Doctors-what is the most amount of Paxil you could prescribe. What is the most y!
Question: Your other poster is correct in that the amount that we tend to prescribe depends on a number of factors including the type of illness, patient reponse to medication, side effects, concurrent use of a serotonergic agent or medication that competes for metabolism in the liver and in some cases, the type of provider doing the provider. Generally speaking, anxiety spectrum disorders seem to require higher doses of of SSRIs than depressive disorders. In terms of the last criteria, most PCMs I know tend to keep their dosing regiments within the FDA limits for the drug-in all cases this is 60mg po qhs (at night). Shrinks like myself can prescribe higher doses but thats because we work with these meds all the time and we feel more comfortable with off label use and higher doses. I myself have never given more than 60mg of Paxil because I have not had success with higher doses. Also higher doses tend to have ever increasing side effects like sedation, weight gain, dry mouth and sexual dysfunction.
BTW, Paxil is not indicated for children. Technically, only Prozac is approved for that use though in practice we use all except Paxil no which seems to be more questionable than the others in this regard. It is also contraindicated in pregnancy. Also, I personally NEVER give Paxil in the morning. Its sedating and eventhough that would seem like it would help anxiety in the short term, it tends to just make it more difficult for people to sleep at night if they were sedated during the day. And if you are on Paxil, keep in mind that higher doses require tapering down prior to discontinuation.Rapid cessation could lead to a very uncomfortable, though ultimately transient, syndrome called serotonin syndrome.
Answers: Your other poster is correct in that the amount that we tend to prescribe depends on a number of factors including the type of illness, patient reponse to medication, side effects, concurrent use of a serotonergic agent or medication that competes for metabolism in the liver and in some cases, the type of provider doing the provider. Generally speaking, anxiety spectrum disorders seem to require higher doses of of SSRIs than depressive disorders. In terms of the last criteria, most PCMs I know tend to keep their dosing regiments within the FDA limits for the drug-in all cases this is 60mg po qhs (at night). Shrinks like myself can prescribe higher doses but thats because we work with these meds all the time and we feel more comfortable with off label use and higher doses. I myself have never given more than 60mg of Paxil because I have not had success with higher doses. Also higher doses tend to have ever increasing side effects like sedation, weight gain, dry mouth and sexual dysfunction.
BTW, Paxil is not indicated for children. Technically, only Prozac is approved for that use though in practice we use all except Paxil no which seems to be more questionable than the others in this regard. It is also contraindicated in pregnancy. Also, I personally NEVER give Paxil in the morning. Its sedating and eventhough that would seem like it would help anxiety in the short term, it tends to just make it more difficult for people to sleep at night if they were sedated during the day. And if you are on Paxil, keep in mind that higher doses require tapering down prior to discontinuation.Rapid cessation could lead to a very uncomfortable, though ultimately transient, syndrome called serotonin syndrome.
HI--The dose of this medicine will be different for different patients. Follow YOUR doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
For oral suspension dosage form:
For treatment of depression:
Adults