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Can Nexium be taken along with Elavil and Paxil?

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Posted on Fri, 10 Oct 2014
Question: hello I have anxiety really bad. I have been prescribed to take elavil 10mg and paxil 10mg is this safe? I looked it up online and idk. due to my anxiety I look
everything up and psych myself out. also can I take nexium with these drugs for acid reflux? please help
doctor
Answered by Dr. Ashok Kumar (20 minutes later)
Brief Answer:
One medicine is enough

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concern. Both of the medicine you got prescribed to are effective in anxiety and the dose is quite low.

If you have been my patient, I would have preferred one medication only, albeit at higher dose.
In case I decide to prescribe paxil I start with 12.5 mg a day and increase it to 12.5 mg twice a day or 25 mg per day.

I do not prefer Elavil with paxil as they may be cause of serotonin syndrome which is quite serious side effect with combination of these two medications.

There is no contraindication with nexium and you can take safely with any of the other medication.

Having said this please talk to your doctor to modify your prescription.

'Hope I have answered your query. If you have any further questions I will be happy to help".
Thanks

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Ashok Kumar (6 minutes later)
thank you so much! I took it yesterday but I felt bad so that's why I asked. my appetite is not here anymore and I just feel bad. I want to get better
doctor
Answered by Dr. Ashok Kumar (4 minutes later)
Brief Answer:
Continue with Paxil

Detailed Answer:
Hello,
Thanks for reverting back to me.

Feeling bad is common side effect of paxil which lasts generally less than one week so no need to worry about that. But in case this is very troublesome see your doctor as soon as possible and stop Elavil.

"If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you good health".
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3216 Questions

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Can Nexium be taken along with Elavil and Paxil?

Brief Answer: One medicine is enough Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concern. Both of the medicine you got prescribed to are effective in anxiety and the dose is quite low. If you have been my patient, I would have preferred one medication only, albeit at higher dose. In case I decide to prescribe paxil I start with 12.5 mg a day and increase it to 12.5 mg twice a day or 25 mg per day. I do not prefer Elavil with paxil as they may be cause of serotonin syndrome which is quite serious side effect with combination of these two medications. There is no contraindication with nexium and you can take safely with any of the other medication. Having said this please talk to your doctor to modify your prescription. 'Hope I have answered your query. If you have any further questions I will be happy to help". Thanks