Hi I Have Been On Paxil 40mg For About 9

Posted on Tue, 21 May 2019

Question: hi I have been on paxil 40mg for about 9 years with no anxiety that I can remember . I started having panic attacks after a hernia operation and my doctor upped my doze to 50mg 4days ago. my anxiety has increased a bit and I am wondering how long before the new dozeage starts to work

Answered by Dr. Seikhoo Bishnoi (1 hour later)

Brief Answer:
In a couple of days, you should see improvement

Detailed Answer:
Hello thanks for using ask a doctor service

In a couple of days, you should see improvement. It’s common to have slight worsening of symptoms when any SSRI (like Paroxetine) is started or its doses are increased.

It is seen in the first week in most individuals. No need to get worried.

Thanks

Please let me know if you have more doubts.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Seikhoo Bishnoi (34 minutes later)

could I take diazepam 2mg 3 times a day to help with the anxiety till the paxil starts to work . my doctor prescribed this and a beta blocker bedranol 80mg sr .should I take beta blocker and diazepam or just diazepam I am a little worried about addiction

Answered by Dr. Seikhoo Bishnoi (14 hours later)

Brief Answer:
Yes you can take.

Detailed Answer:
Hello again

Yes you can take Diazepam on sos basis without worries. No need to get worried. This will
keep anxiety controlled and in that time the drug will start working. In day time you can take beta blocker too.

Thanks

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Seikhoo Bishnoi (6 hours later)

thank you

Answered by Dr. Seikhoo Bishnoi (32 hours later)

Brief Answer:
Thanks

Detailed Answer:
Thanks and take care

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Seikhoo Bishnoi (39 hours later)

paroxetine not working yet and I have taking beta blocker this morning at 6.30am and 1mg diazepam at 8,30 am and 1mg diazepam at 11.30 am also 2mg diazepam at 6pm and I am still anxious I will take 50mg paroxetine at 10pm before bedtime ( 8 days at 50mg) could I take another 2mg diazepam at 10pm also to help me sleep .I never slept much last night

Answered by Dr. Seikhoo Bishnoi (18 hours later)

Brief Answer:
The dose of Diazepam can be increased

Detailed Answer:
Hello again

Yes you can take. This will reduce anxiety and you will feel better. No need to get worried.

If anxiety is persisting then dose of Diazepam can be increased to 5 mg on sos basis.

Thanks

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Above answer was peer-reviewed by : Dr. Yogesh D