Panax ginseng withdrawal crash?

[Elias]

It seems that the brand of Panax Ginseng I have been using for over 3 months now (Panax Ginseng C.A. Meyer) has indeed alpha-reductase inhibition properties.

https://www.sciencedirect.com/science/a ... 0110600210
https://pubmed.ncbi.nlm.nih.gov/21538628/

Taken together with zinc and vitamin B6 (which itself seems to be catalyst of alpha-reductase inhibition when taken with zinc, see link bellow), I may have developed finasteride-like symptoms, especially since I had mostly recovered from the sexual symptoms induced by the escitalopram I took for 2 weeks in April 2021.

I am getting worse by the day for a few weeks. I halved my dose of Ginseng and zinc in mid-August. For the first week, everything seemed fine but now my sexual dysfunction is worsening. Am I developing PFS-like symptoms? Should I cut it, go back to my initial dose or taper off gradually?

https://onlinelibrary.wiley.com/doi/10. ... .tb03474.x

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12 Days of Escitalopram April 2021 (11x5 mg + 1x10). PSSD upon discontinuation.
PSSD mostly resolved by June 2021 before big crash most likely caused by 7-days course of ofloxacin and/or increased cigarette smoking.
Severe PSSD since then. Symptoms are purely sexual, capacity to feel emotions not altered.
Managed to make some progress on 200mg Panax Ginseng until new crash at end of August (current Panax Ginseng dose: 100 mg). Situation now worse than ever.