Your experiences with anxiety, racing thoughts, and low energy often point toward an anxiety disorder or depression. Physical symptoms like headaches and even semen leakage can sometimes be linked to high anxiety levels or medication transitions.\n\nSwitching from Prozac (fluoxetine) and Buspin (buspirone) to Pari CR (paroxetine) is a very common and supportive step, as paroxetine is highly effective for these concerns. Please take the new medication exactly as prescribed, and give it a few weeks to begin working. Keeping a daily symptom diary to share with your doctor will be incredibly helpful.

What you are feeling is a very common reaction when tapering escitalopram (Nexito) and paroxetine CR (Pari CR) too quickly on your own. To safely stop these medications and minimize these withdrawal symptoms, it is highly recommended to consult your doctor. They can design a gentler, more gradual tapering schedule tailored for you, which may involve holding your current dose until your body stabilizes.

To safely get a new prescription for your medications (containing paroxetine/clonazepam and lithium), please follow these steps:\n\n1. **Contact Your Doctor:** Call your prescribing doctor?s office. They can electronically send a new prescription to a pharmacy near your current location or provide a secure digital copy.\n2. **Consult a Local Clinic or Telehealth:** If your doctor is unreachable, visit a nearby urgent care or use a telehealth service. Showing digital proof of your regimen (such as an insurance app, pharmacy history, or online health portal) will help a local physician safely issue a temporary bridge prescription.\n\nPlease do not stop your medications abruptly. Healthcare providers are highly experienced in helping patients resolve misplaced prescriptions quickly and safely.

Pari CR 25 contains paroxetine, which is often used to help delay climaxing. Generally, it is safe to continue taking it for this purpose under the close guidance of your doctor. However, because paroxetine is a prescription medication, it is important not to adjust your dose or stop taking it suddenly to avoid any uncomfortable side effects. I highly recommend discussing your ongoing treatment with your healthcare provider to ensure it remains the best and safest option for your long-term well-being.

Since medications like sildenafil (Viagra), penile injections, and Ayurvedic remedies haven't provided permanent relief, the most effective long-term solution for resistant erectile dysfunction is a penile implant. This is a well-established, highly satisfying surgical option. Additionally, some of your current medications, such as Pari CR and Risperidone, can contribute to erection difficulties. I gently recommend consulting a urologist to discuss a penile implant, and speaking with your prescribing doctor to see if your other medications can be safely adjusted.

There is no strong scientific evidence that homeopathic remedies can effectively treat long-term depression, please know you have other gentle, non-ECT options. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, drug-free therapy that many find helpful. Additionally, specialized psychotherapy, or discussing evidence-based options like ketamine with your doctor, can offer new hope.