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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Panic Disorder, Phobia. Previous Ocd, Venereophobia. Paxidep, Zapiz Prescribed. Suggestions?

Hello Sir/mam, I am K.Mandal (Male 26) from kolkatta have been diagnosed as OCD with venerophobia of (HIV) and other vernal dieases (PAST).and now having PANICK DISORDER and phobia of going out side alone. (present) by my psychratist. He prescribed me Paxidep cr 37.5 daily morning after breakfast for 5 years.and zapiz 0.5 for sos during panick attack. So I want to know will it be safe for me to take paxidep for such a long duration...as this drug show some side effects like sextual dysfunction of achiving orgasim. and some cramping pain in lower abdomin at afternoon after having lunch.
Mon, 13 May 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

Paxidep is paroxetine and it is a SSRI drug. It is very effective in anxiety disorders like OCD as well as in panic disorder. It is safe to use this drug in long term basis as therapy of OCD requires long term treatment. It has potential to cause sexual side effects in some susceptible individuals but the side effects are reversible and are not so serious. Zapiz is clonazepam and it can be used on SOS basis but continuous long term use is not advised because of risk of dependence and tolerance. You can take the drugs without any worry. Cramping pain in abdomen is most likely not due to paroxetine because you are taking it since long time and there are very less chances that it can cause cramping pain in you. It can cause mild constipation and to proven it you can increase the fibres in diet.

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Panic Disorder, Phobia. Previous Ocd, Venereophobia. Paxidep, Zapiz Prescribed. Suggestions?

Hello Welcome to HCM Paxidep is paroxetine and it is a SSRI drug. It is very effective in anxiety disorders like OCD as well as in panic disorder. It is safe to use this drug in long term basis as therapy of OCD requires long term treatment. It has potential to cause sexual side effects in some susceptible individuals but the side effects are reversible and are not so serious. Zapiz is clonazepam and it can be used on SOS basis but continuous long term use is not advised because of risk of dependence and tolerance. You can take the drugs without any worry. Cramping pain in abdomen is most likely not due to paroxetine because you are taking it since long time and there are very less chances that it can cause cramping pain in you. It can cause mild constipation and to proven it you can increase the fibres in diet. Thanks