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Re: FEEEEELING SO FLAT??

Posted by Racer on July 30, 2004, at 0:50:04

In reply to FEEEEELING SO FLAT??, posted by winterbluez on July 29, 2004, at 19:50:41

While Paxil was a fairly effective anti-depressant for me, I discontinued it for the very reason you describe. In my case, it was subtle enough that I wasn't entirely aware of the effect until a tragedy occurred in my life and I couldn't grieve. My doctor described it as "emotional constipation", which is pretty apt.

I'm not sure whether a dosage change might have made a difference, or whether there are any augmenting agents that might help. I've never seen any studies done to examine the phenomenon, nor even seen it mentioned as a known side effect.

On the other hand, I have read a few reports stating that many patients who report such side effects as fatigue, irritability, agitation, etc, are actually experiencing only partial response to the medication. These reports -- which I don't have it in me to find and offer links for -- suggest strongly that doctors take a more aggressive approach to treating depression, and consider side effects that mimic aspects of depression very carefully to determine which are really caused by the medication and which are residual depressive symptoms. Of course, that information only helps you if your doctor has read those same reports and took them seriously enough to make some changes to your treatment.

How long have you been on Paxil? Other than this symptom, how is it working for you?

(Oh, and you don't need to shout -- all caps is much more difficult to read that the standard mix of upper and lower case letters.)


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poster:Racer thread:372158
URL: http://www.dr-bob.org/babble/20040724/msgs/372211.html