Don't Stop Paroxetine "Cold Turkey"

March 2016

You'll get questions about which CNS meds shouldn't be stopped "cold turkey"...and how they should be tapered off.

How to stop a med isn't always clear-cut...and generally depends on dose, duration of therapy, reason for stopping, etc.

But using a "start slow to go low" approach can usually help limit discontinuation symptoms or other problems for patients.

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Table of Contents

Cardiology Use an ACEI or an ARB for Hypertension or Diabetic Kidney Disease
Depression Recommend Combining Antidepressants from Different Classes
Vitamins & Minerals Explain Why Fewer Patients Will Have Vitamin D Blood Levels Drawn
Fungal Infections Caution About Fluconazole for Vaginal Candidiasis During Pregnancy
Antithrombotics Don't Assume DOACs are Preferred for All Patients with Venous Thromboembolism
Antithrombotics Avoid Using the Abbreviation "tPA" for Alteplase
ADHD Explain New ADHD Forms Don't Offer Much Advantage Over Older Meds
Med Adherence Think of Smartphone Apps as Another Tool in Your Adherence Toolbox
Tapering Don't Stop Paroxetine "Cold Turkey"
Specialty Meds Document Specialty Meds in the EHR, Even if You're NOT the Prescriber
Statins Use These Tips to Handle Confusing Statin Interactions