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Doctor insights on: Paxil 25 Cr

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I take these: valsartan(320 mg), amlodipine(10 mg), seroquel(100 mg), concerta(54 mg), depakote(500 mg), paxil(40mg), bupropion(300mg), and Nexium (esomeprazole) (40 mg). Can this combo cause severe low bp? Help.

I take these: valsartan(320 mg), amlodipine(10 mg), seroquel(100 mg), concerta(54 mg), depakote(500 mg), paxil(40mg), bupropion(300mg), and Nexium (esomeprazole) (40 mg). Can this combo cause severe low bp?  Help.

Potentially yes: If you are getting lightheaded or dizzy from this combination you should contact your prescribing physicians or go to the er to have your medication adjusted so that you do not pass out. Stay well hydrated. It is possible for these medications to lower your blood pressure. ...Read more

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Dr. Krishna Kumar
621 doctors shared insights

Paroxetine (Definition)

Brand name paxil, (paroxetine) it's an ssri used for treating depression, anxiety, ocd, and several other conditions. It ...Read more


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I switch from cymbalta (duloxetine) 90mg to Zoloft 50mg by tapering cymbalta (duloxetine) but after 10 dayes i finish my last 30 mg cymbalta (duloxetine) but i can't sleep even with trazadon?

I switch from cymbalta (duloxetine) 90mg to Zoloft 50mg by tapering cymbalta (duloxetine) but after 10 dayes i finish my last 30 mg cymbalta (duloxetine) but i can't sleep even with trazadon?

May take longer. : Zoloft and Cymbalta (duloxetine) are actually very different from each other. Cymbalta (duloxetine) is very potent and works on two different receptors (serotonin ; norepinephrine ) and many people take longer to get off of it. Zoloft works mostly on one (receptor) and 50 mg is a low dose. Talk to your doctor about this. ...Read more

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What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.

What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo?  Also take 200mg modafinil, levothroid 88mcg.

Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more

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Dr prescribed elavil (amitriptyline) 50mg and Ativan .5 mg is it ok to take together ?

Dr prescribed elavil (amitriptyline) 50mg and Ativan .5 mg is it ok to take together 
?

Get second opinion: The combination could readily backfire, as the Elavil (amitriptyline) and Ativan can both cause anti-cholinergic side effects, and additive sedation, lethargy, and dizziness. Both very low dose, but nonetheless may cause more problems than success. Not clear why these two have been started together. ?Psych Concierge appt? ...Read more

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Clonazepam .5 mg effect like xanax (alprazolam)?

Clonazepam .5 mg effect like xanax (alprazolam)?

Yes and no: Clonazepam and xanax (alprazolam) are benzodiazepines often used to treat anxiety-panic attcks, gad or ptsd. They are similar but xanax (alprazolam) is shorter acting and more potent than Clonazepam whixh is less strong and action lasts longer. Xanax (alprazolam) also can lead to addiction more than clonazepam. ...Read more

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Will I get serotonin syndrome if I take two 5/325 percocets while I'm on 20 mg Prozac and 50 mg Zoloft (sertraline)?

Will I get serotonin syndrome if I take two 5/325 percocets while I'm on 20 mg Prozac and 50 mg Zoloft (sertraline)?

Possibly: If u under medical supervisdion -,such combo require petiodic check up snd possibly adjustment if dose. If u ise it for while most likely not setotoninevsymptoms...?but sertsin food can trigger it ( aged cheese., alcohol..)Other is : combo Prozac (fluoxetine) + Zolft can causev(SIADH) low Sodium.. And Petcocet + Prozac (fluoxetine) may affect livet metabolism of drugs and cause additivevaffect ( slow liver clearence) . ...Read more

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I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?

I have been prescribed klonipen 0.5 lamictal 25 mg and seraquel 50 mg sr at night. Is it safe to take together at same time?

Better not: Since meds have potential for central nervous system depression (can interfere with breathing) don't take them together especially at bedtime. Take as your prescriber advised, or follow directions on medication label. Best regards. ...Read more

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Any hypertensive meds that don't cause hair loss? Vasotec, lebatalol, diovan, bystolic (nebivolol) work but cause hair loss. Benicar doesn't reduce dystolic #.

Any hypertensive meds that don't cause hair loss? Vasotec, lebatalol, diovan, bystolic (nebivolol) work but cause hair loss. Benicar doesn't reduce dystolic #.

Unusual side effect: I have treated pts for forty years, and i can't remember that complained of hair loss after starting any of these agents. That does not mean it never happens (one lesson i've learned in medicine is never say never). Every drug has a huge list of adverse effects because each one a pt complains of in a study gets listed. Vasotec is an ace, Diovan (valsartan) & Benicar r arb's, same effects. Hair loss unlikely. ...Read more

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Lopressor (metoprolol tartrate) 25 mg made me feel bad. Propranolol made me feel fine but i need a selective beta blocker. Which should I try?

Lopressor (metoprolol tartrate) 25 mg made me feel bad. Propranolol made me feel fine but i need a selective beta blocker. Which should I try?

Atenolol: Try atenolol - 12.5 to 100 mg (25 to 50 mg are the most usual doses). Atenolol is a beta 1 specific beta blocker that has the least ability to cross the blood brain barrier of all available beta blockers. It has no intrinsic sympathomimetic activity. It is intrinsically long acting and generally is given as a once a day dose. It's also dirt cheap! ...Read more

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W 30 yo. low HDL (0.85 vs 1.3 max ), high triglycerides (1,74), neutrophile (8 vs 7,5 max), normal LDL 2.15, hba1c 5.2 and fgp 4,6, TSH 2.23.no medica?

W 30 yo. low HDL (0.85 vs 1.3 max ), high triglycerides (1,74), neutrophile (8 vs 7,5 max), normal LDL 2.15, hba1c 5.2 and fgp 4,6, TSH 2.23.no medica?

Lab data: It is very difficult, if not impossible to interpret lab data in the absence of clinical information or relevance. My advice is to discuss this with the doctor who ordered these tests and not try to self-diagnose over the internet. Best wishes. ...Read more

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What equivalent dose of propranolol ER to replace 5 mg bystolic (nebivolol). Do you need to wean off bystolic (nebivolol) if you are moving to propranolol er. ? Thanks.

What equivalent dose of propranolol ER to replace 5 mg bystolic (nebivolol). Do you need to wean off bystolic (nebivolol) if you are moving to propranolol er. ? Thanks.

20-40: There is no definite equivalent dose. 5 mg of bystolic (nebivolol) is a fairly low dose and would like be equivalent to 20 or 40 mg in propanolol la. Both are beta blockers, so there is no need to wean. You can switch directly from one to the other. ...Read more

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I been taking .05 alprazolam as needed,,&clonezampan 1mg@nite,& trazadone,150mg,is safe?

I been taking .05 alprazolam as needed,,&clonezampan 1mg@nite,& trazadone,150mg,is safe?

Bad Idea: Two drugs in the same class, Benzodiazepines, is a very poor choice on your doctor's part. I'd recommend finding a psychiatrist to taper you off of the Klonopin (clonazepam) and finding a much safer and healthy way to get sleep, ...Read more

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Crumbling discs on Oxycodone. taking levothy for hypothy i hve 25 mg of atarax (hydroxyzine) left from prev prescr can i take? severe anxiety ty

Crumbling discs on Oxycodone. taking levothy for hypothy i hve 25 mg of atarax (hydroxyzine) left from prev prescr can i take? severe anxiety ty

Probably safe: tor most people that would be safe. Of course, I don't know your individual circumstance. The question arises: why so anxious? If you are reducing dose of oxycodone, withdrawal might contribute to the anxiety. ...Read more

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Does Zoloft (sertraline) permanently lower sex drive?

Does Zoloft (sertraline) permanently lower sex drive?

No: If you have decreased libido due to zoloft (sertraline) it is likely that stopping the medication will allow a return to your normal state. There may be some medication that will help increase your sex drive. Discuss this with your doctor. ...Read more

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Does Sertraline work well with Wellbutrin (bupropion)?

Does Sertraline work well with Wellbutrin (bupropion)?

Common Combination: Wellbutrin (bupropion) is often added to other antidepressants (and vice versa) because it has unique properties--it's in a class by itself. Be sure to review the risks/benefits and alternatives with your prescriber. ...Read more

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I tapered off an ssri and starting takkng a tca ( amitriptyline ) how long would the anitrepressant effect take to kick in?

I tapered off  an ssri and starting takkng a tca ( amitriptyline ) how long  would the anitrepressant effect take to kick in?

A few weeks: Response may vary among individuals, but usually, people will notice a change within 3 weeks ...Read more

Paxil (Definition)

Paroxetine is a serotonin reuptake blocker which is a kind of ...Read more