Pharmacodynamics They selectively inhibit serotonin transporter (SERT) -> inhibit serotonin reuptake & enhance serotonergic neurotransmission.Abrupt withdrawal -> headache, agitation, flu-like symptoms, abnormal sleep pattern (EXCEPT fluoxetine due to its long t1/2) .Repeated administration leads to downregulation & desensitization of these auto receptors with reuptake inhibition -> enhanced serotonergic neurotransmission.Obsessive compulsive disorders (OCD) .3 Pain associated with diabetic neuropathy and premenstrual syndrome.Adverse effects Sexud douc impstunee ??.8 Premature ejaculation (dapoxetine) ????.2 .?????????????????????????????????????????????????.5 ????