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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Wean Off Paroxetine And Clonazepam?

i am 47 year old men i am suffering from general anxiety disorder .i am feeling thartharahat sweating blurd vision ,stomuch fullness , i diagnosed fatty lever grad 1 in 2017. i am taking paroxetin cr 12.5 since 2012 with chlonazipam 0.5 od now i want to tapper medicine(pexep cr 12.5) but after 5 days to stop the medicine i feel a vibration in haead and body. sir i am wraping tobaco paste gudakhu from 20 years now i want to stop medicine and tobaco paste kindly help me.
Fri, 8 Dec 2017
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Psychiatrist 's  Response
hi
you have probably - ssri with benzodiapine with nicotine use diaorder

there are 2 modes of therapy
1. substitution
here we substitute tobacco with a nicotine lozenges 4mg twice or thrice a day and add bupropion extended release 150mg to act on both craving and anxiety
2. de addiction with admission
an indoor therapy where we stop all the substances and get de addiction done with iv fluid and other medicinal support
thank u

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How To Wean Off Paroxetine And Clonazepam?

hi you have probably - ssri with benzodiapine with nicotine use diaorder there are 2 modes of therapy 1. substitution here we substitute tobacco with a nicotine lozenges 4mg twice or thrice a day and add bupropion extended release 150mg to act on both craving and anxiety 2. de addiction with admission an indoor therapy where we stop all the substances and get de addiction done with iv fluid and other medicinal support thank u