You should consult your doctor or psychiatrist to review your treatment, as your current medications are not improving your depression. Do not stop or change them on your own. Your doctor may adjust your dose, change your medication, or recommend adding psychological therapies, such as cognitive behavioural therapy, to help manage your symptoms and improve your quality of life.

Do not switch from Paxidep 25 CR to Tryptomer 25 on your own. If you are thinking about switching, talk to your doctor first. They can decide whether a different medicine is better for you and tell you how to gradually change the dose safely.