![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by krybrahaha78 on February 11, 2005, at 1:03:49
I have taken Luvox for my anxiety for the last two years and recently my job switched insurance and they dont cover it, so instead my doc gave me Paxil CR. What i want to know--can Paxil CR be used for the same things as regular paxil? I have OCD, GAD, and Social anxiety disorder. Anyone know? Does anyone know the dosage equivalencys between paxil cr and paxil? I take 37.5, what would that be with regular paxil?
Posted by med_empowered on February 11, 2005, at 8:18:11
In reply to PAXIL CR?, posted by krybrahaha78 on February 11, 2005, at 1:03:49
hey! Paxil CR is, in my mind, something of a marketing ploy. Look at the situation: for years, Paxil (just normal, standard release paxil) was a bestseller. Then, the expiration date of the patent loomed near. Granted, big companies can sometimes get extension because, well, they have wads of cash at their disposal, but the FDA is, to its credit, getting better at stopping that nonsense and fast-tracking generics. Anyway, a new ploy for expired or soon-to-be-expired drugs is to release a new form...hence Wellbutrin XL or whatever, once-a-day Effexor, and Tofranil (yes, Tofranil...discovered in 1950something) PM. So, Paxil CR is Paxil, just controlled-release, and 37.5mgs is...well...37.5mgs, it just lasts all day instead of having the usual peaks and valleys of old-school paxil. So, it should work for all your problems just as well as old-school Paxil did, and it will have some of the same flaws as old-school Paxil, too. If you're interested, you might want your doc to switch you back to straight up Paxil once it becomes available in generic...if you feel peaks and valleys in its effect throughout the day, you can always try doing what I did with Celexa, which has a crazy short half-life: take your scored tablet, snap it in half...take one half when you wake up, another half mid-day or when you feel its necessary. If a tablet isn't scored, you can always try a pill-cutter (not for CR, XR, LA, etc. tablets/capsules). Good luck!
Posted by Phillipa on February 11, 2005, at 17:44:11
In reply to Re: PAXIL CR?, posted by med_empowered on February 11, 2005, at 8:18:11
I believe that if you were on lets say, l0mg of regular paxil that the cr version would be l2.5mg. According to the old {bad} pdoc, that is because it is sustained release. What dose of regular paxil do you take? Fondly, Phillipa
Posted by ravenstorm on February 15, 2005, at 11:22:26
In reply to Re: PAXIL CR?, posted by Phillipa on February 11, 2005, at 17:44:11
Celexa actually has a waaaay longer half life than paxil cr. Paxil cr I believe is like 16-20 hours or something like that, while celexa is over 30 hours.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.