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What Medicines Should I Take For Depression And Suicidal Feelings?

depression
I have been taking Paxil for about 6 months and it is not helping. everytime I take it I cry. I have considered suicide several times, but can't do it. Is there another med I can take that will actually help? I have no insurance and no family Dr. Please help!
posted on Fri, 14 Mar 2014
Twitter Wed, 16 Apr 2014 Answered on
Twitter Mon, 21 Apr 2014 Last reviewed on
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Psychiatrist,  's  Response
Hello,
You can try venalafaxine 37.5mg and increase it by 37.5mg every one week or ten days for further benefit, till there is 80-90% response. The maximum dosage can be 225mg in a day.
Taper paxil by12.5mg at a time and repeat every five days and stop completely.
Do not worry you will get better definitely. If there is high anxiety along with sadness, we can add toficalm 25-50mg in morning and afternoon time. Zolpidem 12.5mg can.help in sleep. Both of these can be stopped after some improvement.

Hope this helps
Please feel free to ask more questions for clarification

Dr. Manisha Gopal
MD psychiatry
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What Medicines Should I Take For Depression And Suicidal Feelings?

Hello, You can try venalafaxine 37.5mg and increase it by 37.5mg every one week or ten days for further benefit, till there is 80-90% response. The maximum dosage can be 225mg in a day. Taper paxil by12.5mg at a time and repeat every five days and stop completely. Do not worry you will get better definitely. If there is high anxiety along with sadness, we can add toficalm 25-50mg in morning and afternoon time. Zolpidem 12.5mg can.help in sleep. Both of these can be stopped after some improvement. Hope this helps Please feel free to ask more questions for clarification Dr. Manisha Gopal MD psychiatry