Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is Paxil Or Fetzima Better For Depression?
Question: Have been on Paxil for 10 years & it is not working for me anymore, doctor wants me to try Fetzima 40mg daily, is this a good choice, what about going off of the Paxil, stop completely or taper off for a few days?
Brief Answer:
Private Consultation
Detailed Answer:
Hello, and thanks again so much for using my direct private service.
I understand that you have been on Paxil but it has lost its efficacy. You have been given Fetzima or Prozac as suggestions for a replacement antidepressant.
I would probably favor Prozac for you. It is a very reliable and very effective medication. Fetzima is less well known, but would also be an effective choice. One advantage of Prozac is that it has a long half-life, so by starting it immediately you could taper off the Paxil more quickly, though in either case you need to do so carefully to avoid withdrawal symptoms.
In summary, I think either would be a good replacement for you, but would favor Prozac. Paxil cannot be stopped abruptly and needs to be tapered carefully.
Please remember to rate and close this answer thread when you are finished and satisfied.
Dr. Sheppe
Private Consultation
Detailed Answer:
Hello, and thanks again so much for using my direct private service.
I understand that you have been on Paxil but it has lost its efficacy. You have been given Fetzima or Prozac as suggestions for a replacement antidepressant.
I would probably favor Prozac for you. It is a very reliable and very effective medication. Fetzima is less well known, but would also be an effective choice. One advantage of Prozac is that it has a long half-life, so by starting it immediately you could taper off the Paxil more quickly, though in either case you need to do so carefully to avoid withdrawal symptoms.
In summary, I think either would be a good replacement for you, but would favor Prozac. Paxil cannot be stopped abruptly and needs to be tapered carefully.
Please remember to rate and close this answer thread when you are finished and satisfied.
Dr. Sheppe
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
