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Well I was on street drugs then went to rehab where they immediately gave me suboxone and SSRI's. Then the paralysis got worse, they took me off the SSRI's but left me on suboxone and it got better. So I'm not sure but it could have been the SSRI's combined with the suboxone but I've never been on SSRI's alone. I'm a year clean, and no longer on suboxone and it's only happened once in the past three months. I'm happy with that number.