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I am taking paroxitine cr 25 and fluxatine 40 mg..this med is effected and good responce for me But i am scared that this med can shoot my blood sugar.Till today i hav no sugar.But this med i am taking frm 2 month and my sugar pp now is 175 after taking this med.pls sujjest me what can i do right now
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Hi, may be change of medicines can help. Consult online for treatment
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Your concern is valid and the post-prandial (PP) sugar of 175 mg/dL needs to be taken seriously â this is in the prediabetes range (normal PP is below 140, prediabetes is 140â199, diabetes is 200 or above). Your instinct to connect this with your medication is worth investigating. Among SSRIs, Paroxetine (Paxil/Paroxetine CR) is known to cause the most weight gain among all SSRIs, and weight gain leads to increased insulin resistance and higher blood sugar. The combination of Paroxetine CR 25mg + Fluoxetine 40mg is unusual â taking two SSRIs together is not standard practice and needs to be reviewed by your psychiatrist. However, the most important thing right now is this: do NOT stop either medication on your own. Stopping these drugs suddenly â especially Paroxetine â can cause severe withdrawal (dizziness, electric-shock sensations, worsening depression) and is dangerous. The medications are clearly helping your mental health, and stability comes first. What you need to do urgently is modify your lifestyle: reduce refined carbohydrates (rice, bread, sugar, sweets, maida), eat more vegetables, fibre, and protein, and walk for at least 30 minutes daily â these simple changes can bring the PP sugar back below 140 within weeks.
Next Steps
Get an HbA1c + fasting blood sugar tested immediately to understand your true average sugar over 3 months. Discuss the PP reading of 175 with your psychiatrist â they may review the Paroxetine dose given its metabolic effects. Do not stop any medication without your doctor's guidance. Please consult me directly on Practo for a detailed evaluation.
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Dr. Sunil Nagar
Neuropsychiatrist
18 yrs exp
Rewa
PPBS 175 mg/dL does not confirm diabetes or prove it is due to paroxetine. Do not stop the medicine. Check fasting blood sugar and HbA1c, continue lifestyle measures, and review with your psychiatrist for possible medication adjustment if needed.
Next Steps
kindly consult
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Dr. Mrinal Gautam
Psychiatrist
3 yrs exp
Kolhapur
While Selective Serotonin Reuptake Inhibitors (SSRIs) like Paroxetine CR and Fluoxetine are highly effective for mood and anxiety, they can occasionally alter metabolic profiles, increase carbohydrate cravings, or impact insulin sensitivity over time.
A Post-Prandial (PP) blood sugar level of 175 mg/dL falls into the impaired glucose tolerance (pre-diabetes) range. It is elevated, but it is not an acute, immediate medical emergency. Since these medications are giving you a good therapeutic response, your blood sugar can be managed safely without jeopardizing your psychiatric recovery.
Next Steps
Consult an Endocrinologist or General Physician: Show them your blood sugar readings. They can evaluate if this elevation is a direct drug-induced metabolic shift, a lifestyle factor, or age-related pre-diabetes, and guide you on initial management.
Get an HbA1c Blood Test: This test measures your average blood sugar over the past 3 months and will provide a definitive picture of whether you have true diabetes or a temporary spike.
Inform Your Treating Psychiatrist: Let your doctor know about this side effect. If necessary, they can look into streamlining your regimen or transitioning you to a more metabolically neutral medication.
Health Tips
Do not stop taking Paroxetine or Fluoxetine on your own. Abruptly discontinuing these psychiatric medications can trigger severe withdrawal symptoms (dizziness, brain zaps, irritation) and cause an immediate relapse of your original symptoms.
Modify Your Diet Immediately: Right now, naturally control the spike by strictly limiting refined sugars, white rice, and processed carbohydrates. Focus on a high-fiber diet with plenty of vegetables and lean protein.
Incorporate Daily Walking: A simple 20 to 30-minute brisk walk after meals is highly effective at burning excess post-meal glucose and naturally improving your body's insulin response.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.