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I have been on 40mg Paxil for almost 1 year, up from 20 which I have taken for almost  years.  I haven't noticed any improvement other than the depression is more obvious.  I am ready for a new anti-depressant that will take the "blues away".  I am self-employed without much pressure but it gets to be overwhelming at times.  I do have a lot of decisions to make and I worry about my wife having to assume more of the daily responsibilities as months march by.  And the ever present financial concerns, etc.  Is there any practical next drug to request or avoid.  What is the best way to come off one and begin the next drug?  What  are likely Reponses to this change?


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Tom the mini-tremorer