Doctor insights on:
Paxil Vs Lexapro For Anxiety
If Lexapro helped me with my social anxiety and depression, could Paxil (paroxetine) help me more?
Lexapro and Paxil (paroxetine) are both effective for depression and anxiety. Some people do not tolerate side effects of one or another. Others don't respond to adequate trial of maximum doses. Then a switch is indicated.
Before switching, your doctor should adjust the dose for a while to check for better effect and diminished side effects. ...Read more
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
Which is better for chronic anxiety from excessive alcohol use over a 10 year period Paxil (paroxetine) or lexapro?
Would you recommend Zoloft or Lexapro for gad and social anxiety? I have been on Lexapro and felt less 'numbed' to everything than when I was on Paxil (paroxetine)
Good choice: My experience: lexapro is on the leading edge. It is a more precisely made molecule, derived from celexa. Acts more quickly than the typical ssri wait for 3-4 weeks and find it works fully in 1-2 weeks per a given dose regimen. Side effect profiles same as other ssri's. Other ssri's good too. I like to stay away from paxil (paroxetine) as found it too short acting-> irritability/anxiety. Talk to ur doc. ...Read more
I need to find ssri that will work for severe anxiety. Paxil (paroxetine) made me gain lbs, lexapro and Zoloft stopped working. Would celexa work. Others?
Therapy may help: Anxiety has biological roots, but are stimulated through psychological perceptions. Consider adding therapy to your medication and see either a talk therapist or a biofeedback therapist who can help you with evidence based biological interventions in addition to medicine. ...Read more
What's the best med for severe anxiety. I've tried prozac, paxil, celexa, cymbalta (duloxetine) and am now on lexapro not getting far & all were used with counseling.
I have suffered from generalized anxiety syndrome and depression. For years. I was on Paxil for 12 years symptom free, but because of weight gain was put on Zoloft five years ago, which gave up after 2 years. Then Lexapro, which worked for only 1 year,
Additional info need: Your question was cut off. I assume you are under the care of a psychiatrist. It may be helpful to consult with another provider if you feel you need a second opinion. Also, therapy is very helpful talking through your concerns. ...Read more
What is safer for long term use and short term for all types of anxiety, benzodiazepines, paxil, zoloft, lexapro, buspar, (buspirone) or marijuana (used correctly)?
Not benzo's.: Hello - long term use of benzodiazapines can lead to tolerance. Marijuana can cause marked psychiatric problems in some people including anxiety, psychosis & paranoia. Paxil can be used long -term but most of my patients have experienced more side effects with it then from Lexapro & zoloft. I see you are on Lexapro -it has an excellent side effect profile. Buspar (buspirone) is very safe for long-term use. ...Read more
Does lexapro or Paxil (paroxetine) have more side effects? Which will give me an easier time and easier discontinuation when I eventually do.
Lexapro (escitalopram): This is the most consistently efficacious antidepressant and the easiest one to come off of with the least side effects ...Read more
Yes: However is not the best practice. You need to check with your dr. The best approach is to take just one at an appropriate dose. ...Read more
I am on a 30 mg dose of Paxil (paroxetine) but out of my script and not feeling well. Can I take Lexapro in the meantime and if so what dose?
Paxil (paroxetine): Get back on your Paxil (paroxetine) ASAP. This is now a very inexpensive medication that you should easily be able to afford. You can't be switching back and forth amongst different antidepressants. Call the doctor on call and get at least 1 or 2 Paxil (paroxetine) until you can be seen. There are all night pharmacies. ...Read more
Can I take a Lexapro until I can get my script refilled for my Paxil (paroxetine) if I'm not feeling well and have a couple days I have to wait?
In your opinion, what's the best medicaition for severe ocd. I've tried Paxil (paroxetine) and Lexapro to no avail. This is just a question, not seeking meds onlin?
OCD: I don't think that there is one best medication. Most of the ssri's can be effective. I have used zoloft (sertraline) a lot for ocd. Anafranil which is actually a tricyclic antidepressant (older class) can also be helpful. You & your physician may need some trials before you get just the right medication (s). Take care. ...Read more
My doctor prescribed me Paxil (paroxetine) at first then she prescribed lexapro. I don't like Lexapro. Can I take the Paxil (paroxetine) instead?
Paxil (paroxetine): If it helps, yes. But please talk to your doctor first. ...Read more
What's the difference between paxil, (paroxetine) Prozac and lexapro? Do they do the same thing? Different side effects? Ones better vs others?
Complicated question: There are quite a few differences between the SSRI's - however - the best drug (most especially in psych) is the one that works best for you. The response rate to any psych drug is very subjective and really varies from person to person. Wish I had a better answer for you / but talk to your doctor about what your concerns are and craft a treatment plan together. Hope that helps! ...Read more
Switched to Paxil (paroxetine) from Lexapro. Also take Valium, in process of weaning. Paxil (paroxetine) was first AD I took many years ago. Could it help my Panic again?
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 responded to it in the past, if you had side effects, etc.
Please discuss with your provider such that you may be prescribed an adequate dose to treat your symptoms.
Good luck! ...Read more
Working w docs but is there any other drug besides Paxil (paroxetine) that doesn't cause lots of weight gain and major constipation? I tried lexapro, not good.
Bupropion: Bupropion or Wellbutrin (bupropion) is the antidepressant thought to be associated with less weight gain and, fortunately, fewer sexual side effects as well. In addition, an older class of anti-depressants, tricyclics including amitriptyline, do not typically cause weight gain. Finally, a less often used class of anti-depressants, MAO inhibitors, may be worth consideration. Work with your doctor. Good luck:) ...Read more
I have SEVERE OCD, & panic disorder. I take 8mg Valium a day, today switched to Paxil (paroxetine) from Lexapro. Worried about SFX, but don't really care if helps?
You are a Precious Human Being!
Using Valium with Lexapro may increase dizziness, confusion, impairment in thinking, judgment, and motor coordination.
Both Lexapro and Paxil (paroxetine) may make depression worse; stopping Lexapro quickly may have withdrawal symptoms.
For evaluation of these and for treatment of severe OCD and Panic Disorder, please go to ER for Diagnosis and Inpatient Psychiatric Treatment. ...Read more
I am on luvox250mg for gad/pd since 01, tried paxil, and Effexor (venlafaxine) before finding luvox, since march anx is really up, pdoc ref takes 3 months, lexapro?
Gabapentin: You could talk to your doctor about augmentation with Gabapentin to see if it will help reduce anxiety. Another option would be augmentation with very low-dose Abilify (aripiprazole) or seroquel. Augmentation with Buspar could also be helpful as could bemzodiazepines. Luvox interacts with a lot of meds, so your doctor should check drug drug interactions on any medication that is used with luvox. Hope this helps. ...Read more
Can I take Chaste Tree Berry for PMS symptoms such as anger and frustration? I'm on Lexapro and going to switch to Paxil (paroxetine)
May cause issues: It seems to affect a chemical in the brain called dopamine. Some medications for mental disorders help to decrease dopamine. Taking vitex agnus-castus (chaste tree berry)along with medications for mental conditions might decrease the effectiveness of some medications for mental condition. ...Read more
When Zoloft and Lexapro loose their efficacy and one cannot take Paxil (paroxetine) because of weight gain what other ssri possibilities are there for anx and dep?
SNRIs: There are many possibilities. SNRIs which are cousins of SSRIs w/ a norepinephrine component can be equally or more efficacious than SSRIs w/ sometimes less side effects such as weight gain & sexual dysfunction - would suggest evaluation w/ your Physician to discuss appropriate options ...Read more
If Lexapro and celexa make you really sick (diarreah, nausea, insomnia and feeling like a zombie), will Paxil (paroxetine) also make you sick.
I suffer from gad with little depression I was on Paxil 20 mgs for 10 years symptom free. I gained so much weight so I was put on Zoloft After 3 years my symptoms returned. Iwas then puton Lexapro for 1 year and it stopped working dr gave me Zoloft 1
Talk to your MD: Your question relates to some complex medications. Have a sit down with your psych ...Read more
Took 10 mg lexapro 5 mg of Buspar one day. Took 5 mg lexapro 2.5 mg Buspar 2 days. Today is 3rd day off it. Burning sensations through body. Leg cramps. Is this some bad side effects I’m having from these medications? Same affects when took PAXIL
Discuss with MD: It is very hard for us to answer your question as we don't know your history as to why you were taking the two meds and for how long. It is not from the drugs as you are off these for three days. If your symptoms persist then discuss with your treating doctor or Psychiatrist ...Read more
Have tried pristiq, (desvenlafaxine) wellbutrin, paxil, celexa, effexor, lexapro, etc. With lithium, haliperidol &abilify. A couple improve mood. Still anxious! Thoughts?
Many meds: You've tried many meds already, although there are some you haven't mentioned that often help anxiety: buspirone, beta-blockers, other mood stabilizers besides lithium, etc. But after a person has tried so many medications and still has symptoms, i'd suggest non-medication approaches: psychotherapy, mindfulness, relaxation training, exercise/yoga, etc. ...Read more
I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could I try? How do u feel about paxil?
Agree w/Dr. Buggie: I agree with dr. Buggie about the need for psychiatric evaluation and ongoing treatment. Wellbutrin does not help with anxiety. Paxil (paroxetine) is a reasonable choice, but whether it's right for you I cannot say. You're also on Adderall xr, which can exacerbate anxiety in some. Psychotherapy is an important part of treatment for anxiety also -- but you didn't mention pursuing that. ...Read more
Severe depression. What can I do? I just want to feel good again. (inside that is). I suffer chronic back pain from inneffective surgeries and have t-cell lymphoma. I have tried antidepressants (zoloft, paxil, Lexapro and pristiq).None of these have helped. Can
A: A combination of cognitive behavioral therapy and anti depressants is an effective treatment strategy. There are other anti depressants with a different mechanism of action that could be tried- eg: tricyclic anti depressants (nortriptyline), mirtazapine, MAO inhibitors. The treatment could also be augmented with medications in the class of Abilify (aripiprazole), seroquel etc. If nothing else works, electroconvulsive therapy is a safe and effective treatment option. Please talk to your psychiatrist and hope you get well soon. ...Read more
My doctor just switched me from 10 mg paroxetine I took for 19 days to lexapro (escitalopram) generic. Will I have withdrawl from paroxetine? Worried. I have G.A.D.
Alt. Behavioral: While researching meds, consider researching effective behavioral/psychological treatments: to conquer social anxiety the "gold standard" treatment is graded exposure/systematic desensitization. To take charge of ocd, the gold standard is exposure & response prevention. A clinical psychologist specializing in anxiety can be huge help. Learn about at anxierybc. Org. Also see ocfoundation. Org. ...Read more
Was given Paxil (paroxetine) 10 mg for anxiety. I am dealing with issue am very afraid of taking this drug. Am I making the right decision?
What's your Dr say?: I'm both a physician & individual who believes in using alternative means of confronting anxiety & similar emotions before medications. But, I also believe the person who knows you best (your doctor) should have first dibs on opining on whether you're making the right decision using drugs or not for this problem. Www. Healthtap. Com/drsaghafi ...Read more
During the first days of Paxil (paroxetine) 12.5 is it notmal to feel most of my anxiety symptoms? Will these go away after a few weeks? Thnksss
What is the best time of d day to take paxil (paroxetine)? Is it a really good medicine for my anxiety? Thnksss I hope Paxil (paroxetine) helps me
Paxil (paroxetine): Paxil (paroxetine) is generally best taken in the morning. At first these class of drugs (ssris) may cause you to become drowsy, but that is usually transient. The opposite may occur in some people where they develop insomnia later in therapy if taken too late in the day, hence the reason to take it in the am. ...Read more
I have been on Paxil (paroxetine) CR 4 weeks (1 week at 12.5/3 at 25). How long for side effects (increased anxiety) to subside? How long to work? Increase?
Maybe 2 weeks: It may take a couple of weeks for your body to get adjusted to the antidepressant. Initial symptoms Include an increase in anxiety, nausea, diarrhea and restlessness. If you stick to your prescribed regimen those initial symptoms will go away. Good luck with your treatment and remember it may take about 4-6 weeks before you start to see changes in your mood with the antidepressant-don't give up! ...Read more
I am on my third day on Paxil (paroxetine) 12.5mg...Is it normal that I still feel my anxiety? When will I feel the relief? Or I need to be patient and ill be good
Be Patient: You may need some time for the medication to build up enough serotonin to notice any relief. You may also need to be on a higher dose. Talk with your doctor. Paxil (paroxetine) is usually titrated up every week until symptoms are relieved. When it comes time to stop paxil, (paroxetine) you will need to taper off the dose to avoid rebound effects. ...Read more
Treat: It works to control your anxiety symptoms. It does not work right away to remove panic symptoms, and you should take it everyday for at least 6 weeks. Usually it takes several weeks for it to start working, so I recommend you start counseling as well to help you come up with ways to control your anxiety. ...Read more