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Re: Need to drop Paxil & trazadone, any suggestions?

Posted by JohnL on October 19, 1999, at 3:03:25

In reply to Re: Need to drop Paxil & trazadone, any suggestions?, posted by Aylse on October 18, 1999, at 23:02:06

> I can follow some of this, I am afraid I am not as educated with all these terms as most of you. TCA is like Elavil? Are you suggesting a TCA for the insomnia? Is Celexa an SSRI? If I decided to switch my Paxil and trazadone, are you suggesting something like Celexa and Elavil? Sorry, I am from a tiny town in the west. We have no Psychiatrist here. I am trying to figure out what to "suggest" to my GP. He LOVES it when I "suggest" to him what I want him to do. ;(

Yes, TCAs are tricyclics, like Elavil, Nortriptyline, Desipramine, Imimpramine, Amitriptyline, Protriptyline, and more. Most are rather sedating while some are very sedating. Not just good for insomnia, but excellent add-ons to an SSRI for better response. SSRIs are serotonin reuptake inhibitors, like Celexa, Prozac, Zoloft, Paxil, Luvox. And yes, I was thinking of something like Celexa and Elavil (or other TCA) The only one I have experience with is Nortriptyline, which gave me good sleep. Normal dose Celexa with small dose TCA. It will be interesting to see what happens with the itch when you're off the Paxil. If it's that bad, you might want to ween off the Paxil more aggressively, but expect some flu-like symptoms for a few days if done quickly.




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