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Recently visited psychiatrist doctor have given the priscription of peroxitine 12.5 mg prolonged release and toficalm 50 for 20 days are both the combination ok ...I Google searched it and the combination is not ok ...need your views about it
Answers (13)
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Google is not a verified doctor. All the answers are fetched by an AI through quora, reddit, etc.
Next Steps
Trust Your doctor and if any doubts are there, you can ask go for a second opinion.
Health Tips
Don't change the course of your medication based on Google answers.
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Why you came to the conclusion that the combination is not okay?
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Hi, please don’t google your medications. It exaggerates a lot. Trust your doctors judgement. Incase of doubts, do discuss with them. They will be able to clarify your doubts.
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Do not get confused by information on net, it's partial, trust your doctor and discuss queries with the doctor
Medications you have been prescribed can be taken together, further toficalm will be tapered and stopped, main medication paroxetine will be continued and do not adjust or stop paroxetine on your own
Initially with main medication as paroxetine, some anxiolytic or sedatives are prescribed that are tapered and stopped in follow up visits as per symptoms and improvement
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Hello
If someone has given it
Kindly trust that Doctor and start medications
If any doubt
Kindly change the Doctor and start new prescription
Next Steps
kindly consult online for further management and treatment
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"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."
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This is combination is not dangerous in routine psychiatric practice.
Paroxetine takes 2-4 weeks to show its effect,
Tofisopam can give relief from anxiety and restlessness without causing much sedation and dependence.
Key is to take it exactly as prescribed and review as said, so the psychiatrist can decide whether to continue, adjust or stop as when needed.
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Hi.. yes they can be taken together.. just watch for excessive drowsiness.. consult online for further queries.
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Dr. Seujee Goswami
Psychiatrist
13 yrs exp
Bangalore
I understand your concern — it’s natural to feel worried after reading conflicting information online. Paroxetine ( a Selective Serotonin Reuptake Inhibitor usually used as an antidepressant)and Toficalm (which contains tofisopam, an anxiolytic) are sometimes prescribed together for short-term relief of anxiety and depression symptoms.
Tofisopam is different from regular benzodiazepines (like alprazolam or etizolam). It works on anxiety but is generally considered less sedating and has a lower risk of dependence compared to classic benzodiazepines.
Next Steps
1. Follow-up with your psychiatrist – share any side effects (drowsiness, nausea, sexual side effects, stomach upset) so adjustments can be made.
2. Do not stop Paroxetine suddenly – stopping abruptly can cause withdrawal symptoms (dizziness, anxiety, sleep problems). Any taper must be doctor-guided.
3. Clarify prescription duration – Paroxetine is usually long-term (months to years), while Tofisopam is often given short-term to manage acute anxiety or insomnia.
4. Ask about therapy options – combining medication with CBT or supportive therapy improves recovery and reduces relapse risk.
Health Tips
• Routine matters – take Paroxetine at the same time every day as advised to keep blood levels steady.
• Lifestyle support – regular exercise, good sleep hygiene, and limiting caffeine/alcohol help both depression and anxiety.
• Track symptoms – keep a small journal of mood, sleep, and side effects to discuss in reviews.
• Social support – share with a trusted family member/friend so they understand your journey and can encourage you.
• Be patient – SSRIs like Paroxetine may take 3–6 weeks for full benefit; don’t get discouraged early.
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Dr. Mohd Ahsan
Psychiatrist
10 yrs exp
Lucknow
Irrational combination
Not mentioned in any guidelines
Next Steps
second opinion is required
Health Tips
don't follow
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Dr. K L Tejaswini
Neuropsychiatrist
7 yrs exp
Guntur
Hii..
The combination of ssri with anxiolytic is most commonly prescribed by almost all doctors..
There is no need to worry about the combination.
Trust ur doctor and if you find any side effects like excess sleep consult Psychiatrist
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Dr. Bhagwat N Rajput
Psychiatrist
18 yrs exp
Delhi
Better start with one medication toficalm and if no improvement add another one ..
Do consult for further query
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