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Rylee-RN,CNM, Nurse
Category: Health
Satisfied Customers: 460
Experience:  I have been a Registered Nurse for 11 years, practicing as a school RN, now in an OB/GYN office
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I am taking Effexor 75mg. Can I either switch to Paxil and ...

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I am taking Effexor 75mg. Can I either switch to Paxil and stop the Effexor immediately upon stating Paxil; or is it OK to combine Paxil 20mg with the Effexor.
Submitted: 8 years ago.
Category: Health
Expert:  Rylee-RN,CNM replied 8 years ago.

Hello there,

Never stop taking Effexor immediately! This can cause very severe side effects due to withdrawal, including seizures! If you wish to take Paxil instead of effexor, you need to slowly come off of the Effexor, by reducing dosage little by little every day. This should be done under a doctors care. Also you should NEVER take two medications at the same time that are considered SSRI's. By doing so, you increase your chance of having a rare but potentially FATAL reaction called serotonin syndrome which is caused by taking too much . If you are taking the two combined, it needs to be under a doctors care, and only if he is closely monitoring the levels of these medications in your blood. This is not recommended. Furthermore, you shouldn't start out a dose of Paxil at 20 mgs. Usually a dose starts out at 5mg, then slowly increased to 10, then 20 if needed. Please visit your doctor for help with this matter. Thank you! Best wishes!

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