Posted by mtdewcmu on May 7, 2011, at 10:56:36
In reply to Re: High Neurontin (Gabapentin) dose » tepi, posted by SLS on April 30, 2011, at 6:36:57
> I may be wrong, but I have been under the impression that paroxetine is more effective than the other SSRIs. If side effects are deemed unacceptable, my guess is that any other SSRI would substitute for paroxetine, with the possible exception of fluoxetine (it can be anxiogenic). Paroxetine might be the most offensive regarding weight gain and sexual dysfunction. However, I did not experience these things when I tried it. Escitalopram might make a good substitute.
>My personal experience with Paxil, FWIW, leads me to consider it a mediocre drug. It caused a lot of GI side effects (although I might additionally have some kind of bowel problem independent of meds) and sweating (which hasn't gone away since stopping, but seemed even more troublesome on Paxil). One of the most uncomfortable feelings is to be sweating profusely while you are cold, and the sweat makes you colder. Every med has its haters, but I believe Paxil is known to have especially bad physical side effects.
Paxil controlled my symptoms decently at a minimum of 20mg, and it may have had additive anti-anxiety effects as the dose increased further, but I tried to minimize it in an attempt to control side effects.
I would without hesitation recommend trying Lexapro first, as it seems to be the bridge between the sedating and activating SSRIs that nearly everyone can tolerate. Celexa is also a good one if you need cheap.
Not a doctor. Contact a doctor for medical advice.
20mg citalopram, 40mg d-amphetamine, 15mg mirtazapine, 300mg bupropion
dx: chronic MDD, probable ADHD (inattentive)
poster:mtdewcmu
thread:984035
URL: http://www.dr-bob.org/babble/20110502/msgs/984787.html