Can anyone offer any advice on taking paxil (pros and Cons)?...also any ideas on prozac & Zoloft?
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Aaron said
Hi Thomas,Prozac & Zoloft are the prototypical SSRIs. They have been in use for some time now and they do have quite a bit of side-effects. Again, it depends on the individual.As for Paxil, it too is one of the older SSRIs & one of the biggest cons is that it has a very short duration, so if you forgot to take a dose, the withdrawals can set in very quickly, and the withdrawals with Paxil are very nasty.The other important issue is that Paxil, Zoloft and Prozac are metabolized by an enzyme in the liver called CYP 2D6. But they also inhibit this enzyme. CYP 2D6 is responsible for metabolizing a number of drugs (eg. Codeine, Tramadol, Risperdal etc.). So if you take any of these drugs whilst taking Paxil, Prozac, Zoloft, you will not get any effects from them. Paxil and Prozac are strong inhibitors whereas Zoloft is only a weak inhibitor. With Zoloft and Prozac, this inhibitory effect lasts for upto 7 days, whereas with Paxil, it lasts for a day or two.Here is somewhat complete list of drugs that are metabolized by CYP 2D6 and thus cannot be taken whilst on the above 3 anti-deps: http://medicine.iupui.edu/flockhart/tabl…Hope this helps,AJ
Hi Thomas,Prozac & Zoloft are the prototypical SSRIs. They have been in use for some time now and they do have quite a bit of side-effects. Again, it depends on the individual.As for Paxil, it too is one of the older SSRIs & one of the biggest cons is that it has a very short duration, so if you forgot to take a dose, the withdrawals can set in very quickly, and the withdrawals with Paxil are very nasty.The other important issue is that Paxil, Zoloft and Prozac are metabolized by an enzyme in the liver called CYP 2D6. But they also inhibit this enzyme. CYP 2D6 is responsible for metabolizing a number of drugs (eg. Codeine, Tramadol, Risperdal etc.). So if you take any of these drugs whilst taking Paxil, Prozac, Zoloft, you will not get any effects from them. Paxil and Prozac are strong inhibitors whereas Zoloft is only a weak inhibitor. With Zoloft and Prozac, this inhibitory effect lasts for upto 7 days, whereas with Paxil, it lasts for a day or two.Here is somewhat complete list of drugs that are metabolized by CYP 2D6 and thus cannot be taken whilst on the above 3 anti-deps: http://medicine.iupui.edu/flockhart/tabl…Hope this helps,AJ
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