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Re: PAXIL WITHDRAWAL? Read and Sign the Petition!

Re: PAXIL WITHDRAWAL? Read and Sign the Petition!

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Posted by Kelley on November 01, 2000 at 06:01:13:

In Reply to: PAXIL WITHDRAWAL? Read and Sign the Petition! posted by Donna on October 31, 2000 at 23:29:32:


Paxil withdrawal is noted anecdotally as having particularly difficult withdrawals compared to other SSRIs. Effexor is also often difficult.

There are ways to minimize or eliminate the difficult withdrawals.

One strategy involves very slow discontinuation in very small increments. A general rule is to decrease dose by 10% a week. Any faster than that is begging for problems.

Another strategy involves the alternating step down approach. i.e., 20mg one day, 15mg the next, 20mg, 15mg, and so on. Then stabilize at 15mg. Then 15mg one day, 10 the next, 15, 10, and so on. Stabilize at 10. Then 10mg one day, 7.5mg the next, 10, 7.5, and so on. Eventually we get down to the 2.5mg one day and 0 the next alternating pattern. Total withdrawal of the drug at this time is fairly painless.

Another strategy is to take a small dose of the drug at two or three day intervals after completely stopping the drug. This allows stepping stones to get through the difficult periods.

Another strategy is to take Prozac for a few days when almost finished with the Paxil. This is because Prozac stays in the system a long time and naturally extends the weening process. Prozac is half gone in a week, and not totally gone until about 4 weeks. Paxil on the other hand is half gone in about a day. And thus the quick abrupt emergence of withdrawal symptoms.

And finally, another strategy is to ween onto the new drug (if there is one) while weening off of Paxil. They can be overlapped except in cases of MAO inhibitors. Washouts are not needed except when MAOIs are involved.

Paxil need not be difficult. All these methods can and do work.

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