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Re: Dropping Paxil, Help Please.... ASAP

Posted by JohnL on November 3, 1999, at 3:04:20

In reply to Dropping Paxil, Help Please.... ASAP, posted by Aylse on November 3, 1999, at 0:26:01

> In September I began decreasing 30 Mgs of Paxil to see if it is causing my itching, pain in fingers & toes, frequent bathroom trips at night, etc. I was taking it with Trazadone and thought Trazadone was the culprit. I have been off Trazadone for a month now, and see it caused some side effects, but I can now see that Paxil is also causing lots of side effects. My question, do I have to quit Paxil completely before I begin something else? I am afraid to do that. I will surely get into deep doo doo if I am on nothing, and then have to wait for something else to kick in. How do I do this???? ASAP, If you Please Thanks, Aylse

Those side effects are characteristic of Paxil in some people, especially women. Don't know why. James said it all. You don't have to wash out unless switching to an MAOI. Sometimes a dangerouse serotonin syndrome has happened when people take two similar ADs at the same time. So small dosing would be wise when starting the switch. When you get the Paxil down to the 10mg range, start adding in the new AD at perhaps half the minimum dose. Keep adjusting each as needed. If the switch is to a TCA or Wellbutrin, no need to do this at all, because they are commonly added to full doses of other ADs for increased response.

The overlap switch might still feel kind of weird, as your body withdraws from the Paxil and gets used to a new drug's side effects simulataneously. But it should be a whole lot more comfortable than a washout period with a lot less risk of mood deterioration.

Just curious, what drug are you thinking of switching to?




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