"40 mg for 1 yr and 4 months. remain on low dose clonazepam , and ambien for sleep. add weekly dbt group, counseling and exercise. medication has helped reduce anxiety to manageable/tolerable levels. diarrhea for couple weeks at first, libido killer, erection possible, orgasm takes effort/hours. daily dosing schedule needs to be adhered to or you will feel it. can cause sleeplessness. i&#039;m not nearly as anxious, but often feel blunted and/or detached. 20 yr love/hate history with ssri&#039;s and snri&#039;s...dread both going on them and coming off but they do level out the emotions. sexual side effects for me/partner are a bummer. insurance made sure at least two other ssris tried first."