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No motivation on Paxil

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Hi, I am 46 and on 20mg of paxil (generic). I am wondering if I need a higher dose or another type of med. I find myself not really caring about somethings. I have to "make" myself do what is necessary. I make myself take a shower, I make myself leave the house to run errands, I am a volunteer at our local hospital and I have to make myself go. I am happy once I start doing these things, it is just the doing of it. I am also very overweight and don't do anything abt it. I want to, I know I can, I just don't. I have become a very loud snorer so have moved into the guest room so my husband can sleep. I would much rather be in with him, but don't do anything abt. that either. I do feel like I am happy, I am content with my life just don't want to do anything! Any thoughts? Thank you!

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replied March 19th, 2010
Depression Answer A10728
Hi, welcome to the ehealth forum and I am glad to help you.
You seem to be concerned by the slowed physical activity, fatigue and loss of energy.
You have been suggested the diagnosis of depression and are taking paroxetine for the same.
For the diagnosis of major depression, some criteria have to be met as per DSM-IV guidelines. In your case, the classic symptoms like depressed mood and loss of pleasure do not seem to be present as per your description. As you have not informed about the duration of symptoms as well as the duration of treatment with paroxetine, it's difficult to comment. The diagnosis of dysthymic disorder may be considered if you have a pattern of ongoing, mild depressive symptoms(including psychomotor retardation with slowed activity, fatigue and loss of energy etc.) that are less severe and less disabling than those found in major depression for a period of at least 2 years. The term minor depression is used for individuals who experience at least two depressive symptoms for 2 weeks but who do not meet the full criteria for major depression. Dysthymic patients and patients with minor depression also respond to treatment with antidepressants. The usual starting dose of paroxetine is 20 mg once a day and it can be increased to maximum of 50 mg once a day in steps in consultation with your psychiatrist if no effect is seen after 2 months of therapy. No dosage changes shall be attempted on your own.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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