Posted by Jackster on August 2, 2001, at 5:25:39
In reply to Re: Is 60mg Paxil safe? Or should I switch to Prozac? » Jackster, posted by Mitch on August 1, 2001, at 9:10:09
> > 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.
> >
> > Jackie
>
> Your 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
I am actually on Zoloft (75mg) at the moment after the Paxil pooped out. But I can't afford any higher because it's not subsidised here. (NZ). I could afford 100mg, but I feel if I've had no effect from 75mg, I'd probably need at least 150mg.My PDoc has suggested that perhaps I could go up to 60mg of Paxil (to kick start it again, I guess) and then gradually go down to 40mg again. Any thoughts on if this would work?
poster:Jackster
thread:72854
URL: http://www.dr-bob.org/babble/20010731/msgs/73053.html