So I'm struggling with some social anxiety and lack of drive. I was suffering from mild depression and OCD, as well as intense anhedonia, before getting on sertraline 50 mg (I had taken it years before as well, then quit and got on it a few months ago). Due to sexual side effects I've decided to taper off and am at 25 mg atm. My life has improved in many aspects and I function better than ever, but I still have anxiety that I'm trying to get rid off (and sexual function hasn't returned fully yet). In addition, I feel like my dopaminergic system is thoroughly desensitized (the reward pathways specifically) - I've indulged heavily in porn, video games, music etc. through the years. I've been working on these bad habits for the last 2 years and I've made significant progress.
In any case, I'm thinking about taking myo inositol, cdp choline and maybe forskolin, as well as tianeptine sulphate and perhaps NSI-189. Does this sound like a good stack? What are the recommended dosages? What are your experiences (assuming you've taken or are taking some combination of aforementioned substances)? I assume I'm better off SSRIs completely. Sertraline inhibits certain CYP enzymes and has some effects that are not synergistic to those of tianeptine to say the least. Not very knowledgeable about these substances as we didn't cover them in med school (talked generally about tricyclics but not tianeptine specifically, and it seems it's an atypical TCA). Thanks for your help!