8 Alternatives to Paxil — Talkspace

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Alternative Medications to Paxil

If Paxil isn’t working nicely for you, or if the unwanted side effects outweigh the advantages you’re seeing, speak to your physician about switching to a brand new drug. They could counsel a unique SSRI or need you to attempt a drugs in one other drug class. Just remember to talk along with your physician as you attempt new medication, and take into accout, when you expertise extreme unwanted side effects from one sort of SSRI, you may need comparable points with one other. 

Drug alternative isn’t a one-size-fits-all answer, so generally, it could actually take some time to seek out one of the best medicine to deal with your situation. Be affected person as you’re employed by way of the method of in search of options to Paxil. 

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1. Xanax (Alprazolam)

Xanax is in a unique class of medication, often called benzodiazepines (or benzos), so it may be a most well-liked alternative if unwanted side effects are a priority for folks taking Paxil for anxiousness. Benzos (like Xanax) work by growing ranges of the neurotransmitter GABA within the mind to induce rest.

It’s vital to notice that Xanax is addictive, and withdrawal signs may be extra extreme than with different anti-anxiety medicines. Xanax additionally has identified interactions with different medication, so it’s vital to debate every little thing you’re taking along with your physician — each prescription and over-the-counter (OTC) — to allow them to decide if Xanax may be a protected different to Paxil.

Xanax is used to deal with:

  • Anxiety 
  • Panic dysfunction
  • Generalized anxiousness dysfunction (GAD)

Xanax off-label makes use of:

  • Fear of flying
  • Depression
  • Obsessive-compulsive dysfunction (OCD)
  • Pain
  • Post-traumatic stress dysfunction (PTSD)

Common unwanted side effects of Xanax embody:

  • Dry mouth
  • Constipation
  • Drowsiness or fatigue
  • Weight acquire or weight reduction
  • Blurred imaginative and prescient
  • Decreased libido
  • Change in urge for food

2. Buspirone

Buspirone (usually often called Buspar) is an anti-anxiety medicine within the class of medication often called anxiolytics. Buspirone works by altering chemical ranges within the mind. It may be prescribed for the remedy of hysteria and might cut back emotions of irritation. 

While it’s not FDA-approved to deal with despair, some analysis suggests Buspirone would possibly improve the efficacy of some antidepressants. Some folks desire Buspirone as a result of it tends to not have the sedative results that many different anxiousness medicines are identified for. 

Buspirone is used to deal with:

  • Generalized anxiousness dysfunction (GAD)
  • Short-term anxiousness reduction 
  • Panic dysfunction

Buspirone off-label makes use of:

  • Augmentation of unipolar despair
  • Tardive dyskinesia
  • Bruxism
  • Post-traumatic stress dysfunction (PTSD)
  • PMS syndrome

Common unwanted side effects of Buspirone embody:

  • Headache
  • Nausea
  • Dizziness
  • Fatigue
  • Nausea or diarrhea
  • Confusion 

3. Zoloft (sertraline)

Zoloft (sertraline) is a well-liked medicine used to deal with some temper problems and despair. Like Paxil, Zoloft can also be within the selective serotonin reuptake inhibitor (SSRI) class of medication and works by growing serotonin ranges within the mind. 

If Paxil isn’t having the specified impact you’re looking for, your physician would possibly counsel attempting Zoloft.

Zoloft is used to deal with:

  • Major depressive dysfunction (MDD)
  • Panic dysfunction
  • Obsessive-compulsive dysfunction (OCD)
  • Social anxiousness dysfunction
  • Post-traumatic stress dysfunction (PTSD)
  • Premenstrual dysphoric dysfunction (PMDD)

Zoloft off-label makes use of:

  • Generalized anxiousness dysfunction (GAD)
  • Autism
  • Personality problems
  • Disordered consuming

Common unwanted side effects of Zoloft embody:

  • Dry mouth
  • Nausea or vomiting
  • Weight change 
  • Dizziness or lightheadedness
  • Diarrhea
  • Headache
  • Sexual unwanted side effects
Drug Generic Class of Drugs Conditions Can Treat Common Side Effects
Xanax alprazolam Benzodiazepine
  • Generalized anxiousness dysfunction (GAD)
  • Panic dysfunction
  • Dry mouth
  • Constipation
  • Drowsiness or fatigue
  • Weight acquire or weight reduction
  • Blurred imaginative and prescient
  • Decreased libido
  • Change in urge for food
Buspirone (no model title – Buspirone is the generic model) Anxiolytics
  • Generalized anxiousness dysfunction (GAD)
  • Short-term anxiousness reduction
  • Panic dysfunction
  • Headache
  • Nausea
  • Dizziness
  • Fatigue
  • Nausea or diarrhea
  • Confusion
Zoloft sertraline SSRI
  • Major depressive dysfunction (MDD)
  • Panic dysfunction
  • Obsessive-compulsive dysfunction (OCD)
  • Social anxiousness dysfunction
  • Post-traumatic stress dysfunction (PTSD)
  • Premenstrual dysphoric dysfunction (PMDD)
  • Dry mouth
  • Nausea or vomiting
  • Weight change
  • Dizziness or lightheadedness
  • Diarrhea
  • Headache
  • Sexual unwanted side effects

Natural Alternatives to Paxil

If you’re in search of pure options to Paxil, you’ve a number of choices to think about. Many of those have gained traction lately and work nicely for some folks. 

You can solely determine to modify from Paxil with the assistance and steering of your physician. Discuss the next non-drug choices along with your healthcare supplier to see if one may be an excellent Paxil different for anxiousness.

4. Talk remedy

Talk remedy, often known as psychotherapy, is a wonderful remedy possibility for psychological well being situations. In research, utilizing speak remedy together with medicine produced optimum outcomes that had been far superior to utilizing one or the opposite by itself.  

“Talk remedy may be useful in analyzing the connection between your ideas and habits. It additionally can assist with understanding the foundation of your signs and which coping expertise to make use of to really feel higher. “

Talkspace psychiatrist Dr. Dion Metzger, MD

Cognitive behavioral remedy (CBT) is a first-line remedy for each despair and anxiousness. CBT works by serving to you determine unhealthy or unhelpful habits and thought processes to be able to be taught coping instruments to alter them.

5. Lifestyle adjustments

Making easy life-style adjustments — like committing to a nutritious diet, figuring out, and sustaining a constant sleep behavior — can do wonders for the thoughts and physique. 

While for some folks, these alone might not be sufficient to totally deal with anxiousness or despair, when used to complement different parts of a remedy plan, changes to your life-style can provide vital outcomes.

6. L-theanine

The amino acid L-theanine may be present in inexperienced tea leaves and has grow to be a preferred different in treating stress and anxiousness. It’s identified for its calming properties, and research present it could actually provide anxiousness and stress reduction in some folks whereas enhancing sleep high quality and temper. 

7. Omega-3 fatty acids

Omega-3 fatty acids are an often-used complement that’s believed to assist psychological well being and provide coronary heart well being advantages. According to analysis, Omega-3s had been discovered to cut back despair and anxiousness signs in some folks. 

Omega-3 fatty acids are discovered naturally in meals sources — like oily fish similar to salmon and sardines and in eggs and nuts — they usually will also be taken in pill-form dietary supplements.

8. S-Adenosyl-L-Methionine (SAMe)

SAMe is a dietary complement which may be capable to increase serotonin ranges naturally. Serotonin is an important neurotransmitter within the mind that’s related to emotion regulation. While extra analysis is required, dozens of research counsel that SAMe may doubtlessly assist deal with depressive signs.

Considerations for Switching to a Paxil Alternative

Before you make any selections about switching from Paxil to one thing else, it’s best to speak to your physician. Quitting any medicine all of the sudden could cause signs, so remember to safely taper off by way of your physician’s instruction to keep away from Paxil withdrawal. They can information you safely by way of the method as you discover Paxil options. 

With your physician, you’ll evaluation key components which will come into play as you attempt to wean off Paxil, together with:

  • Your well being historical past: Your general bodily situation can have an effect on how nicely different remedy plans would possibly give you the results you want.
  • Your situation: The particular psychological well being situation you’re treating with Paxil will affect what different choices may be finest.
  • Risk vs profit evaluation: All medicines carry some danger. Understanding the trade-off of danger vs profit will likely be essential in deciding a brand new remedy plan.

Find the Right Alternative with Talkspace 

When it involves discovering an alternative choice to Paxil, you need a trusted useful resource you’re assured you’ll be able to depend on. Talkspace may be your companion as you navigate this journey. 

Our on-line psychiatrists can present medicine administration and remedy. If you’re prepared to begin the method of discovering one of the best remedy plan, attain out to Talkspace right this moment — you don’t must undergo this alone.

Sources:

  1. Questions and solutions in regards to the NIMH sequenced remedy options to alleviate despair (STAR*d) examine – all medicine ranges. National Institute of Mental Health. 2006. Accessed October 23, 2023. https://www.nimh.nih.gov/funding/clinical-research/practical/stard/allmedicationlevels
  2. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medicine in despair and anxiousness problems: A meta-analysis. World Psychiatry. 2014;13(1):56-67. doi:10.1002/wps.20089. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medicine in despair and anxiousness problems: A meta-analysis. World Psychiatry. 2014;13(1):56-67. doi:10.1002/wps.20089. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918025/. Accessed October 23, 2023. 
  3. White D, de Klerk S, Woods W, Gondalia S, Noonan C, Scholey A. Anti-stress, behavioural and magnetoencephalography results of an L-theanine-based nutrient drink: A randomised, double-blind, placebo-controlled, crossover trial. Nutrients. 2016;8(1):53. doi:10.3390/nu8010053. https://www.mdpi.com/2072-6643/8/1/53. Accessed October 23, 2023.
  4. Larrieu T, Layé S. Food for temper: Relevance of dietary omega-3 fatty acids for despair and anxiousness. Frontiers in Physiology. 2018;9. doi:10.3389/fphys.2018.01047. https://www.frontiersin.org/articles/10.3389/fphys.2018.01047/full. Accessed October 23, 2023. 
  5. Carpenter DJ. St. John’s wort and S-adenosyl methionine as “natural” options to traditional antidepressants within the period of the suicidality boxed warning: what’s the proof for clinically related profit?. Altern Med Rev. 2011;16(1):17-39. https://pubmed.ncbi.nlm.nih.gov/21438644/. Accessed October 23, 2023.

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