Brief Answer: Paroxetine does cause bleeding Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Paroxetine is a very good drug but like other SSRI drugs, it increases the chances of bleeding as it prevents platelets from clumping together. You certainly need to switch the antidepressant to a Non-SSRI drug and the same has to take place gradually as paroxetine has withdrawal symptoms. the other options are bupropion or agomelatonin etc. You need to discuss these options with your GP or treating psychiatrist who can help you with the prescriptions. As health care magic is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same. Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.

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