · Serious side effects (What to do: Call your doctor straight away, or go straight to the Emergency Department at your nearest hospital if you notice any of these serious side effects.)painful persistent erection of the penis

The same text also says6. Are there any side effects?All medicines can have side effects. If you do experience any side effects, most of them are minor and temporary.

Sexual side effects that continue after stoppingBefore you start to take itMedicines like Loxamine may cause symptoms of sexual dysfunction (see Side Effects section). In some cases, these symptoms have continued after stopping treatment.

Sexual side effects that continue after stoppingSide effects · Tell your doctor or pharmacist if you notice any of the following and they worry you:sexual function problems: such as delayed ejaculation, problems with erection, decreased sex drive or difficulties achieving orgasm (In some cases these symptoms have continued after stopping treatment)

Sexual side effects, as listedSide effects · Tell your doctor as soon as possible if you notice any of the following:painful persistent erection of the penis

The same text also saysSide effectsThis medicine helps most people, but it may have unwanted side effects in a few people.

Sexual side effects that continue after stopping3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the European product information on this issue and determined, based on their review of the available information, that updates to the data sheets regarding the risk of persistent sexual dysfunction are necessary.

The same text also says3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunctionThe Committee considered the strength of the evidence to be low and it is difficult to draw conclusions from the available data.

What the regulator said3.2.2 Serotonin reuptake inhibitors and persistent sexual dysfunction · Recommendation 5The Committee recommended that Medsafe writes to the sponsors of serotonin reuptake inhibitors requesting updates to New Zealand data sheets.

That document is about the whole class of medicines. It does not name paroxetine.

Sexual side effects that continue after stopping3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · BackgroundA warning that long-lasting symptoms of sexual dysfunction following discontinuing of treatment with selective serotonin reuptake inhibitors (SSRIs) and serotonin and noradrenaline reuptake inhibitors (SNRIs) have been reported, is currently listed in section 4.4 of the data sheets for these medicines.

The same text also says3.2.3 Update on sexual dysfunction (post SSRI sexual dysfunction, PSSD) following discontinuation of serotonin reuptake inhibitors · DiscussionIt was highlighted that this makes it difficult to confirm a causal relationship with SSRIs/SNRIs

That document is about the whole class of medicines. It does not name paroxetine.

Sexual side effects that continue after stopping2. Was sollten Sie vor der Einnahme von Seroxat beachten? · Wichtige Nebenwirkungen, die bei Einnahme von Seroxat beobachtet wurdenIn bestimmten Fällen blieben diese Symptome nach Beendigung der Behandlung bestehen.Original text: German. Our translation:In certain cases these symptoms continued after treatment was ended.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Weitere mögliche Nebenwirkungen, die während der Behandlung auftreten können · Sehr häufig auftretende NebenwirkungenStörungen im sexuellen Verlangen oder in der sexuellen Funktion, wie beispielsweise ausbleibender Orgasmus und, bei Männern, Erektions- und Ejakulationsstörungen.Original text: German. Our translation:Disorders of sexual desire or sexual function, such as absent orgasm and, in men, erection and ejaculation disorders.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Weitere mögliche Nebenwirkungen, die während der Behandlung auftreten können · Sehr selten auftretende Nebenwirkungenschmerzhafte Dauererektion des PenisOriginal text: German. Our translation:painful persistent erection of the penis

The same text also says4. Welche Nebenwirkungen sind möglich?Das Auftreten von Nebenwirkungen ist in den ersten Behandlungswochen mit Seroxat erhöht bzw. wahrscheinlicher.Original text: German. Our translation:Side effects are more frequent or more likely in the first weeks of treatment with Seroxat.

This is the copy in a compendium of product information. The regulator's database asks visitors to accept its terms first, which we did not do.

We could not open this text on 20 October 2026: the site asks for a login; the site asks visitors to accept its terms first, which we did not do. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Besondere Warnhinweise und Vorsichtsmaßnahmen für die Anwendung · Sexuelle FunktionsstörungEs wurden langanhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz des Absetzens von SSRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms persisted despite stopping the SSRIs.

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · Sehr häufigSexuelle DysfunktionenOriginal text: German. Our translation:Sexual dysfunctions

Sexual side effects, as listed4.8 Nebenwirkungen · Erkrankungen der Geschlechtsorgane und der Brustdrüse · Sehr seltenPriapismusOriginal text: German. Our translation:Priapism

The same text also says4.8 NebenwirkungenEinige der unten beschriebenen Nebenwirkungen können hinsichtlich ihres Schweregrades und ihrer Häufigkeit während des Behandlungsverlaufs abnehmen und führen nicht generell zu einem Abbruch der Behandlung.Original text: German. Our translation:Some of the side effects described below may lessen in severity and frequency in the course of treatment and do not generally lead to treatment being stopped.

This is the holder's own copy. The regulator's database asks visitors to accept its terms first, which we did not do.

Sexual side effects that continue after stopping2. Was sollten Sie vor der Einnahme von Paroxetin-ratiopharm beachten? · Wichtige Nebenwirkungen, die bei Einnahme von Paroxetin beobachtet wurdenIn einigen Fällen blieben diese Symptome nach Beendigung der Behandlung bestehen.Original text: German. Our translation:In some cases these symptoms persisted after treatment was stopped.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Weitere mögliche Nebenwirkungen, die während der Behandlung auftreten können · Sehr häufige Nebenwirkungen (können mehr als 1 von 10 Behandelten betreffen)Störungen im sexuellen Verlangen oder in der sexuellen Funktion, wie beispielsweise ausbleibender Orgasmus und, bei Männern, Erektions- und Ejakulationsstörungen.Original text: German. Our translation:Disorders of sexual desire or sexual function, such as absent orgasm and, in men, erection and ejaculation disorders.

Sexual side effects, as listed4. Welche Nebenwirkungen sind möglich? · Weitere mögliche Nebenwirkungen, die während der Behandlung auftreten können · Sehr seltene Nebenwirkungen ( können bis zu 1 von 10 000 Behandelten betreffen)schmerzhafte Dauererektion des PenisOriginal text: German. Our translation:painful persistent erection of the penis

The same text also says4. Welche Nebenwirkungen sind möglich?Das Auftreten von Nebenwirkungen ist in den ersten Behandlungswochen mit diesem Arzneimittel wahrscheinlicher.Original text: German. Our translation:Side effects are more likely in the first weeks of treatment with this medicine.

This is the holder's own copy. The regulator's database asks visitors to accept its terms first, which we did not do.

Sexual side effects that continue after stoppingPRAC-Meldungen · Neufassung des Wortlauts der Produktinformationen – Auszüge aus den Empfehlungen des PRAC zu Signalen · Serotonin- und Noradrenalin-Wiederaufnahmehemmer (SNRI); selektive Serotonin-Wiederaufnahmehemmer (SSRI) – persistierende sexuelle Funktionsstörung nach Absetzen von Arzneimitteln (EPITT Nr. 19277)Es wurden lang anhaltende sexuelle Funktionsstörungen berichtet, bei denen die Symptome trotz der Absetzung von SSRI/SNRI bestehen blieben.Original text: German. Our translation:Long-lasting sexual dysfunction has been reported in which the symptoms continued despite the SSRI/SNRI being stopped.

The wording is for ten medicines: citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, desvenlafaxine, duloxetine, milnacipran and venlafaxine.

Sexual side effects that continue after stopping4.4. Mises en garde spéciales et précautions d'emploi · Dysfonction sexuelleDes cas de dysfonction sexuelle dont les symptômes se sont prolongés malgré l’arrêt du traitement par des ISRS ont été rapportés.Original text: French. Our translation:Cases of sexual dysfunction in which the symptoms continued despite stopping treatment with SSRIs have been reported.

Sexual side effects, as listed4.8. Effets indésirables · Troubles des organes de reproduction et du sein · Très fréquentdysfonction sexuelle.Original text: French. Our translation:sexual dysfunction.

Sexual side effects, as listed4.8. Effets indésirables · Troubles des organes de reproduction et du sein · Très rarepriapisme.Original text: French. Our translation:priapism.

The same text also says4.8. Effets indésirablesCertains des effets indésirables listés ci-dessous peuvent diminuer en intensité et en fréquence en cas de poursuite du traitement et ne nécessitent pas, en général, l’arrêt du traitement.Original text: French. Our translation:Some of the adverse effects listed below may decrease in intensity and frequency if treatment is continued and do not, in general, require treatment to be stopped.

The text itself prints no date of revision.

Texts for other products in this country do not all say the same. We searched them for sentences about sexual side effects continuing after stopping and did not read them whole. This row shows the product named, and no other.

Sexual side effects that continue after stopping2. QUELLES SONT LES INFORMATIONS A CONNAITRE AVANT DE PRENDRE DEROXAT 20 mg, comprimé pelliculé sécable ? · Effets indésirables importants observés avec DEROXAT 20 mg, comprimé pelliculé sécableDans certains cas, ces symptômes se sont prolongés après l’arrêt du traitement.Original text: French. Our translation:In some cases, these symptoms continued after treatment was stopped.

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Effets indésirables très fréquents (plus de 1 personne sur 10)troubles sexuels. Par exemple, absence d’orgasme, et chez l’homme, érection et éjaculation anormales.Original text: French. Our translation:sexual disorders. For example, absence of orgasm and, in men, abnormal erection and ejaculation.

Sexual side effects, as listed4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ? · Effets indésirables très rares (moins de 1 personne sur 10 000)érection persistante et douloureuse du pénisOriginal text: French. Our translation:persistent and painful erection of the penis

The same text also says4. QUELS SONT LES EFFETS INDESIRABLES EVENTUELS ?Les effets indésirables surviennent plus souvent dans les premières semaines de prise de DEROXAT 20 mg, comprimé pelliculé sécable.Original text: French. Our translation:Side effects occur more often in the first weeks of taking DEROXAT 20 mg, scored film-coated tablet.

The text itself prints no date of revision.

Texts for other products in this country do not all say the same. We searched them for sentences about sexual side effects continuing after stopping and did not read them whole. This row shows the product named, and no other.

Sexual side effects that continue after stopping4.4 Avvertenze speciali e precauzioni di impiego · Disfunzione sessualeSono stati segnalati casi di disfunzione sessuale a lungo termine con persistenza dei sintomi dopo l’interruzione dell’uso di SSRI.Original text: Italian. Our translation:Cases of long-term sexual dysfunction have been reported, with the symptoms persisting after the use of SSRIs was stopped.

Sexual side effects, as listed4.8 Effetti indesiderati · Patologie dell’apparato riproduttivo e della mammella · Molto comunidisfunzioni sessuali.Original text: Italian. Our translation:sexual dysfunctions.

Sexual side effects, as listed4.8 Effetti indesiderati · Patologie dell’apparato riproduttivo e della mammella · Molto raripriapismo.Original text: Italian. Our translation:priapism.

The same text also says4.8 Effetti indesideratiAlcune delle reazioni avverse al farmaco sotto riportate possono diminuire in intensità e frequenza con la continuazione del trattamento e non comportano generalmente interruzione della terapia.Original text: Italian. Our translation:Some of the adverse drug reactions reported below may decrease in intensity and frequency with continued treatment and do not generally lead to therapy being stopped.

The text itself prints no date of revision.

Sexual side effects that continue after stopping2. Cosa deve sapere prima di prendere SEROXAT · Avvertenze e precauzioni · Importanti effetti indesiderati osservati con SEROXATIn alcuni casi, si è osservata la persistenza di questi sintomi dopo l’interruzione del trattamento.Original text: Italian. Our translation:In some cases, these symptoms have been seen to persist after treatment was stopped.

Sexual side effects, as listed4. Possibili effetti indesiderati · Altri possibili effetti indesiderati durante il trattamento · Effetti indesiderati molto comuni Questi possono interessare più di 1 paziente su 10Cambiamenti nella condotta sessuale o nella funzione sessuale. Per esempio, mancanza di orgasmo e, nell’uomo, anomalie dell’erezione e dell’eiaculazione.Original text: Italian. Our translation:Changes in sexual behaviour or sexual function. For example, lack of orgasm and, in men, abnormal erection and ejaculation.

Sexual side effects, as listed4. Possibili effetti indesiderati · Altri possibili effetti indesiderati durante il trattamento · Effetti indesiderati molto rari Questi possono interessare fino a 1 paziente su 10.000Erezione dolorosa e persistente del peneOriginal text: Italian. Our translation:Painful and persistent erection of the penis

The same text also says4. Possibili effetti indesideratiGli effetti indesiderati compaiono più probabilmente nelle prime settimane di trattamento con SEROXAT.Original text: Italian. Our translation:Side effects are more likely to appear in the first weeks of treatment with SEROXAT.

The text itself prints no date of revision.

Sexual side effects that continue after stopping4.4. Advertencias y precauciones especiales de empleo · Disfunción sexualSe han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la suspensión del ISRS.Original text: Spanish. Our translation:Cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite the SSRI being stopped.

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos del aparato reproductor y de la mama · Muy frecuentesdisfunción sexual.Original text: Spanish. Our translation:sexual dysfunction.

Sexual side effects, as listed4.8. Reacciones adversas · Trastornos del aparato reproductor y de la mama · Muy raraspriapismo.Original text: Spanish. Our translation:priapism.

The same text also says4.8. Reacciones adversasAlguna de las reacciones adversas que se relacionan a continuación puede disminuir en intensidad y frecuencia en tratamientos continuados y generalmente no conducen al cese de la terapia.Original text: Spanish. Our translation:Some of the adverse reactions listed below may decrease in intensity and frequency with continued treatment and generally do not lead to therapy being stopped.

Sexual side effects that continue after stopping2. Qué necesita saber antes de empezar a tomar Seroxat · Advertencias y precaucionesEn algunos casos, estos síntomas persisten después de suspender el tratamiento.Original text: Spanish. Our translation:In some cases, these symptoms persist after treatment is stopped.

Sexual side effects, as listed4. Posibles efectos adversos · Otros posibles efectos adversos durante el tratamiento: · Efectos adversos muy frecuentes Pueden afectar a más de 1 de cada 10 personasCambio en el deseo o función sexual, por ejemplo, falta de orgasmo y, en hombres, erección y eyaculación anormales.Original text: Spanish. Our translation:Change in sexual desire or function, for example lack of orgasm and, in men, abnormal erection and ejaculation.

Sexual side effects, as listed4. Posibles efectos adversos · Otros posibles efectos adversos durante el tratamiento: · Efectos adversos muy raros Pueden afectar hasta 1 de cada 10.000 personasErección dolorosa y prolongada del pene.Original text: Spanish. Our translation:Painful and prolonged erection of the penis.

The same text also says4. Posibles efectos adversosEs más probable que los efectos adversos aparezcan durante las primeras semanas de tratamiento con Seroxat.Original text: Spanish. Our translation:Side effects are more likely to appear during the first weeks of treatment with Seroxat.

Sexual side effects that continue after stoppingInformación sobre seguridad · Nueva información de seguridad procedente de la evaluación periódica de los datos de farmacovigilancia · Inhibidores selectivos de la recaptación de serotonina (SRS)/serotonina y noradrenalina (ISRN): persistencia de disfunción sexualEn pacientes a tratamiento con inhibidores de la recaptación de serotonina y noradrenalina, o con inhibidores selectivos de la recaptación de serotonina, se han notificado casos de disfunción sexual de larga duración en los que los síntomas persisten a pesar de la interrupción del tratamiento. Se incorporará este hallazgo a las advertencias de estos medicamentos.Original text: Spanish. Our translation:In patients treated with serotonin and noradrenaline reuptake inhibitors, or with selective serotonin reuptake inhibitors, cases of long-lasting sexual dysfunction have been reported in which the symptoms persist despite treatment being stopped. This finding will be added to the warnings of these medicines.

That document is about the whole class of medicines. It does not name paroxetine.

Spelling and punctuation are the document's own.

Sexual side effects that continue after stopping5. ADVERTÊNCIAS E PRECAUÇÕES · Disfunção sexualOs ISRS podem causar sintomas de disfunção sexual (ver reações adversas). Houve relatos de disfunção sexual duradoura em que os sintomas continuaram apesar da descontinuação dos ISRS.Original text: Portuguese. Our translation:SSRIs may cause symptoms of sexual dysfunction (see adverse reactions). There have been reports of long-lasting sexual dysfunction in which the symptoms continued despite discontinuation of SSRIs.

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reações muito comuns (>1/10)disfunção sexual.Original text: Portuguese. Our translation:sexual dysfunction.

The same text also says9. REAÇÕES ADVERSASAlgumas das reações adversas listadas abaixo podem diminuir de intensidade e frequência com a continuação do tratamento e geralmente não levam a sua suspensão.Original text: Portuguese. Our translation:Some of the adverse reactions listed below may decrease in intensity and frequency as treatment continues and usually do not lead to it being stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

Sexual side effects that continue after stopping5. ADVERTÊNCIAS E PRECAUÇÕES · Disfunção sexualOs ISRS podem causar sintomas de disfunção sexual. Houve relatos de relações sexuais duradouras, disfunção em que os sintomas continuaram apesar da descontinuação dos ISRS.Original text: Portuguese. Our translation:SSRIs may cause symptoms of sexual dysfunction. There have been reports of long-lasting sexual relations [sic], dysfunction in which the symptoms continued despite discontinuation of SSRIs.

Sexual side effects, as listed9. REAÇÕES ADVERSAS · Reações muito comuns (>1/10):disfunção sexual.Original text: Portuguese. Our translation:sexual dysfunction.

The same text also says9. REAÇÕES ADVERSASAlgumas delas podem diminuir em intensidade e frequência com a continuidade do tratamento e geralmente não levam à sua suspensão.Original text: Portuguese. Our translation:Some of them may decrease in intensity and frequency as treatment continues and usually do not lead to it being stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

Spelling and punctuation are the document's own.

Sexual side effects that continue after stopping4. O QUE DEVO SABER ANTES DE USAR ESTE MEDICAMENTO? · Disfunção sexualMedicamentos como Aropax® (chamados ISRSs) podem causar sintomas de disfunção. Em alguns casos, esses sintomas continuaram mesmo após interrupção do tratamento.Original text: Portuguese. Our translation:Medicines like Aropax® (called SSRIs) can cause symptoms of dysfunction. In some cases, these symptoms continued even after treatment was stopped.

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR? · Reações muito comuns (ocorrem em mais de 10% dos pacientes que utilizam este medicamento)alterações da função sexual normal, como impotência e ejaculação precoce.Original text: Portuguese. Our translation:changes in normal sexual function, such as impotence and premature ejaculation.

The same text also says8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR?Algumas das reações adversas listadas a seguir podem diminuir de intensidade e frequência com a continuação do tratamento e geralmente não causam sua suspensão.Original text: Portuguese. Our translation:Some of the adverse reactions listed below may decrease in intensity and frequency as treatment continues and usually do not lead to it being stopped.

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

Sexual side effects that continue after stopping4. O QUE DEVO SABER ANTES DE USAR ESTE MEDICAMENTO? · Disfunção sexualMedicamentos como Paxil® CR (chamados ISRSs) podem causar sintomas de disfunção. Em alguns casos, esses sintomas continuaram mesmo após a interrupção do tratamento.Original text: Portuguese. Our translation:Medicines like Paxil® CR (called SSRIs) can cause symptoms of dysfunction. In some cases, these symptoms continued even after treatment was stopped.

Sexual side effects, as listed8. QUAIS OS MALES QUE ESTE MEDICAMENTO PODE CAUSAR? · Reações muito comuns (ocorrem em mais de 10% dos pacientes que utilizam este medicamento):alterações da função sexual normal (p. ex. impotência e ejaculação precoce).Original text: Portuguese. Our translation:changes in normal sexual function (e.g. impotence and premature ejaculation).

This is the holder's own copy. The regulator's database refused our requests (it blocks by country; we asked from Denmark).

We could not open this text on 20 October 2026: this regulator publishes no database of such texts. This says nothing about what the text contains.

Sexual side effects that continue after stopping4.4 Special warnings and precautions for use · Sexual dysfunctionSelective serotonin reuptake inhibitors (SSRIs) may cause symptoms of sexual dysfunction (see section 4.8). There have been reports of long-lasting sexual dysfunction where the symptoms have continued despite discontinuation of SSRIs.On record since 2019, according to a government answer in parliament, 13 May 2025. That document is about the whole class of medicines. It does not name fluvoxamine.

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · UncommonAbnormal (delayed) ejaculation

Sexual side effects, as listed4.8 Undesirable effects · Reproductive system and breast disorders · Frequency not knownAnorgasmia, menstrual disorders (such as amenorrhea, hypomenorrhea, metrorrhagia, menorrhagia). ****postpartum haemorrhage

The same text also says4.8 Undesirable effectsAdverse events, observed in clinical studies at frequencies listed below, are often associated with the illness and are not necessarily related to treatment.

A table cell or list line is shown whole, as the text prints it. Some of them also name side effects that are not sexual.