Paxil is an antidipressant - one of the Serotonin UPtake inhibitor type ... we've found with my dad that most of them made him like a zombie too (even though they're not supposed to) . He's had problems with the depression (he was diagnosed with that before PD - but now we think it was an early sign of his PD ). His MD's have tried a number of antidepressants and while they help a little none of them have brought complete relief. Recently we wanted him switched to Mirapex cause he gets SOOO sick from the SInemet - but his Neuro didn't want to change meds till the depression /nausea was worked out ... but nothing changed. (Now he's on Serzone - but he's been on Pamelor (a no-no for PD'ers ) , and Effexor in the passed). So - after reading Margie's note on how Mirapex helped Dick's depression - (and a consultation with the GP) we went back to the neuro - and he's on Mirapex. Its only week ONE - but let me tell you - this could be the MIRACle drug for him. The depression is nearly gone - he's talking more - gets interested in conversation /TV football food etc. (we're ALL going to gain weight now that he's ASKING for food !). Its GREAT - almost like having my old dad back ! I should add that the nausea is gone too - even though he's still taking a little Sinemet (1/2 tab three times). His major symptoms was leg pain/cramps - posture and gait (no tremor) - and the depression ! The hope is that with increased Mirapex - maybe he can cut back on both the Sinemet AND the antidepressants ! So my answer would be TRY the Mirapex ! Donna (daughter of PD dad 74/dg 1/97 - MIRAPEx /Sinemet) >From: Parkinson's Information Exchange on behalf of Staley Mims >Sent: Sunday, October 05, 1997 8:58 AM >To: Multiple recipients of list PARKINSN >Subject: Paxil ? help!! > >On Sept. 30, my husband's neuro started him on Paxil for "serotonin reuptake >inhibitor"; Staley 66/dx't 3 (believes he's had about 7 or 8 yrs) had been so >sleepy all the time (every time he sat down, he would go to sleep, even while >eating!.) So, he has been taking 1 20 mg. pill a day since then and has been >even worse, like a zombie. All he does is sleep! Does anyone know anything >about Paxil? I know I have seen it mentioned on this list, but don't >remember anything about it since he was not taking it. I'm thinking of >calling his neuro tomorrow, but was wondering if anyone else this response >to Paxil. Do we just need to give it more time? His Dr. wanted to try Paxil >for 3 wks. and then put him on Mirapex. Should we skip Paxil and go to >Mirapex? We would appreciate any input on this. I would like to have my >husband back! He has a little tremor but mostly Bradykinisia. He is very >stooped over, very slow, can hardly be understood when talking, etc., but I >would rather have that than this being like a zombie! Please, can anyone >help? ------------------------------------------------------------------------------ - Donna Bassolino-Klimas, Ph.D. Bristol Myers Squibb Pharma. Res. Inst. Department of Macromolecular Structure P.O. Box 4000 Room H3812 Princeton, N.J. 08543 4000 (609) 252 4413 INTERNET: [log in to unmask] ------------------------------------------------------------------------------