Paroxetine

Paroxetine is a drug that belongs to the selective serotonin reuptake inhibitor (SSRI) group. It is used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorder, and post-traumatic stress disorder. During the first few months of treatment, Paroxetine might increase suicidal thoughts and behaviors.

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Please suggest a drug with less side effect than Paroxetine for treating social anxiety disorder.

Query: Hello doctor, I was affected by a social anxiety disorder. For the last two years, I first used Inderal for one year and then Paroxetine (SSRI) 20 mg for the second year. When I used SSRI for one year, my problem fully recovered, and later on, by doctors advise, I left the tablets. Now, 25 days pass...  Read Full »


Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello, Welcome to icliniq.com. You are reporting a relapse of some social anxiety symptoms after discontinuation of Paroxetine SSRI (selective serotonin reuptake inhibitor) medication. Depending on the extent of your social anxiety symptoms, you have two options: 1) If anxiety is predominantly s...  Read Full »

Does Prozac insomnia go away?

Query: Hello doctor, I am a medical graduate having trouble in sleeping. My psychiatrist told it is a panic disorder. First she gave me Escitalopram 10 mg for which I got akathisia, severe irritability and sleeplessness got aggravated. She later changed it to Fludac 20 mg in the morning at 8 AM. I did not ...  Read Full »


Dr. Kumarshri Shriniwas Saraswat

Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug. Even if it is taken early morning, it can still cause insomnia, particularly in the initial few days or weeks. My advice would be if you are doing well on Fluoxetine, apart ...  Read Full »

Can Trazodone cause serotonin syndrome?

Query: Hello doctor, I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribe...  Read Full »


Dr. Akanksha Sharma

Psychiatrist

Answer: Hello, Welcome to icliniq.com. Serotonin syndrome is an acute emergency case, rarely seen in common practice. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my ...  Read Full »

How to overcome sexual attraction towards my mother?

Query: Hi doctor, I am a 22 years old male. I feel sexually attracted to my own mother. I had some mild feelings since childhood, but it became strong since teenage. I started feeling to be loved by mom as her son and sexually too. I sometimes feel guilty about it. But, I could not control myself. I saw my...  Read Full »


Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to icliniq.com. I can understand your problem. Sexual feelings in an adult towards a female are considered as normal and acceptable. But, such feelings towards any female with blood relationship are not acceptable in any society and this result in significant blow to reputation and...  Read Full »

I read Depakote and Paroxetine can cause Parkinson's. How to stop them without withdrawal symptoms?

Query: Hello doctor, I am suffering from OCD and doctor prescribed Depakote XR 500 mg and Paroxetine CR 25 mg, which I am taking for last eight years. I read that these medicines can cause drug-induced Parkinson's. Please advise how to stop taking these medicines without withdrawal symptoms.  Read Full »


Dr. Vishal Anilkumar Gandhi

Psychiatrist

Answer: Hello, Welcome to icliniq.com. I do not think that those medications can induce Parkinson's. Antipsychotic drugs are more common to induce extrapyramidal symptoms like Parkinson's. Still, if you want to stop it, then you need to taper off over months gradually. It may lead to worsening your OCD.  Read Full »

Do I need counseling even if I feel better with anti-anxiety drugs?

Query: Hello doctor, I am 45 years old and working as a senior level finance professional in a multi-partner practice owned by all of us. After going through the high levels of anxiety for several years, I consulted a psychologist who is my friend. After few months of showing little improvement, he put me ...  Read Full »


Dr. Manish Bajpayee

Psychiatrist, Psychologist Counsellor, Psychotherapist

Answer: Hi, Welcome to icliniq.com. From your detailed information, I feel that you have responded to medication. All SSRI (selective serotonin reuptake inhibitor) medications tend to over time make the person who takes them more relaxed. This could be attributed to the main task of reducing anxiety. Thu...  Read Full »

Is it safe to combine 7.5 mg of regular Paxil with Paxil CR for about a week or month?

Query: Hello doctor, I have been on Paxil CR 37.5 mg for 16 years. After a recent depression or OCD episode that occurred around my period, I saw a psychiatrist to see if I needed to bump up my dosage or change medicines. She prescribed me 7.5 mg of regular Paxil, not CR, to take with my 37.5 mg CR a few...  Read Full »


Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to icliniq.com. It is safe to take the additional 7.5 mg of Paxil or Brisdelle along with 37.5 mg of Paxil CR, as you rightly mentioned that both are same medicines. The increase dose of Paxil or Brisdelle for short time is for managing your hot flashes, and it is just like that the do...  Read Full »

I have been taking Paxil for ROCD, anxiety, and depression. Should I continue this?

Query: Hello doctor, I have been taking Paxil 40 mg for three weeks now as prescribed by my GP. I have been taking it for ROCD anxiety and depression. Today and yesterday my anxiety has begun to surface more. The first two and a half weeks I was great. I do not know if I should switch medication. Keep goi...  Read Full »


Dr. Punya Mulky

Psychiatrist

Answer: Hi, Welcome to icliniq.com. I understand you are experiencing a great deal of anxiety in the past two days in spite of being on medications. Has some stressful event taken place at your workplace or at home in these past two to three days? Generally, anxiety gets better with time with medications....  Read Full »

Is it safe to use Dapoxetine Tablet?

Query: Hello doctor, I am a 33 year old unmarried male. I have severe problem of premature ejaculation (less than a minute). Once I tried Dapoxetine 30 mg and it worked well. My marriage is going to be fixed soon. Is it safe to use Dapoxetine daily? If yes, for how many years can I continue the tablet? O...  Read Full »


Dr. Bharat Udey

Geriatrician, Psychiatrist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. Dapoxetine is one of the medications which are prescribed for premature ejaculation with good results. Yes, definitely you can use Dapoxetine regularly after marriage. However, before considering for Dapoxetine therapy, you need to be sure about the diagnosis. Dapoxeti...  Read Full »

I am skeptical regarding the drugs prescribed to me. Kindly help.

Query: Hi doctor, I have a panic disorder and severe insomnia worsened by my anxiety. My doctor prescribed me Ambien 5 mg or Zolfresh 5 mg at night, Paxil-CR 12.5 mg at night, Etizolam 0.5 mg twice a day and Divalproex 500 mg once in a day. I also have suicidal ideations when I do not sleep well and gets p...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I have gone through the query and understand your concerns. If your diagnosis is panic disorder, anxiety and major depressive disorder, then the prescription of Paxil CR (Paroxetine) and Etizolam is completely on the line of treatment and I do not feel anybody should rais...  Read Full »

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