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Aka Aropax, Paroxat, Deroxat, Rexetin, Sereupin, Seroxat, Xetanor Paxil and Effexor have long led the list of antidepressants notorious for difficult withdrawal, the others being Zoloft and Luvox. Took Sam-E 200 mg AM and 500 mg L-tryptophan PM Sept.2014 to January 2015 Doing poorly, put on Viibryd 10 mg for 1 wk, 20 mg for several days, BAD ANXIETY, fast taper to 0 in a week; back on Sam-E 200 mg AM and L-tryptophan 500 mg PM until April 10, 2015; doing very badly, put on Remeron 7.5 mg start April 15-April 30, 2015; Increased Remeron from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly, June 1 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM.

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Question asked by Sharon Reynolds of Tampa, Florida: I have been taking 10 mg of Paxil for nine years.

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Dosing (Adults): Depression: Initially, 25-100 mg orally at bedtime or give in divided doses.

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Berger is medical director of Moses Taylor Hospital’s Senior Medical Mental Health Unit in Scranton, PA, director for the Short-Term Intensive Care Unit at Wyoming Valley Healthcare’s First Hospital in Kingston, PA, and director of Behavioral Health for the Adolescent Psychiatric Unit at Mercy Hospital in Nanticoke, PA. Berger is a speaker for Abbott, Astra Zeneca, Bristol-Myers Squibb, Cephalon, Eli Lilly, Forest, Glaxo Smith Kline, Janssen, Novartis, Pfizer, and Wyeth. Kurlander is medical director for Behavioral Health Service of Best Choice HMO in Pompano Beach, Florida. Kurlander reports no financial affiliations with or commercial interest in any organization that may pose a conflict of interest. Sussman is professor of psychiatry in the Department of Psychiatry at New York University School of Medicine in New York City. Sussman has received honorarium/expenses from Eli Lilly, Forest, Glaxo Smith Kline, Organon, Pfizer, and Wyeth.


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