system
Has Anxiety, depression, OCD, diabetes, swelling in feet. On paxidep. Is it safe?
human
Hello Dr,My sister has Anxiety & Depression. She was diagnosed with OCD as well. She has been prescribed Paxidep 25 mg. I want to know if this drug is safe for long term use? My sisters blood sugar has risen to Fasting 123 mg/dl & Post Prandial to 180 mg/dl. Should she discontinue her medication or shift to others that are more safe with fewer side effects? She also reported swelling on one of her feet which is not painful.Thank you.
gpt
Hello  Your sister is having anxiety, depression and OCD. OCD is a type of anxiety disorder and it causes severe anxiety to patient. In more than 50% of cases of OCD depression is found to be co morbid. Paxidep is paroxetine and it belongs to SSRI group of drugs. This is a good antidepressant and anti anxiety drug. In OCD usually it is prescribed in higher doses. 25 mg is not a high dose and Paroxetine is comparatively safe drug so there is no harm in giving her this drug. It can control her symptoms. It is associated with slight increase in appetite or weight gain, which is a problem here. For this you can consult her psychiatrist regarding replacement to some other drug like Fluoxetine which don't cause weight gain and sedation. Rest assured there is no serious danger with these drugs. Thanks Dr. Seikhoo Bishnoi, MD