Hello Doctor,
I have been taking Paroxetine CR 12.5 mg at night for the past 3 months for anxiety and mild depression. Mentally, I am feeling much better.
However, I am facing some issues:
* Irregular bowel movements: frequent loose or semi-loose stools, sometimes normal. Urge to pass stool after eating.
* Anal itching/discomfort: constant itching and irritation in the anal area.
* Daytime drowsiness: difficulty waking up before 10–11 AM even after adequate sleep.
* Weight gain over the past few weeks.
I have attached a stool image for reference.
My questions:
1. Are these side effects of Paroxetine?
2. Should I change dose/timing or switch medicine?
3. Can I take probiotics for gut health?
4. Do I need any tests?
5. How to manage drowsiness and weight gain?
Please suggest treatment or lifestyle changes.
Thank you.
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