Our expert says:
Hi boo ! Nice to hear from you again ! And so pleased to hear you're doing well. As you know we react rather unpredictably to coming off ADs. With a CR or SR, slow-release form, theoretically it should be smoother, with the blood levels falling more gradually, but because each dose lasts longer, it can become complex.
Sounds a bit curious to find a mild possible sexual effect NOT on the higher dose, but only on reducing it. One of the issues in recovering from panic and anxiety attacks is breaking the habit of expecting such attacks, and of getting so worried when mild symptoms arise of expecting them to spiral into a worse attack. This is why I prefer seeing treatment including not only meds but also even a few sessions of CBT-style counselling, to help break those negative habits and to gain a greater sense of personal control of the symptoms.
I would expect your current nuisance symptoms to reduce and fade now. Mind you, I manage to feel lethargic without the aid of any meds at all !
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