Question on SSRIs

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MexicanDr

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What is the equivalent dose of 40mg of Paxil in Prozac more or less?
 
unlike bb, acei or arb, SSRIs have different indications and side effects. so i wouldnt say there is any equivalent dose.

But the starting 10-20MG and maintenance doses 40-60 FOR PAXIL, 40-80 FOR PROZAC of the 2 agents are pretty similar.
 
the ARTIST (2001) trial showed similar results for ~20mg paroxetine vs. fluoxetine vs. ~50mg sertraline.

Pt satisfaction will depend on the genetic make up of your pt (Pgt transport or something), so someone not responding to paroxetine might do well changing to fluoxetine.

Or you can priapism's advice and give someone a multi-vitamin....but paroxetine/fluoxetine/sertraline are so cheap these days you might as well write the script for it.
 
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