Psycho-Babble Medication | about biological treatments | Framed
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Re: Dropping Paxil, Help Please.... ASAP

Posted by JohnL on November 3, 1999, at 15:15:37

In reply to Re: Dropping Paxil, Help Please.... ASAP, posted by Aylse on November 3, 1999, at 11:52:57

> As to what drug I am thinking of switching to, I still don't know. I have nothing to base an opinion on, except I think it would be easiest if it were a breakable pill and not a capsule. It is easier to juggle a breakable pill, until it "feels right." I would definitely appreciate hearing about everybody's favorite, with the understanding that we are all different.

Since you asked..:) You'll get 10 different answers from 10 different people. If you are staying in the SSRI class, which is probably what most doctors would do with you at this point, my vote would be to go back to the Prozac. Of the whole group, it's my personal favorite. But that doesn't mean anything. As for sleep, 7.5mg of Remeron will do it. I find it much smoother than Trazodone was. Remeron mixes well with Prozac. To save money, you could get the 30mg pills, break them in half, then with a knife cut the halves in half. Prozac comes in a capsule but you can easily customize your dose by emptying it into juice or water. Drink the desired dose, put the leftover in the fridge for later. No taste. My pdoc taught me that trick. If your doc was fine with Paxil and Trazodone, then Prozac and Remeron should be perfectly fine too. Nothing any more exotic or different than what you were doing. That's what I take.

Several things I like about Prozac over other choices. You already mentioned we're all different. True. But generally speaking, Prozac is the more activating one. Least likely to cause weight gain. And for some, like me, it is the only one that doesn't cause sexual dysfunction (I've tried them all). But the unique thing about Prozac I like is its long half life. About a week. It can be dosed daily, every other day, every three days, whatever works for you. This long halflife would provide a smooth transition from the Paxil. For example, to start, you could take 10mg Prozac every other day or so while still tapering down the Paxil. Taper it in slow and smooth.

Someone else might prefer Effexor. Or Zoloft. Or whatever. For you my vote is on Prozac+Remeron. :)




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