Doctor insights on:
Alternatives To Paxil
M on paxil (paroxetine) 40 cuz of clinical anxiety n panic attacks since 9 yrs. My body has built resistance to paxil (paroxetine) n now I need a alternative. PLEASE HELP ME..
Discuss with doctor: Severe anxiety can cause undue suffering and be extremely debilitating. Your despair is certainly understandable. However, the "resistance" that you are currently experiencing may be due to various factors other than lack of efficacy. Recommend seeing your doctor ASAP for a comprehensive evaluation and discussing treatment options depending on findings. Hope this is helpful. All the best. ...Read more
I take paxil (paroxetine). Paxil (paroxetine) caused 30 lb weight gain. I'm deaf & it aids tinnitus. Any alternative I can use? Please help.
What is a good alternative med to switch off Clonazepam? I was on Paxil (paroxetine) and switched to Zoloft, and worked amazing getting off. Please Dr, Ty!
Can't switch off: Have to wean off.....get PMD's guidance.Get a more detailed answer ›
Changed plan (GAD and social phobia) by doctor, Prozac instead of Paxil (paroxetine) due to side effects, Does Prozac a good alternative and used for GAD and So. Ph?
Yes: All of the drugs in that class may be helpful. You want to find the one that works for you without troublesome side effects. ...Read more
Overdose paxil (paroxetine): Signs and symptoms of paroxetine (paxil) overdose include tremors, nausea, vomiting, sleepiness, dizziness, sweating, altered mental status, seizures, increased deep tendon reflexes, arrhythmias, and low blood pressure. Death is rare and has typically been described in patients taking multiple medications. ...Read more
Yes: Out of the ssri medications, Paxil (paroxetine) seems to be the one most common to contribute to weight gain (and this is on the fda adverse reaction list for this medication. Other ssris such as Prozac and zoloft (sertraline) do not have weight gain listed by fda as possible adverse reaction. Talk with your provider to consider alternatives if this concerns you. ...Read more
SSRI Antidepressant: Paxil (paroxetine) is an ssri antidepressant approved for treatment of unipolar (as opposed to bipolar) depression as well as a variety of anxiety-spectrum conditions. It carries a relatively greater risk of medication interactions & is considered to be less safe for a developing fetus as compared to some other antidepressants. All antidepressants have risk of emergent suicidal thinking in young people. ...Read more
Yes and: Unfortunately Paxil (paroxetine) is known to have more withdrawal symptoms than any other ssris. Therefore, it is recommended to discontinue Paxil (paroxetine) treatment by tapering the dosage very slowly & carefully under the monitoring of your prescribing physician. Be well and good luck! ...Read more
With your Docs help!: Ideally this should be done in conjunction with the prescribing physician. Stopping an antidepressant on your own is not a good idea. About 1/5 individuals experience discontinuation symptoms when coming off a ssri. Paxil (paroxetine) has a relatively short 1/2 life meaning it clear from the system fairly quickly. Generally the dose would be decreased gradually to the lowest possible dose before stopping. ...Read more
Paxil (paroxetine): 10 mg. Is within the therapeutic dose range. ...Read more
60 mg: The maximum dose approved by the fda, i.e. "on label" is 60 mg daily. This is the maximum dosing for obsessive-compulsive disorder and social phobia. The actual maximum dose for you, would be based upon a clinical decision between yourself and your prescribing physician and is not limited by fda regulation recommendations. ...Read more
5-HT receptors: SSRI's like Paroxetine both activate or inhibit multiple serotinergic (5-HT), receptors. At least 4 of them regulate appetite and some anxiety and agitation (jitters). Side effects affect people somewhat differently. Some get a significant desirable antidepressant or other therapeutic goals, and some others experience side effects such as agitation or increased appetite and other undesirable SE's. ...Read more
Discontinuation: I assume you are experiencing a discontinuation syndrome from abruptly stopping the medication. This is characterized by flu-like symptoms, tingling in fingertips or a sense of derealization. Generally, these symptoms improve in 5 to 7 days. Although not the worst of the ssri's, Paxil (paroxetine) has a fairly strong discontinuation syndrome. Side effects produced while taking disappate w/in 7 to 14days of sto. ...Read more
Not that dangerous: The only really dangerous thing about Paxil (paroxetine) that comes to mind is that if you suddenly stop it there can be a very uncomfortable withdrawal syndrome. However, even this is not that severe in terms of being a cause of imminent injury or death. However, like all selective serotonin reuptake inhibitors, Paxil (paroxetine) does sometimes cause suicidal thinking. Talk with your physician for more details! ...Read more
Talk to. ....: ....your prescriber before you do anything. Has the Paxil (paroxetine) been helpful? How are you feeling? Also what have you been taking the Paxil (paroxetine) for, anxiety, depression, or both? Usually for a first episode of major depression, we think patients ultimately have the best chance if they stay on the med for a year after the point when they really felt better. For recurrent episodes, one should take longer. ...Read more
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