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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Carol-Lynn on December 3, 2000, at 16:27:19
I am a 53 year old woman who has been taking 20mg of Paxil for 8 years now,
following a careful diagnosis of probably life-long clinical depression. Paxil has
worked magnificently for me, allowing me an enthusiasm for life that I did not
feel for the first 45 years of my life.The past 3 months depression has returned which does not seem to be
situational and which feels very much like I felt for the majority of my life prior
to Paxil. An increase to 30mg per day seems to make no change.Is it possible that I have become tolerant to the drug and that it is no longer
effective? Is this common? If this is the case, what type of drug should I
consider switching to - with the supervision of my Internist, of course.Any input would be greatly appreciated.
Please feel free to e-mail me.Carol-Lynn
Posted by shellie on December 4, 2000, at 16:28:56
In reply to Paxil no longer effective?, posted by Carol-Lynn on December 3, 2000, at 16:27:19
>
> Is it possible that I have become tolerant to the drug and that it is no longer
> effective? Is this common? If this is the case, what type of drug should I
> consider switching to - with the supervision of my Internist, of course.
Carol-Lynn. I don't know a lot about which SSRIs are the most similar to Paxil, but I do know that you have lots of choices. I know effexor is used a lot, but I think it would be to your benefit to have a consultation with a psychiatrist to talk about possible medications, rather than just depending on your internist. Is it possible to get a referral? A psychiatrist would more likely be familiar with all the antidepressants and would be able to prescribe based on your prior success with paxil and your type of depression. It might even be possible to add another medication to paxil to enhance it's antidepressant effects. shellie
Posted by Carol-Lynn on December 5, 2000, at 1:39:07
In reply to Re: Paxil no longer effective? » Carol-Lynn, posted by shellie on December 4, 2000, at 16:28:56
I also take levoxyl for hypothyroidism, which it seems opens up another can of worms regarding antidepressant medication. From what I've been reading on this site and elsewhere, an addition to the type of thyroid supplement I take may do the trick. This I will discuss with my internist.
Thanks...
This is the end of the thread.
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