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Re: Need to add an AD to Lamictal ... suggestions? Cindylou

Posted by dove on December 26, 2001, at 14:15:37

In reply to Re: Need to add an AD to Lamictal ... suggestions? dove, posted by Cindylou on December 23, 2001, at 19:44:21

> My pdoc suggested trying Paxil. So, I am tapering off the Serzone, then I'll try the Paxil. I am really nervous about it, but I guess I'll just have to see what happens.

Well, going off the Serzone may prove a simple task as you're only taking 100 mgs. per day. I've had great difficulties when I took my Serzone a couple of hours late or accidentally run-out for a day. However, I'm taking 400 mgs. per day and in a med cocktail that needs the Serzone to mix-up properly.

One thing to keep in mind regarding the switch to Paxil is the fact that, in general, the SSRI's can cause some degree of anxiety from Day 1 and up to 5 weeks before they start doing their proper job at easing depression and anxiety symptoms.

So, if that's a significant issue for you, make sure and ask the Doc for something to help you through the transition. Some p-docs give out short-term and/or short-acting benzo's (i.e. Ativan or equivalent) or short-term, low dose, and long-acting benzo's (i.e. klonopin or equivalent). Some p-doc's don't use benzo's but use meds like amitriptyline and other sedating but short-term transitional meds.

However, there's always the chance that none of these side-effects will apply to your situation--we can hope! There are *always* exceptions to *every* rule :o)





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