Which one is more effective on major depression,paxil 20 or stablon(tianeptine) ?does tianeptine cause nausea as an adverse effects ?my wife has suffered from major depression for months.my psychiatrist wanted me to give up taking stablon(tianeptine) and to take paxil.i ask you to give me an account of paxil,its side effects .
Both Tianeptine and Paroxetine are found to be equally effective for major depressive disorder. This has been proved by randomized placebo controlled trials. Nausea is known to be associated with Tianeptine, but it is much less than the SSRIs.
Paroxetine is a selective serotonin re-uptake inhibitor. Its mechanism of action is exactly opposite to that of Tianeptine. But the long term effect of both these drugs is the same. There is a list of side effects of Paroxetine, but some of the common ones are nausea, somnolence and ejaculatory disturbance.
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