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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Withdrawal Symptoms Of Using Paxidep?

hi i am 2 year old lady just married for 2 months ... i have been on paxidep 25 mg twice a day since 4 months and then taken 25 mg once a day for 3 weeks and now my doctor has teduced it to 12.5 mg once a day ... due to non availability of pills i could not take medicine from last one week and just got too sick with nausea dizziness and ringing in ears ... i just got my stock today and have taken 12.5 mg .... i want to ask when and how can i taper it off completely so that i dont have to suffer with all these severe withdrawl symptoms anymore
Wed, 30 Jul 2014
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Psychiatrist,  's  Response
Hello,
Tapering paxidep should be done under supervision and slowly.

I usually reduce 12.5mg at a time and ask the patient to take that reduced dosage for one to two weeks and then if he is OK, I further reduce the dosage by another 12.5mg and let him be on this for 2-3 weeks...if he responds nicley then further reduction is done by 12.5mg and ask him to conitnue it for 2-3 weeks and finally one can stop it completely.
If in between there is any issue with reduced dosage it is good to wait for further reduction for -one to two months and then try again.

Hope this helps.
Dr. Manisha Gopal
MD Neuropsychiatry
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What Causes Withdrawal Symptoms Of Using Paxidep?

Hello, Tapering paxidep should be done under supervision and slowly. I usually reduce 12.5mg at a time and ask the patient to take that reduced dosage for one to two weeks and then if he is OK, I further reduce the dosage by another 12.5mg and let him be on this for 2-3 weeks...if he responds nicley then further reduction is done by 12.5mg and ask him to conitnue it for 2-3 weeks and finally one can stop it completely. If in between there is any issue with reduced dosage it is good to wait for further reduction for -one to two months and then try again. Hope this helps. Dr. Manisha Gopal MD Neuropsychiatry