A 49-year-old female asked:
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i have been on paxil (paroxetine) for 8 years and doesnt seem to be working anymore my dr want me to switch to remeron w/o weaning is that ok?

2 doctor answers
Dr. John Gaffney
25 years experience Psychiatry
Cross titration: Remeron and Paxil (paroxetine) are both metabolized by the same pathway. As such, a cross titration is usually recommended to avoid any adverse effects - however - it's hard to say for sure because it depends on how high the dose of Paxil (paroxetine) was you are taking. Also, just a tip -- take the Remeron at bedtime, as it is sedating. Hope that helps!
Answered on Feb 20, 2015
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Dr. Marc Zimmermann
22 years experience Psychiatry
Titrate: It would be best to cross titrate. That is lower Paxil (paroxetine) while increasing Remeron.
Answered on Jun 12, 2017

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A 51-year-old female asked:
Dr. Linda Callaghan
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Med. adjustment.: Drowsiness is a common side effects with Paxil, (paroxetine) Klonopin and Remeron. They can also lower blood pressure. Your doctor could adjust the do ... Read More
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A 34-year-old male asked:
Dr. Donald Jacobson
A Verified Doctor answered
A US doctor answered Learn more
I have never seen a: Case of withdrawal from remeron. Even if such a thing were to exist, chances are the withdrawal would be blocked by paxil (paroxetine). Best wishes.
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A 26-year-old male asked:
Dr. Heidi Fowler
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Consider a: non-pharmacological approach such as cognitive behavioral therapy.
A 28-year-old male asked:
Dr. Michelle King
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See discussion: There’s no reason that paxil (paroxetine) wouldn’t manage your panic disorder even if you’ve been off of it. Much of it depends upon how well you resp ... Read More

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