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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by lrw on January 28, 2002, at 21:32:41
I'm on BuSpar and my pdoc wants me to try a SSRI but I'm against them because of Paxil and the withdrawal? Any suggestions on Prozac?
Posted by JohnX2 on January 28, 2002, at 23:41:44
In reply to To Prozac or not to Prozac, posted by lrw on January 28, 2002, at 21:32:41
Prozac has the same antidepressant response rate
as Paxil from a statistics standpoint.Prozac side effects tend to lean towards being
stimulating (black coffee type effect) whereas
Paxil is more sedating in general. These are just
statistical trends, but everyone's responses may
vary.A lot of people don't do well on Paxil
but then do well on Zoloft or Prozac. Either
Zoloft or Prozac are good next steps in my
view point given the change in side effect
profiles. Zoloft has a nice property over Prozac
in that its half life (the time in your body)
is not super long, so if you don't like the med
it doesn't take as long to drain from your body
and stop it.Any of the SSRI's can be added on top of the
Buspar. Buspar is sometimes added to SSRIs to
help get a better response and alleviate side
effects.Regards,
John> I'm on BuSpar and my pdoc wants me to try a SSRI but I'm against them because of Paxil and the withdrawal? Any suggestions on Prozac?
Posted by Kat26 on January 29, 2002, at 16:32:50
In reply to Re: To Prozac or not to Prozac » lrw, posted by JohnX2 on January 28, 2002, at 23:41:44
The advantage of a longer half-life is that there are less likely to be withdrawal symptoms when you stop.
Kat26
Posted by Michael D on January 29, 2002, at 20:36:12
In reply to To Prozac or not to Prozac, posted by lrw on January 28, 2002, at 21:32:41
> I'm on BuSpar and my pdoc wants me to try a SSRI but I'm against them because of Paxil and the withdrawal? Any suggestions on Prozac?
You said that you had problems with the withdrawl symptoms of Paxil. I'll assume that you experienced withdrawl symptoms with regular use of Paxil. When I was on Paxil, I would get withdrawl symptom before my next pill.
Prozac has a longer half-life than Paxil, and so does Celexa.
I'm on Celexa and I think it's great.
I'm not sure whether Prozac or Celexa has the longer half-life.
I know that Celexa has the reputation for causing the least amount of side-effects.
Prozac's patent is going to expire in a few months, so it's cost might drop.
It's up to you.
Michael D
Posted by Kat26 on January 30, 2002, at 21:40:37
In reply to Re: To Prozac or not to Prozac, posted by Michael D on January 29, 2002, at 20:36:12
As far as i know, prozac has the longer halflife than Celexa.
Didn't th patent already expire?kat26
This is the end of the thread.
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