Ask an expert

05 Oct 2009

Pls advise.

Have been on Paxil for over a year now. Been struggling with moods changes, problems sleeping, agitation amongst other things.

Now i have been prescribed Fluexotine in addition to the above with an increase in dosage.

What is the point of this, are they not the same?
Answer 408 views

01 Jan 0001

They're not the same, but members of the same family of drugs with essentially the same way of working, and I can't imagine any good reason for adding one to the other --- it's like adding sugar and swetener to your coffee. Am I guessing right that this is a prescription from a GP and not a specialist psychiatrist ? If so, best ask for referral to a psychiatrist for re-assessment and more expert planning of treatment. If a psychiatrist, ask for an explanation of why this has been suggested. Psychioatrists occasionally might suggest combining two antidepressants, but would then choose two with more significant differences between them
Ah, seeing your second message also sounds like a GP. Fluanxol is more useful for anxiety symptoms than depression. It isn't much used by specialists, but is a more reasonable and sensible combination with an antidepressant than adding together two of exactly the same sort .
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
Voting Booth
Have you entered our Health of the Nation survey?
Please select an option Oops! Something went wrong, please try again later.
32% - 9472 votes
68% - 20299 votes