Hi there,

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 ?

both ..

ok..

ok..

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 ..

But ..

stay on celexa

till you have a meeting with your psychiatrist..

No ..

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

e\

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..

understood..

and please get your blood pressure checked

ok..

was your bp normal rage

range

oh..

that is great..

control your bp..

and reduce fried foods to reduce your cholesterol

and come off paxil

drink enouugh loiquids

liquids

from the day you start it .. you should count atleast 2-3 weeks for it to start making some effects ..

but the real assessment should be made only after 6 weeks of taking it ..

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.

Yes..

it should ..

atleast it will go down in strength by this much time

so much so that you can feel that you are improving

yes..

Cymbalta is there..

@60 mg dose

for anxiety, depression , chrinic fatigue and pain

chronic (long standing ) fatigue and pain

it is an SNRI anti depressant

unlike ssri , it works on nor-epinephrine neurotransmitters

ok..

then suggest it to your doctor

banother option would be effexor r

effexor xr

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

that is

specific nor-epinephrine reuptake inhibitors to be the long form

works on nor-epinephrine neurotransmitters in the brain

so at the moment do as i mentioned

come off paxil

continue on celexa 20 mg

yes..

but do not take it too much

take only 3-4 glasses of it

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..