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 2/20/2015
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Titrate: It would be best to cross titrate. That is lower Paxil (paroxetine) while increasing Remeron.
Answered 6/12/2017
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