The statement and belief,however, say more about the successful marketing of these drugs than about the facts. Researcher pointed out in a recent article that the most common long term side effects are Insomnia, weight gain, and sexual dysfunction. Vivid dreams and nightmares also occur. With ongoing treatment, increasing numbers of patients report lethargy and fatigue. Sexual dysfunctions are among the most distressing SSRI side effects.
Patients experience sexual arousal when they yawn, often progressing to orgasm.
Perhaps the most unexpected SSRI-related problem to emerge has been weight gain, which often begins only after several months of therapy. Well, the data are coming in and, so far, they're looking good. Critics keep highlighting potential warts on St. John, however, noting that the studies used low doses of the tricyclics and included no SSRI's. The latter criticism is especially curious given that even the pharmaceutical companies generally admit there is no difference in efficacy between old tricyclics and the newer SSRI's. Kim, H.L. et al.