I just talked to my PCP. I was switching from Paxil to Celexa because of suicidal ideation and depression. I began taking celexa 20 mg about 2 weeks ago and decreased paxil from 30mg to 20mg for about 5 days and then decreased paxil to 10mg and have stayed there since because I have been feeling back pain, and the strange head sensation when I move - especially in the afternoon. My PCP recommended discontinuing the paxil immediately and if the symptoms don't stop, discontinuing the celexa. He has referred me to a psychiatrist but my first appointment is not until June 5th. I am concerned about stopping paxil abruptly. my recent bloodwork came back normal for everything except cholesterol.
Person's Gender: Female
Person's Age: 40
Talked with PCP
Welcome to Just answer !
I am a psychiatrist and i shall help you in this regard..
can you please tell since how many days have you been taking paxil @10 mg and celexa @20 mg ?
for about 10 days
celexa for a total of 2 weeks
paxil weaning off from 30 mg - over those same 2 weeks
you see both of them are ssri anti depressants ..
i got it .,.
you see both of them are ssri anti depressants..
and what your pcp did was that he was trying cross titration
that is weaning one drug off while starting anotther
but for some reason he did the weaning a bit faster ..
and so currently the symptoms that you are experiencing are nothing but wothdrawal side effects
which should not scare you since they are self limiting aka temporary
so now that you have got the withdrawal side effects , they will anyways remain for another 1 -2 weeks whether or not you stop paxil or not and anyways you are at a low dos eof paxil which is usually the last dose to be on before you completely stop it when weaning it ..
so you understand what i am trying to say here.
whether or not you stop the paxil it will not make any difference to your present withdrawal side effects
so better would be to come off paxil ..
stay on celexa
till you have a meeting with your psychiatrist..
slowing down the paxil withdrawal will not help?
and anyways how will you slow it
you are already on 10 mg
that is the minimum effective dose
you have no point of going to half of it ..
it will not make any differenc
and these symptoms will be there for another 1 week or 2
and they will subside soon..
infact the sooner you get off this paxil..
the faster this drug will wash out of your body and
faster relief from such withdrawal side effects you will get
so you will have to endure these symptoms for few days ..
say 1 -2 weeks
and they will go away
and as for now ..
come of paxil immediately while continue on celexa 20 mg
and drink 10 glasses of water and take as many liquids as much possible
so that the drug is excreted out faster
lemeonade is preferred here
is this udnerstood..
and please get your blood pressure checked
on blood pressure medicine
was your bp normal rage
130/85 with meds
that is great..
control your bp..
and reduce fried foods to reduce your cholesterol
and come off paxil
drink enouugh loiquids
how long until the celexa should be working?
from the day you start it .. you should count atleast 2-3 weeks for it to start making some effects ..
I do drink lots of water - especially since starting the celexa
but the real assessment should be made only after 6 weeks of taking it ..
and the pain from decreasing paxil - feeling sick should stop in 1 to 2 weeks?
if you have felt 25 percent if improvement by that time , then this drug is worth continuing but if not then you will have to come off it and look for another drug..preferrably anogther class.
it should ..
atleast it will go down in strength by this much time
are there good long term drugs from another class?
so much so that you can feel that you are improving
Cymbalta is there..
@60 mg dose
for anxiety, depression , chrinic fatigue and pain
which class is cymbalta?
chronic (long standing ) fatigue and pain
it is an SNRI anti depressant
that sounds like what i need - I sleep at least 10 hours a night and then take 3-5 hour naps
unlike ssri , it works on nor-epinephrine neurotransmitters
then suggest it to your doctor
banother option would be effexor r
that is at dose of 37.5 mg twice a day.
this is also same class
it is also very good and causes much less drowsiness
snri class of anti depressant
specific nor-epinephrine reuptake inhibitors to be the long form
I just want to enjoy life again - have been mildly depressed for probably the past 3 years and then majorly depressed for the past few months
works on nor-epinephrine neurotransmitters in the brain
so at the moment do as i mentioned
come off paxil
continue on celexa 20 mg
does lemonade work better than water?
but do not take it too much
take only 3-4 glasses of it
ok, thank you
and in your next meeting discuss starting on either cymbalta at 60 mg dose at bedtime only or effexor xr 37.5 mg twice a day.
is this understood..
I hope this helps..
Wish you all the best..