Would be gradual: I would be more gradual about tapering the effexor, (venlafaxine) since its mechanism is not only with serotonin but also norepinephrine. The process might require a cross-taper from Effexor (venlafaxine) to paxil. This means starting Paxil at a lower dose while gradually decreasing Effexor (venlafaxine) -- eventually moving to Paxil alone. Please work with your psychiatrist on this.
Answered 6/30/2014
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