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Dr. Andrew Rynne

Family Physician

Exp 18 years

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What causes excessive hunger while on Paxil?

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Practicing since : 2001
Answered : 1663 Questions
Is it bad that im always hungry lately? I started paxil about 2.5 months ago for anxiety and i have been taking pantaloc consistantly for heart burn. Im 180 pounds, 5'11". These last 2 weeks ive been eating big lunches and big dinners and then late at night im hungry again.. I have anxiety so im asking because i think something is wrong with me for being so hungry like stomach cancer or something
Sat, 9 Aug 2014 in Digestion and Bowels
Answered by Dr. Shehzad Topiwala 1 hour later
Brief Answer:

Detailed Answer:
Sorry to learn about your complaints.

Paxil has been reported to increase appetite in about 2 to 4 % of cases. So I would advise you to check with the prescribing doctor if this can be addressed in any way.

However, it would still be worthwhile looking into this symptom. When I see someone who presents to me with this set of complaints I typically order the following blood tests:

Liver function tests
Kidney function tests

And then I also consider doing an Ultrasound examination of the abdomen. Sometimes an upper gut 'Endoscopy' test is warranted to rule out inflammation of the gut lining. Ulcers in the duodenum make one feel like eating perpetually to alleviate the symptoms.

Check with your doctor how to proceed with this

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