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I have been taking Vilazodone (Viibryd) for about 5 months. Before I went to my max dose of 40mg, getting, maintaining an erection and achieving orgasm was possible within 5-10 minutes of sexual activity. At 40mg, however, anorgasmia is back but at least I still maintain my erection (for the most part). The anorgasmia is what bothers me now, and I'll tend to lose the mood even before my partner orgasms. They're also upset because I can't reach it. I saw apomorphine and perhaps pramipexole would help that, though.