Off the Paxil and onto Lexapro!!

I’m now hornier, better able to, ah, perform, slightly funnier according to friends, but…

The medication wears off too quickly, and I become extremely depressed late in the day. Almost paralyzingly so. Of course, if I were doing something in my life right now that gave me any happiness, maybe I wouldn’t have such a problem getting motivated to do it.

Med check with a psychiatrist who makes me uncomfortable is coming up Wednesday. Methinks I need to go from 10mg to 20mg, but of course, I will let this creepy man decide.

Enjoy your day.


“The jury will disregard may_be_ignorant’s entire opening statement, with the exception of ‘.’”

I was on Lexapro for a long time. I took 10 mg, 15 mg, and 20 mg at one time or another. For me, I found that 10 was not enough, 20 was too much and made me apathetic and 15 worked, but just eventually quit working all together. YMMV, as all anti-depressants didn’t work too well for me since I’m one of those Bipolar 2 people who just don’t do well on much of anything other than a mood stabilizer.

I guess what I’m saying is that you should definitely wait to see what your psychiatrist says because you never know what he might decide to do, creepy or not. :stuck_out_tongue:

And so it shall be.

What were you using Paxil for?

I’ve been diagnosed with depression and anxiety. I was using Paxil (40 mg/day) for both, I guess.

Based on your description. I think you’d be far better off staying on Paxil and taking something else to alleviate the sexual side effects. Ability to have sex is not worth being depressed. When you’ve been without for a while, it can feel that way, but it won’t last.

But I do find it odd that your Lexapro is wearing off. And you could always see if your doctor would be okay with increasing and/or splitting your dose. You might as well try that sort of stuff first.

Yeah, but Lexapro (AIUI) has a much better side-effect profile. It’s entirely possible that at the right dose, you get to have sex and enjoy life.

That is a good point.

I’m not really sure if it is really wearing off or not. Maybe it doesn’t have anything to do with my increased sexual drive. It could be that it’s not doing anything at all. I have had some recent stresses (life as a doctoral student, and car, computer, and relatively new television all broke in a single 3-day window) that have thrown me for a loop, so it could be that I’d be feeling the same under Paxil too.

IME Paxil is the absolute worst libido killer in the SSRI family. I hope you find something that works for you. I’ve been on everything under the sun pretty much. It is very likely that you need to increase the dose before you see an effect, I haven’t been on Lexapro but the initial dose is usually below therapeutic dose for most people. Talk to your psychiatrist if it doesn’t work, but on the other hand maybe you should find a new psych if he makes you uncomfortable.

Part of the reason I’ve been reluctant to seek out someone else is that, apparently, psychiatry here has gone out of the psychotherapy business altogether. He repeatedly told me that he’s not my therapist, but rather only involved in the medication side of things. He said our future appointments will be no longer than 5-10 minutes, and will focus on adjusting medication only.

During our initial consultation, which took about an hour, he told me I had a tendency to over-explain things and delve into too much detail. It seemed as if he wanted short, sweet answers to his questions.

ETA: If it is true that psychiatrists now leave all therapy up to psychologists, my goodness, what a racket. You see patients for 5-10 blocks, don’t have to do anything icky like a physical exam, and get to bill as a specialist. Do they do ER duty, like some family practice physicians do?

Well, that’s true. I must say, however, that when you find a really good psychiatrist, it’s a blessing. Mine takes a lot of time with me and asks a lot of questions. She also caught that I’d been misdiagnosed for the last twenty years.

I wonder if it’s a holdover from the past, because in the twenty years I’ve been dealing with my issues, I’ve never heard of a psychiatrist that provided therapy.

Really? Wow. I thought the “no-therapy” thing was a new phenomenon.

Not in my experience. And lord knows I’ve seen a (what’s a more polite term for “shit-ton”?)… a lot of psychiatrists over the years.

No, I’m sure you’re correct. I’ve never seen a psychiatrist before, so all I have to go on is movies and television shows like Frasier. Didn’t Niles Crane see patients for therapy? :slight_smile: