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My son has severe constipation after taking Paxil. Please help.

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Patient's Query

Hi doctor,

I have a twelve year old son, weighing 100 lbs. He was admitted to the hospital 12 days back for major depressive disorder (MDD), lack of sleep and having suicidal thoughts. He was prescribed Paxil 20 mg. I am concerned because he is exhibiting periods of low, melancholy moods and periods of extreme out of control highs. He has loud outbursts and feels like he cannot control himself. He previously suffered from chronic constipation since he was very young, to the point of having blockages that would severely expand his intestines. He had been doing great with that for nearly eight months after seeing a doctor but, severe constipation has returned because of Paxil. I would discuss these concerns with his psychiatrist, but we are in the early stages of his aftercare and I am not getting an appointment any sooner than a month from now. I worry that Paxil is not right for him and is making things worse.

Answered by Dr. Awadhesh P Singh Solanki

Education:

MBBS

Professional Bio:

Dr. Awadhesh P. Singh Solanki is a renowned Psychiatrist with expertise in treating mood disorders, anxiety, depression, schizophrenia, and substance use disorders. He is skilled in psychotherapy, medication management, and holistic mental health care. With a compassionate and patient-centered approach, Dr. Solanki is dedicated to improving emotional well-being and empowering individuals to lead healthier, balanced lives through evidence-based psychiatric treatment.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to iclinq.com.

I can understand your concern regarding your son's gastric problem after taking Paxil (Paroxetine), as it is a drug of SSRI (selective serotonin reuptake inhibitors) group which is known to cause constipation in children. I suggest to prevent constipation, after consulting your specialist doctor, you reduce Paxil dose up to a half tablet and gradually increase it up to an effective optimal dose. Give high fiber diet, increase water intake and encourage him for mild to moderate exercise. Do not worry, as these symptoms are temporary and are resolved with time. Thank you.

Medically reviewed by iCliniq medical review team
Published At March 2, 2017
Reviewed At August 16, 2023

Education:

MBBS

Professional Bio:

Dr. Awadhesh P. Singh Solanki is a renowned Psychiatrist with expertise in treating mood disorders, anxiety, depression, schizophrenia, and substance use disorders. He is skilled in psychotherapy, medication management, and holistic mental health care. With a compassionate and patient-centered approach, Dr. Solanki is dedicated to improving emotional well-being and empowering individuals to lead healthier, balanced lives through evidence-based psychiatric treatment.

This doctor is not available for online consultations on the platform anymore.

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Constipation After Paroxetine Decision Helper

Is your medication causing constipation?

Five quick, private questions help you understand if your constipation and other symptoms, especially when taking paroxetine, are worth discussing with a doctor.

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Education:

MBBS

Professional Bio:

Dr. Awadhesh P. Singh Solanki is a renowned Psychiatrist with expertise in treating mood disorders, anxiety, depression, schizophrenia, and substance use disorders. He is skilled in psychotherapy, medication management, and holistic mental health care. With a compassionate and patient-centered approach, Dr. Solanki is dedicated to improving emotional well-being and empowering individuals to lead healthier, balanced lives through evidence-based psychiatric treatment.

This doctor is not available for online consultations on the platform anymore.

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