Conversation: The conversation between human and AI assistant.
[|Human|] depressionI have been taking Paxil for about 6 months and it is not helping. everytime I take it I cry. I have considered suicide several times, but cant do it. Is there another med I can take that will actually help? I have no insurance and no family Dr. Please help!
[|AI|]  Hello, You can try venlafaxine 37.5 mg and increase it by 37.5 mg every one week or ten days for further benefit, till there is 80-90% response. The maximum dosage can be 225 mg in a day. Taper pail by12.5 mg at a time and repeat every five days and stop completely. Do not worry you will get better definitely. If there is high anxiety along with sadness, we can add topical 25-50 mg in morning and afternoon time. Collided 12.5 mg can. Help in sleep. Both of these can be stopped after some improvement. Hope this helpsPlease feel free to ask more questions for clarification