Posted by jerseydevil on January 9, 2004, at 15:21:41
In reply to Re: Xanax, Paxil, Lexapro...and...The SSRI Trap?, posted by jbs on January 9, 2004, at 12:36:19
If you are as sensitive to paxil withdrawl as I am, then cold turkey off of 10 mg/day of Paxil is probably a really bad idea. Perhaps (with counsel of your pdoc) you should add the other SSRI at a low dose and drop the Paxil from 10 to 7.5, wait a month (or longer if needed to adjust) and go to 5, then 2.5, maybe 1.25 then zero. My present cocktail has 7 meds for MDD and possibly BPII, with an anxiety component. I've been on Paxil a little under four years, and have been trying to get off of it for fourteen months. At the start my pdoc put me on Welbutrin and Neurontin. The Paxil step down from 20 to 15 was ok, 15 to 10 crushed me, but we bumped up the Neurontin (good for anti-anxiety, bad for short term memory). Four months later I went from 10 to 7.5 and had to take a medical leave from work. A month ago my pdoc put me on 37.5 of Effexor (yah, yah, I know) and 50 of topamax. Two weeks ago I went from 7.5 to 5 mg/day of Paxil and I'm aggitated but not harmful. I will become Paxil free. Good luck to you too.
poster:jerseydevil
thread:298448
URL: http://www.dr-bob.org/babble/20040109/msgs/298705.html