Hello and thanks for writing to us. My name is***** am sorry the depression is causing you so much trouble and that you haven't yet found the right medication to help ease the symptoms. Usually, after 2-3 trials on medications, it is time to see a specialist (psychiatrist) for a more thorough evaluation of medications and combinations worth trying. Do you have access to a psychiatrist in South Africa? How about counseling? It sounds like perhaps you had support to get over your PTSD - have you considered returning to that person or someone else for help overcoming this depression?
Regarding the dosage change for the Paxil, going up should be an option if side effects do not seem problematic. What reason did your doctor give for unwillingness to increase the dose? 12.5 Paxil CR is a very low dose - the normal starting dose of this is 25mg so it is possible you are just sub-therapeutic meaning the medication isn't at a high enough dosage to start to work. You should definitely call your doctor about this as a first step. increasing the dose to the right level could help significantly...
I look forward to hearing back from you.
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