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Hello Doctor, I have been taking Paroxetine 12.5 mg for the past 1 week for anxiety, mild depression, and premature ejaculation. I take it at night after food as prescribed. Since starting the medication, I have been experiencing: • Nausea • Daytime drowsiness (even after sleeping 8-9 hours) • Occasional brain fog • Lack of appetite in the morning Additionally, I am taking Centrum Multivitamin in the morning or afternoon after food. Are these side effects normal during the initial weeks? Should I continue the medication or consider adjusting the dose? Is it safe to take the multivitamin along with Paroxetine?
Please advise. Thank you.
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I want to acknowledge how much courage it takes to voice these struggles. Often, we treat mental health as a matter of 'willpower,' but as a psychiatrist, I can tell you that what you are experiencing has a real biological and neurological basis.
Your brain, like any other organ, can sometimes struggle to maintain balance under stress. Seeking treatment isn't a sign of failure; it’s a proactive medical decision to regain your quality of life. We can work together to understand the 'why' behind these feelings and find a structured path back to your baseline. You don't have to navigate this alone.
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Yes your body will adjust with the medications. Do consider the possibility of adding psychotherapy for your mood symptoms.
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Hey, I just wanted to say it’s a really good move that you reached out instead of just quitting the meds because of the side effects. It’s super common for your body to need a little “buffer time” to get used to everything, which is exactly why your sleep and stomach have been acting up lately.
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wait and watch
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Don’t stress too much for now. Just try to hang in there for another two weeks to give the medicine a fair shot to actually start working. If you’re still feeling off or things aren't improving by then, that’s the time to touch base with your psychiatrist or maybe even grab a second opinion just to be sure.
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Hey, first of all, good that you didn't stop medications because of side effects, instead you asked. And initially, when we start medications, the body takes time to adjust to meds, that's why the effects on sleep and gastric upset.
And yes multivitamins are completely safe to take with paroxetine.
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Do not worry, wait for 2 weeks for meds to work and side effects to come down. If still, you don't feel okay please consult your psychiatrist once or take second opinion
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indeed you should continue medicine..the dose you are taking is very low.. sometimes gastric upset may be there but gets relieved as days go..drowsiness in day is not common
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consult
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keep active, exercise and maintain daily working
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Hi.. yes the side-effects will come down in few days. Consult online for further questions regarding the same
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