Posted by Mitch on August 1, 2001, at 9:10:09
In reply to Is 60mg Paxil safe? Or should I switch to Prozac?, posted by Jackster on August 1, 2001, at 4:17:54
> 40mg Paxil has pooped out on me for Panic Disorder. Is 60mg safe? And is Prozac used for Panic Disorder - I hear so much that it can bring on panic attacks.
>
> JackieYour pdoc probably would suggest an increase to 60mg although the manufacturer suggests that dosage increases above a certain level aren't particularly helpful. I think a read a "tip" in here once about simply switching SSRi's when they poopout (assuming of course that they were effective when they worked). Jumping from Paxil to Prozac might be a little too "buzzy" for you, though, though for some it works quite well for panic.
This is a little of a stretch but you might try a "cross-taper" with Zoloft and see how you do with that. You could add 12.5mg of Zoloft to your 40mg of Paxil and see how you do for a week, and if you aren't seeing any worsening or you see an improvement reduce your Paxil from 40mg >30mg and increase the Zoloft to 25mg for example the following week until you are just on the Z and off the Paxil. If you are currently taking a benzo as well you may need to increase it a little while you do this. Zoloft is fairly activating, but generally not near as much as Prozac.
Mitch
poster:Mitch
thread:72854
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