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Ask Family Physician Your Own Question
Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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I would like to switch from 150 mg of Effexor to Paxil

Customer Question

I would like to switch from 150 mg of Effexor to Paxil because I don't think Effexor iis working anymore. I have been waking up crying everyday. Do I need to taper off Effexor first?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: I am taking 150 mg WEffexor in the am and 100 mg imipramine at night for sleep.
JA: Anything else in your medical history you think the psychologist should know?
Customer: No I don't think so. Oh I have been diagnosed with complex PTSD and panic disorder.
Submitted: 9 months ago.
Category: Medical
Expert:  Dr. Pravin replied 9 months ago.


Welcome and Thank you for your query posted.

My name is***** and being a Medicine specialist I would be able to provide you with an appropriate solution to your concern.

Please note that my Goal is to provide you with an Excellent Service .

Before I answer your question I would like to get some more information:

How long have you been taking it ?

Please note that the answer provided is for information purpose only and does not substitute a Doctor - Patient Consultation in Clinic

Customer: replied 9 months ago.

I have been taking Effexor for two years.

Thank you in advance for your assistance,

Customer: replied 9 months ago.

Can I switch to Paxil without tapering i have been on 150 mg for 2 years.

Expert:  Dr. Pravin replied 9 months ago.

Thank you very much for your reply.

2 years ( 24 months ) of a medication like Effexor which is a selective serotonin and norepinephrine reuptake inhibitors (SSNRIs) group , I would recommend you to taper the medication instead of stopping it suddenly.

Start tapering alternate day for 15 days and then switch over to Paxil .

Do review once with your family doctor after a month to check for any changes on the blood pressure , sleeping habits.

Do let me know if you have any further queries.


Dr Pravin

Customer: replied 9 months ago.

Thank You. What dose of Paxil should I start with?

Expert:  Dr. Pravin replied 9 months ago.

The initial recommended dose is 20 mg per day.

Do you Agree with what I have mentioned ?