![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by zarathustra on August 6, 2001, at 20:07:02
I take Paxil.
I started at 30mgs for a month, and now i've been on 50mgs for a month (it pooped out on me last year and i decided to try it again) so.... i've been on paxil for two months and the last few days i have felt much better, BUT, last week I started 10mgs of librium QID.How can I differentiate which one is actually working?
and
Is it possible for a ssri to take 8 weeks to work?sincerely, Andrew
Posted by Cam W. on August 6, 2001, at 20:36:10
In reply to is there a maximum time for ssri's to work?, posted by zarathustra on August 6, 2001, at 20:07:02
Andrew - Everyone is different and it also depends on what you are using the SSRI for. For depression, the general consensus is to give the SSRI "at least" an 8 week trial before giving up on it. Some people respond in 3 to 4 weeks, others can take 16 weeks.
As to telling if it is the Paxil™ (paroxetine) or the lithium, it is probably both. Lithium is very seldom given alone for depression, but it seems to augment the effect of antidepressants, possibly through a synergistic effect.
Ask your doc what his/her plans are, and how much longer he/she plans to keep you on the combination before trying something different. It is probably a good idea to stay on the Paxil and lithium for another couple weeks, if you can.
I hope that this is of some help. - Cam
Posted by zarathustra on August 6, 2001, at 20:40:11
In reply to is there a maximum time for ssri's to work?, posted by zarathustra on August 6, 2001, at 20:07:02
cam, I take 10 mgs of librium (chlorodiazepoxide)
not lithium.
Posted by Cam W. on August 6, 2001, at 20:42:10
In reply to is there a maximum time for ssri's to work?, posted by zarathustra on August 6, 2001, at 20:07:02
Andrew - Sorry about that, I misread. Still give the Paxil another couple weeks, unless your doc wants to do otherwise. The Librium is probably for your anxiety. If you are taking the Paxil for anxiety, it can take a little longer to work than if it was used for depression. Also, doses used for anxiety are higher than than used for depression.
The Librium™ (chlordiazepoxide) is not very addictive, if it is taken as directed (and not more often than directed). You are taking a low dose and can be taken until the Paxil kicks in.
Sorry for the first post. I hope that this helps. - Cam
Posted by ben on August 8, 2001, at 15:11:45
In reply to Re: Oops! Librium, not lithium. » zarathustra, posted by Cam W. on August 6, 2001, at 20:42:10
My doc said that there isnt much hope for an AD to kick in after 4 weeks on a right dose. But I know there are several meanings and it could probably be worthfull (specially SSRI`s) too wait for more than 4 weeks.
Best wishes Ben> Andrew - Sorry about that, I misread. Still give the Paxil another couple weeks, unless your doc wants to do otherwise. The Librium is probably for your anxiety. If you are taking the Paxil for anxiety, it can take a little longer to work than if it was used for depression. Also, doses used for anxiety are higher than than used for depression.
>
> The Librium™ (chlordiazepoxide) is not very addictive, if it is taken as directed (and not more often than directed). You are taking a low dose and can be taken until the Paxil kicks in.
>
> Sorry for the first post. I hope that this helps. - Cam
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.