Conversation: The conversation between human and AI assistant.
[|Human|] I have been prescribed Paxil 40 mg at us. In addition I was placed on Cymbalta in an attempt to try to control pain from a spinal cord injury & tumor that is invading the Cord. I had to stop the Cymbalta due to the cost and was placed on Effexor ER 75 mg. if I take it in the morning as I did the Cymbalta, I am sluggish with no motivation. If I take it at night I m concerned about interaction with the Paxil. The Dr nor his FNP have been little help. I am unsure how to take the two safely. I am sorry, I was unaware there is a charge for this. I am unable to make payment due to 0 income. SSD pending. Thank you for your time
[|AI|]  Hello! Thank you for asking on Chat Doctor! I would explain that it is not recommended to take both Pail and Cymbal ta or Pail and Effector. You should know that Pail and Cymbal ta are part of the same pharmacological class (SSRI). When combined they increase the risk for possible serotoninergic syn Chat Doctor.  From the other hand Effector is a different pharmacological class, but can increase serotonin levels and when combined with Pail, it can lead to increased risk for serotoninergic syn