HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Anxiety And Palpitations While On Paroxetine And Lexapro

default
Posted on Thu, 18 May 2017
Question: Im currently taking 10 mg of Paroxetine and 20mg of Lexapro ,I still experience anxiety and palps in the mornings ,Should I have my doctor increase my dosage.
doctor
Answered by Dr. Seikhoo Bishnoi (58 minutes later)
Brief Answer:
Re-evaluation is needed for this.

Detailed Answer:
I can understand your concern. You are currently taking Lexapro 20 and 10 mg Paroxetine. Lexapro and Paroxetine both are SSRI drugs. I don't find any added benefit of using two SSRI drugs in a patient at same time. So if your anxiety is persistent then talk to your doctor for re-evaluation. There is not much use in increasing the dose of Lexapro after 20 mg. Augmentation can be done with Bupropion which will definitely improve the actions of Lexapro.

Low dose antipsychotics like Olanzapine or Risperidone can be used in your case. The drugs will supplement the actions of drugs and will help in reducing anxiety.

Thanks and Take care.

You're welcome to ask follow up doubts.

Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Psychiatrist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Treatment For Anxiety And Palpitations While On Paroxetine And Lexapro

Brief Answer: Re-evaluation is needed for this. Detailed Answer: I can understand your concern. You are currently taking Lexapro 20 and 10 mg Paroxetine. Lexapro and Paroxetine both are SSRI drugs. I don't find any added benefit of using two SSRI drugs in a patient at same time. So if your anxiety is persistent then talk to your doctor for re-evaluation. There is not much use in increasing the dose of Lexapro after 20 mg. Augmentation can be done with Bupropion which will definitely improve the actions of Lexapro. Low dose antipsychotics like Olanzapine or Risperidone can be used in your case. The drugs will supplement the actions of drugs and will help in reducing anxiety. Thanks and Take care. You're welcome to ask follow up doubts.