Paxil
Just, no.
Welcome to the most exasperated column yet in the ever-expanding Frontier Psychiatrists’ pharmacopeia of the gosh-darned. This is a daily health-related newsletter, and there is a lot behind the paywall (most writing past 5 weeks old)—consider subscribing and buying coffee makers I like from Amazon to support the work.
Other Include Risperidone, Depakote, Geodon, Ambien, Prozac, Xanax, Klonopin, Lurasidone, Olanzapine, Zulranolone, Benzos, Caffeine, Semeglutide, Lamotrigine, Cocaine, Xylazine, Lithium, dextromethorphan/bupropion and Adderall, etc.
TL;DR?
The world doesn't need Paxil.
Paroxetine is another SSRI. I have never prescribed it. If I had ever needed it to exist, I probably would have. Like Xanax, they got it over the line with panic disorder as an indication. This alone should have been a red flag.
It’s got a viciously short half-life1. It’s got tons of awful adverse effects…
paroxetine was associated with a 620 percent increase in the rate of breast cancer in women who had ta…