I know it is not working and I am depressed without withdrawals from Paxil. I cry, mood swings and not sure what to do. Need my knees replaced so hard to get out of house but would definitely do whatever I can just to feel “normal “ and even temperament. Anyone have any suggestions. Thanks to all for your understanding and support.
Depression - I've been on Paxil 60mg for 22years and I have tried to wean twice did not work.
- 9 Mar 2019 by Passccm2
- 8 April 2019 (10 weeks ago)
- paxil, depression, anxiety, panic disorder, generalized anxiety disorder, major depressive disorder, withdrawal, anxiety and stress, knee, mood swing
Tapering must be done very slowly. You will need pillcutters or a new prescription whereby you can lower your dosage in increments of 10 mg. For the first month (or 4 weeks). Take 50 mg one day (doesn't matter which day you start with but you will be working up to taking the lower dosage on consecutive days - say Monday for illustration purposes) and take 60 mg all the other days of the week. Second month, take 50 mg on Monday and Tuesday and take 60 mg the rest of the days of the week. Month three, take 50 mg on Monday, Tuesday and Wednesday and take 60 mg on the rest of the days of the week. Month 4 take 50 mg on Monday, Tuesday, Wednesday and Thursday and take 60 mg the remaining days of the week. Month 5, take 50 mg on Monday, Tuesday, Wednesday, Thursday and Friday and take 60 mg on Saturday and Sunday. Month 6, take 50 mg on Monday, Tuesday, Wednesday, Thursday, Friday, and Saturday and take 60 mg on Sunday. Month 7 take 50 mg each day. Congratulations, After 6 months you have weaned your dosage down from 60 mg per day to 50 mg without any noticeable withdrawal symptoms. That may seem like a long time but it is not really - considering you have been on the medication for 22 years! Now may wish to take a break and stay at 50 mg for awhile. But repeat the process illustrated above working in 40 mg and increasing the 40 mg dose one day per week each month.
When you finally get down to 30 mg or 20 mg of Paxil a day you are ready to talk to your Doctor about an adjunct antidepressant or a more dramatic flash cut to a different antidepressant. In any event, it won't be quite the hell it would have been had you flash cut from a dosage of 60 mg of Paxil. Or you may actually find that you feel better at, say, 40 mg than you did at 60 mg and you may just decide to stay at the new dose. Sometimes less is more with the antidepressants.
Take care for now and all the best.
Paxil is well known as a lifetime drug as it notorious for how hard it is to come off of. I would recommend weening low and switching to a sister drug speak to your pharmacist about your options
- Paxil Information for Consumers
- Paxil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Paxil (detailed)
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