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Mental Health  (Expert Forum)
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An easy switch??
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

An easy switch??

by Jeanette, Apr 02, 2001 12:00AM
I am currently taking 40mg of Paxil and wish to switch to Wellbutrin.  Is this going to be an easy switch as in one day be taking Paxil and the next start Wellbutrin?  Or do I have to slowly be taken off Paxil first?  My doctor isn't sure and she said that she will eventually do some research on this.  I was wondering if maybe I could go back to her with a comment or an answer so that the changes could be made faster.  Thanks.

by Roger Gould, M.D., Apr 12, 2001 12:00AM
You should be started on
wellbutrin while on paxil so that whatever benefit you are getting from paxil
can ne maintained.  once you are on a therapuetic dose of wellbutrin for at
least ten days, the paxil can be tapered over one week.  unfortunately, paxil
is associated with a "ceasation syndrome" , so you may feel a bit fluish
during the tapering off. Sorry for the delay, this slipped by me.
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