gangadharan nair replied: "Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Paroxetine tablets and suspension are also used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), generalized anxiety disorder (GAD; excessive worrying that is difficult to control), and posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience). Paroxetine extended-release tablets are also used to treat premenstrual dysphoric disorder (PMDD, physical and psychological symptoms that occur before the onset of the menstrual period each month). Paroxetine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.
Alprazolam is used to treat anxiety disorders and panic attacks. Alprazolam is in a class of medications called benzodiazepines. It works by decreasing abnormal excitement in the brain.
Please see the web pages for more details on Paroxetine (generic name) Paxil (brand name) and Alprazolam (generic name) Xanax (brand name)."
Rhianna Returns replied: "1) Paroxetine is a class of drug called an selective serotonin reuptake inhibitor (SSRI) antidepressant. SSRI antidepressants mainly affect a neurotransmitter called serotonin in the brain.SSRIs prevent serotonin from being reabsorbed back into the nerve cells in the brain. This helps prolong the mood lightening effect of any released serotonin. It is prescribed to relieve depression and panic disorders.
Xanax is a Benzodiazepine. This class of drug works by affecting the way neurotransmitters in the brain transmit messages to certain brain cells. They decrease the excitability of many brain cells, which has a calming effect on the brain. They are prescribed to manage insomnia, anxiety and various other conditions. They are seldom used for anxiety and insomnia nowadays because they are so addictive and one develops tolerance to the drug in a very short space of time.
2) Xanax is highly addictive and as I explained above, you will develop tolerance to the drug in a short space of time, after which time the drug is practically worthless. Paroxetine can also cause withdrawal if stopped suddenly
3) Xanax has a short licence of 2-4 weeks for the reasons I stated above. It's usually prescribed very short term. Paroxetine can be taken indefinitely
4) Yes you need to taper down the dose over a 2-3 week period.
5) Not really no, this combination should be avoided because if taken together it can increase the CNS and/or respiratory-depressant effects o the drug.
6) Yes as I mentioned above and Xanax is highly addictive too, that's the main problem."
Is 25mg of Paroxetine ER (extended release) for panic/anexity attacks a lot? I asked in the Mental Health section as well, but figured maybe there are some psychology folk awake as well with some insight.
My doctor prescribed me 25mg of Paroxetine ER for my anxiety today, and 1mg of the generic form of Ativan for the difficult times. Do you think that is a high dosage? I was reading the FDA website and it suggested that a patient starts out on 12.5mg. I first started having bad anxiety about 4 years ago, went on regular Paxil CR at the time with the doctor supplying me with samples since it's so expensive. As time went on I was switched to the generic version of regular Paxil (no CR). About two years ago I weaned myself off it as I felt like I had the necessary tools to deal with my anxeity. For the past few months it's flared up to the point of me not wanting to leave the house (yes I know all about that phobia)- never having this before. Past weeks my anxeity has been real bad to the point of not being able to fall asleep till 4 or 5am in the morning. I know every person's brain chemistry is different, so we all will react in different ways, but I'm just curious how you have reacted. Before when I was taking the regular Paxil CR or the generic brand I never really experienced side effects. I think the biggest thing I noticed was body twitches; I did have anxiety then as well but I don't think it was caused from the meds. When I first went off it two years ago, the only effects then were random headaches and weird metalic tastes- all of that was manageable. Do you think I'll have a positive experience this time around? I just got the meds today and am very reluctant to take it- a part of me wants to try to get past this crap without meds but maybe my brain needs a "tune up and to be jump started". O and there is no score on the pill, can I still cut it in half to just get 12.5mg instead?
Alice B replied: "Negative emotions (like sadness, stress, anger, etc.) causes your Serotonin production to be low; when your Serotonin level is low, you are more prone to getting Anxiety, Panic Attacks, Depression, etc.
Medication like Antidepressants (SSRI - Selective Serotonin Reuptake Inhibitor) helps to boost Serotonin level.
But there are natural ways to do it without medication. There's this herb called "St John's Wort" - it is said to be more effective than Prozac. No, it is not for mild depression only and ignore those sayings. In fact, it does help anxiety and panic-attacks as St John's Wort works like prozac. Other natural ways will be exercise, diet, more exposure to light, etc.
If you're unable to take St John's Wort, you can substitute it with Siberian Ginseng or Licorice Herb.
The problem is that, even if your Serotonin is balanced... you have that "learned behavior" in your mind. You need to break that initial cycle to destroy that learned behavior - Cognitive Behavior Therapy (CBT) does this. A technique that you can use without CBT will be Distraction... There are several other techniques to help cope them!
Ok, to use Distraction: Firstly, try to....
Extracted from Source."
Ed Atun replied: "It is a lot. Read more at or or read the Merck Manual at the Public Library.."
any luck with st johns wort - antidepressants dont work? been on paroxetine and sertraline and they both sucked - can st john's wort be effective? my doctor suggested maybe, but i was cynical ... any success stories from st johns?
i dont instantly take what a doctor says as gospel, so id like to hear what others have thought and any tips re: dosage
thanks
moderate depression but horrendous anxiety
Molly replied: "In general, I do not think that St. John's Wart is effective. I think there are rare cases that it is. I think in those cases, the person believes that it will work, so it did."
bryo4321 replied: "I worked at a pharmacy for years, and have heard it all... I really think the effectiveness depends on the person. There are definitely lots of people out there who've taken St. John's Wort and swear by it. In any case, it's safer than rx drugs, and can't hurt to try. You may have to stay on it awhile to see if it's working. In regards to doctors' opinions on alternative med treatments like this, I have almost universally heard that they say the same thing: may or may not work, see if it works for you."
xxxx replied: "try other antidepressants- there are plenty out there. i tried practically everything on the market until I found the single drug that works for me. For anxiety, try specific anti-anxiety meds like lorazepam or clonazepam- talk to your doc about it. I found even good ol' benadryl helps with anxiety."
Will i ever get better? For some time now ive been suffering from depression and anxiety along with obsessional distrubing thaughts, for a year i was on citalopram then risperidone as well, but they both faile, then in January of this year i was put on Paroxetine 30mg (Seroxat) and Olanzapine (Zyprexa) 10mg.
Last week my seroxat dosage was raised to 40mg to combat the intrusive thaughts i am having...i keep thinking i am gooing to lose control and flip out an do mad stuff and its quite difficult for me to be myself at the moment.
My diagnosis is not bipolar...they say i have a Generalised Anxiety Disorder combined with depression and OCD. When will my meds work? will i ever get better? Its ruining my life at this moment in time
laurarara replied: "Many psychiatric medications take up to 6-8 weeks to work.
If they're not working after longer than that, then see your doctor and ask for something to be changed."
koammudo9 replied: "i am sorry to learn of your dilema. all along life, doctors prescribe pills to patients, some good, some not. you have a brain, try to use it and ask yourself questions about your personal habits, especially in the diet department. sometimes its a mere change of diet that can set you on the road to recovery. mahybe try finding a homeopathic health care provider vs. an allopathic one. therein may lie your cure and i wish you every good luck."
Andrea Grace replied: "You might want to check out a mental health facility. I noticed from going to the psychiatrist that they don't really diagnose you right or give you the right meds. It seems they just want to give you whats new on the market. You should get blood work and find out exactly what chemicals your lacking or have to much of. good luck"
Alex62 replied: "Sooner or later you'll find the medication that works. It just takes time - that seems like effing forever. I've been on the mod-go-round for bipolar disorder. Different illness, but same frustrations. I feel for you. Just remember that thinking things is very different than acting them out. Everyone thinks some strange thoughts at times. You're no different in this.
You might want to look into Seroquel, btw. It's like Zyprexa, but has stronger anti-anxiety qualities (but zonks ya at night pretty hard). Just a thought to talk over with your doc."
Ann F replied: "I've suffered from biological depression and other mental health for more than half my life. I've been on various different drugs, tried talking therapy and various other things.
Doctors and drugs can only do so much though, they will try and help to take the edge off whats going on. I've found they usually work to stop the bad feelings but at the same time they stop the good ones too so you end up in a rut of nothingness.
You have to be able to help yourself though, you need to look at your life, look at the good bits and the bad bits, sometimes there is nothing in your life that will make you feel better, but quite often you've stopped doing something you enjoy or your missing something you need and when you get it back you'll start to feel better. Remember to take care of yourself, do something nice for yourself everyday. And most importantly give it time. It probably took you a lot longer than you realise to feel this badly about everything and it will take a while for you to start feeling good again."
barly_suga replied: "Im in the same boat.
Have been on citalopram for over a year & it isnt working.
Even an increased dosage doesnt work.
Im in the very final stage of losing my job due to the fact that I just couldnt phone in. Depression - I feel like i can beat it, some days Im fine, most days Im hiding away, turn off the phones, lock the doors & its at the stage now where its crippling myself & my family. I leave house chores doing only the bare essentials for my children. Its been so long now since I even looked in a mirror. Work just does not understand it is because of the very nature of the illness that I couldnt deal with a phone call, I didnt want to admit I was ill...thoughts that It'll be ok tomorrow, it'll go away & tomorrow I'll be back on track. Ive had these thoughts now for 2 months solid. If I let it slide, it'll beat me. Its always a race, allowing depression to take over most times. Have faith...we're in the same boat."
Can brain shivers reoccur after a long time for no reason? I used to be on the antidepressant Paroxetine and when I didn't take it, I had the withdrawal symptom of "brain shivers". So, under the direction of my doctor, I gradually cut my dosage down until I managed to stop taking them without any negative effect. However, four months later I've been noticing that the brain shivers sometimes still randomly occur. Usually right before I fall asleep or as I'm waking up. I've since switched to Fluoxetine which I've been on before with no side effects or the like. Has anyone else experienced a brain shiver "flashback" type thing or have any guesses as to why it would happen for no reason? Thanks in advance.
Kaevmon replied: "Meds messed with me, some would give me severe muscle spasms/twitches, some would make everything feel fine either way (even if I cut my finger off to suck on it), some made me feel more paranoid or depressed, some made me feel slow and stupid, some made me feel like a being watching my shell react differently.
Most meds messed with me.
I don't know what to say and don't know about brain shivers, I used to have a problem with heart palpatations, nerves, migraines, veins throbbing and stuff, but not really anything on 'flash back' type things."
Danny replied: "yes i am sorry to say that this is most likely from the drug. what you should know about that drug is that it does way more harm to people then any good. there is a reason everything happens so keep that in mind you body is telling you something and you should listen. talk to a Dr a good one not Just a MD. they are paid to sell drugs talk to a good Dr. i wish you the best"
Rx for Diabetes Type 2...? An elderly female (87) has Diabetes Type 2. She checks her blood sugar every morning around 7 or 8 am before breakfast. Her blood sugar scores are as follows (from 9/1/09-9/10/09): 60, 64, 67, 73, 71, 88, 69, 82, 86, 55. She also takes these medications: propoxyphene & ibuprofen (for arthritis pain), paroxetine (depression), amlodipine (high blood pressure), furosemide and she has been taking warfarin for the past couple of months. She has had recently had swelling in her leg, ankle, foot and was diagnosed with venous disease (chronic blood clot) and prescribed the blood thinner. Last August she was rushed to the emergency room with hypoglycemia. To treat the Diabetes Type 2 what would be a good pre ion for her, and what dosage would be sufficient?
bec_sing replied: "The glucose numbers above are at the low end of normal and some are slightly in the hypoglycemic range. (70-120 is normal for a pre-meal glucose.) Given this fact, she may not need any medication for the diabetes.
IF she's having trouble with post-meal blood sugars spiking, talk to her doctor about the best course of treatment. You might consider a low dose of a mealtime medication like Starlix. Given all her other meds, a small dose of insulin may best, but the doctor is the best source of information in this case."
Noccie replied: "You should discuss that with her doctor. Only her doctor can answer this question appropriately. Whatever she's taking right now is not working because those numbers are way too low. The Dept of Veterans Affairs has done a long term study on older folks with type 2 diabetes and found that having the numbers a bit on the high side isn't all that bad. In her case, the lows can be extremely dangerous causing her to fall or go into seizures.
Discuss cutting the dose of whatever she's taking in half."
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