Posted by JulieM on April 24, 2001, at 9:56:50
In reply to switching from paxil to prozac for bulimia, posted by Sergios on April 24, 2001, at 9:24:12
> My bulimia has gotten much worse in the last months. My doctor is slowly switching me to prozac. I will take 20mg of prozac + 30 of paxil for 7 days, then the next 7 days 40mg prozac+20mg paxil, next 7 60mg prozac and 10mg paxil and then just withdraw from paxil and keep the 60mg prozac.
> Questions: Is it dangerous to take both meds for so long? I am also on zyprexa (F1), oxprenolol, xanax, trazodone for sleep, etc.
> Has high dose prozac helped somebody with long-term bulimia?
>
> F1: zyprexa has nothing to do with my bulimia, this has started before. I suspect it was the paxil that triggered it.I just thanked you for info on Zyprexia and waffled on about CBT etc.
I think other's on this board are more expert than me - however I was taken off paxil abruptly and suffered some cold like symptoms - Paxil had been making my anxiety and depression loads worse - however you are tapering off so hopefully should be okay. I would imagine the only thing your Dr needs to keep an eye on whilst you are still taking both prozac and paxil is the serotonin syndrome (I think you get a fever with this) caused by too much serotonin- others on this board can explain that one better than I and I imagine it's pretty rare and you won't be taking them both for too long.
As I hated Paxil I am biased and don't have the anwers but theoretically if Paxil can trigger anxiety it may be that it triggered your bulimia.
Many people (I think) have said Paxil made their OCD worse too.
I hope it works out ok. Talk to your Dr about concerns and fears.
poster:JulieM
thread:60986
URL: http://www.dr-bob.org/babble/20010424/msgs/60996.html