Hello,
Paroxetine CR 37.5 mg for 45 days is generally within the therapeutic trial period. However, for anxiety disorders, full response sometimes takes 6–8 weeks or even longer, and some individuals may require dose adjustment or augmentation depending on symptom severity.
If anxiety is still persisting, possible reasons include:
• Partial response to current dose
• Need for dose optimization
• Underlying stressors or triggers
• Coexisting conditions (such as panic disorder, OCD, or depression)
• Lack of concurrent psychotherapy
It is important not to stop or change the medication abruptly, as stopping it in this way may cause withdrawal symptoms.
Next Steps
• Schedule a follow-up with your treating psychiatrist to review response.
• Discuss symptom pattern (frequency, triggers, severity).
• Consider adding psychotherapy such as CBT, which significantly improves outcomes in anxiety disorders.
Health Tips
• Some anxiety symptoms improve gradually rather than suddenly.
• Avoid self-adjusting the dose.
• If you experience worsening anxiety, severe restlessness, or mood changes, seek review promptly.