### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I just switched from ativan to klonopin 3 weeks ago and am even more depressed than before. I tried effexor and liked it but, I have low bp and high heart rate when I stand POTS syndrome. The effexor makes my hr go up a lot more, 3rd day standing hr was 170. The Dr. Started me out at 150mgs. The only drug I have had luck with has been paxil at 30mgs. Are paxil and Klonopin a good mix? I also read that K decreases seratonin, is this true? If so, should paxil be able to pull me out of the terrible mood Im in, crying, fearful ect? Im hoping that the Paxil will kick in and I can start weaning the 1mg I am taking of K. My psych said the Ativan was giving me paridoxical effect after 8 months. I feel the K is doing that too so I want to get off at some point. Thank you!! Brooke

### output:

Hello and The combination of pail and Klonopin is fine but --it should give good results to you too!. It is not that every patient will have good results with a particular combination. In cases like yours - you have some results with pail 30 mg, so I think it will be good that you increase the dosage further to 45-50 mg daily. If you adequate response then it's ok, but if there is no adequate response- then I have had very good results in such cases by adding quetiapine . Quetiapine not only controls anxiety/sadness but also give well deserved station. It reduces the need to take Klonopin to a large extent. So, please meet your psychiatrist and discuss these points. I hope the reply helps feel free to ask more queries