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Lexapro is a first choice medication that is well tolerated. Remeron/Paxil are normally only used if the patient does not respond to the Lexapro or preferred ssri/snri medications.
Remeron/Paxil is effective in many people but it does have many more side efffects than Lexapro and similar drugs.
Many people that take the combo have a significant weight loss, stomach problems, dizziness, and other side effects.
This is something you will want to discuss with your doctor to see if this is in fact the best option. It may be effective but as I said it does have a higher rate of side effects.
The doctor would like to switch me to Paxil because it is the first medication I have used and respond to before 6 years then I stopped Paxil for 9 months and started with Lexapro for 2 month until now and the responding not completly good especially in depression, so that why I want to go back to Paxil and add Remeron, so what do you think please ?
I would ask you Dear doctor, if someone not respond to lexapro that mean he will not respond to other medications ?