Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: ANOTHER QUES RE "SEEING PEOPLE" & MED'S 1ST POSTED 9-6

Forum: Neurology Forum
Topic: Multiple Sclerosis


Thank you all so much for the answer to my 9-6 post. I told my Psy. today on my appointment of hearing about the possibility with the Ultram & Paxil mix causing hallucinations and the book to find it in to read about it. She said she thought it was time to change my anti-depressent, she said I seemed to be very sensitive to my medications and gave me Serzone (nefazodone HCI) where you take 50 mg for 2 wks, then 100 mg for two weeks and 150 mg for 4 days. I asked her what side affects it had as the reason my Neuro had choosen the Paxil was it had the fewest side affects. She told me to read the literature included in the 24 day card of pills she gave me.

The medications I am on are listed in my 9-6 posting. Could you give me your opinion on this new medication please in lay persons wording of the possible side affects?

Could it cause hallucinations like the combo of Paxil and Ultram did? I do realize that MS can also cause these hallucinations but really feel it has been the medications.

She did not say to slowly reduce my intake of the Paxil but I have read something on this on the MS forum. What do you think?

Thank you very much. This forum has been very helpful.


=
Thanks for your feedback. The following are some of the side-effects that
can be associated with Serzone (you might not have any of them, but it is
useful to be aware of their existance):

-Postural hypotension: "lightheadeness" when getting up too quickly.
-Interference with cognitive and fine motor coordination: do not operate
heavy machinery, or be in places where a momentary "clumsiness" would
dangerous (e.g. up in a ladder) at least during the first few days.
-Other side-effects: somnolence, dry mouth, nausea, dizziness, constipation,
blurred vision, confusion, and abnormal vision.

Your dose of Paxil was quite low, and the amount of the medication in your
body will drift down slowly even if you stop abruptly.

I hope this information is helpful.

This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.



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