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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 31. This is the beginning of the thread.
Posted by NEEDHELPPLEASE on March 5, 2006, at 12:06:46
HELLO,
I JUST STARTED TAKING PAXIL 20MG. THIS WEEK, IT'S BEEN 5 DAYS NOW AND I CAN'T SLEEP MORE THAN 2-3 HOURS/EVEN WITH 1MG. XANAX. I AM VERY NERVOUS MORE ANXIOUS THAN BEFORE AND I CAN FEEL MY HEART POUNDING CONSTANTLY THOUGH MY CHEST AND I HAVE THIS FEELING LIKE I HAVE TO TIGHTEN/STRETCH MY MUSCLES CONSTANTLY. I AM SO SCARED I CANNOT AFFORD TO FEEL THIS WAY, I JUST BECAME THE FATHER OF A SECOND CHILD AND WENT ON 2ND SHIFT TO SUPPORT THEM WITHOUT DAYCARE AND I'M AFRAID I'M LOSING MY MIND. I HAVE OCD/ANXIETY/ DEPRESSION
NOT SURE IN WHICH ORDER. THESE THINGS ARE MUCH WORSE IN ME WHEN BIG CHANGES OCCUR IN MY LIFE{LIKE NOW} ALSO IN THE WINTER I GET DEPRESSED FROM LACK OF SUN. XANAX IS THE ONLY THING RIGHT NOW THAT KEEPS ME SANE AND EVEN THAT WON'T ALLOW FOR MUCH SLEEP WITH THIS PAXIL. I ALSO TRIED ZOLOFT AND LASTED 2 DAYS WITH SAME SYMPTOMS.
PLEASEEE CAN SOMEONE GIVE ME SOME ADVICE I'M SLIPPING AWAY HERE AND I HAVE ALOT AT STAKE.!
THANKYOU ANYONE,,,
BYE
Posted by Emily Elizabeth on March 5, 2006, at 12:33:52
In reply to PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 5, 2006, at 12:06:46
Perhaps you could use a sleeping med (Ambien, Lunesta, etc.)rather than the xanax to help you sleep. Lack of sleep can make anxiety SO much worse. Temporarily using a med to get you caught up on sleep and back on your schedule could help your situation. You might just be having some start up side effects that will subside as you get used to the med. On the other hand, some pdocs put people on a sleep med for an axtended period of time. It is a decision with some positives and negatives that must be discussed w/ your pdoc.
Also, but I suspect that this is less likely, but you might be on too high of a dose for you. Paxil comes in 10mgs and/or it can be spilt pretty easily.
Or, maybe you are not on a high enough dose and the symptoms you are experiencing are your condition rather than the med. When I used to take paxil I needed to be on 50-60mg to control my anxiety. However, taking such a high dose make me so sleepy all day.
Give your doc a call tomorrow and touch base abt this. DO NOT stop paxil cold turkey or drop your dose too quickly. The withdrawal can be awful.
Hope this helps and makes sense.
Best,
EE
Posted by SLS on March 5, 2006, at 13:02:53
In reply to PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 5, 2006, at 12:06:46
> HELLO,
HI!!!
IT'S REALLY, REALLY HARD TO READ CAPITAL LETTERS!!!
What does your doctor have to say about all of this? Did he tell you to continue taking the medication despite your reaction to it? Anxiety and insomnia are often side effects of antidepressant medications, including Paxil. You are probably very vulnerable to them. They can sometimes go away within a short period of time, though.
> I JUST STARTED TAKING PAXIL 20MG. THIS WEEK, IT'S BEEN 5 DAYS NOW AND I CAN'T SLEEP MORE THAN 2-3 HOURS/EVEN WITH 1MG. XANAX.
You might be better off with smaller initial dosages of serotonergic drugs. 20mg of Paxil is probably too high for you to start off with. If your doctor feels that you should continue with Paxil, perhaps he will agree that you should start off at 5mg or 10mg rather than 20mg.
Are you in psychotherapy? Perhaps you would profit from stress management. The sudden increase in life stressors and the startup anxiety of Paxil are probably working together to make you feel extremely panicked.
> I CANNOT AFFORD TO FEEL THIS WAY
Then, the best advice I can offer you is to contact your doctor. Otherwise, you might have to discontinue the medication or at least reduce the dosage significantly so that you can function in the interim. There is so much to consider when making this type of decision. I wish I could guarantee you that these side effects will pass within the next 24 hours, but I can't.
How long have you been seeing this doctor? Is he a specialist in psychiatric medicine?
- Scott
Posted by SLS on March 5, 2006, at 13:16:08
In reply to Re: PAXIL SIDE EFFECTS, posted by Emily Elizabeth on March 5, 2006, at 12:33:52
Hi Emily.
> DO NOT stop paxil cold turkey or drop your dose too quickly.
Your advice is excellent for anyone who has been taking one of these drugs for two weeks or longer. However, he has been taking Paxil for only 5 days. I think reducing the dosage or even discontinuing the medication abruptly at this point will help more than it will hurt. I would be surprised to see a withdrawal reaction so soon. I guess you never know for sure when it comes to psychiatric medication, though.
I agree that the greatest service this message board can perform at this time is to advise that the doctor be contacted as soon as possible and to convey that these side effects are sometimes temporary. It is difficult for us to know for sure if this is the right drug or wrong drug for him. However, Paxil is certainly a good choice for his described conditions.
- Scott
Posted by TylerJ on March 5, 2006, at 13:56:04
In reply to PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 5, 2006, at 12:06:46
> HELLO,
> I JUST STARTED TAKING PAXIL 20MG. THIS WEEK, IT'S BEEN 5 DAYS NOW AND I CAN'T SLEEP MORE THAN 2-3 HOURS/EVEN WITH 1MG. XANAX. I AM VERY NERVOUS MORE ANXIOUS THAN BEFORE AND I CAN FEEL MY HEART POUNDING CONSTANTLY THOUGH MY CHEST AND I HAVE THIS FEELING LIKE I HAVE TO TIGHTEN/STRETCH MY MUSCLES CONSTANTLY. I AM SO SCARED I CANNOT AFFORD TO FEEL THIS WAY, I JUST BECAME THE FATHER OF A SECOND CHILD AND WENT ON 2ND SHIFT TO SUPPORT THEM WITHOUT DAYCARE AND I'M AFRAID I'M LOSING MY MIND. I HAVE OCD/ANXIETY/ DEPRESSION
> NOT SURE IN WHICH ORDER. THESE THINGS ARE MUCH WORSE IN ME WHEN BIG CHANGES OCCUR IN MY LIFE{LIKE NOW} ALSO IN THE WINTER I GET DEPRESSED FROM LACK OF SUN. XANAX IS THE ONLY THING RIGHT NOW THAT KEEPS ME SANE AND EVEN THAT WON'T ALLOW FOR MUCH SLEEP WITH THIS PAXIL. I ALSO TRIED ZOLOFT AND LASTED 2 DAYS WITH SAME SYMPTOMS.
> PLEASEEE CAN SOMEONE GIVE ME SOME ADVICE I'M SLIPPING AWAY HERE AND I HAVE ALOT AT STAKE.!
> THANKYOU ANYONE,,,
> BYEAre you seeing a Psychiatrist or your family doc? If you aren't seeing a Pdoc, I think you should get in to see one asap. What you may be experiencing w/ Paxil may fade with time...however, I would reduce your dose immediatly. Split the pills in half take only 10 mgs. for a couple of days to see if that helps. If it continues than Paxil may not be the best med. for you. What you should do first however is CALL YOUR DOCTOR! If you can't get into see him/her right away tell the receptionist how your feeling and she can relay to the doc and he can tell you what he wants you to do until he see's you. Regardless, I would still reduce med. by half right away...but that's just my opinion and i know that would be the first thing my pdoc would recommend. Hope this helps some.
Tyler
Posted by ed_uk on March 5, 2006, at 14:23:40
In reply to PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 5, 2006, at 12:06:46
20mg Paxil is too high a starting dose for many people. I'd advise reducing the dose to 5mg for the moment. After a while, you can increase the dose if necessary.
Ed
Posted by NEEDHELPPLEASE on March 5, 2006, at 14:29:30
In reply to Re: PAXIL SIDE EFFECTS » NEEDHELPPLEASE, posted by TylerJ on March 5, 2006, at 13:56:04
Sorry about the caps,, that's the last thing on my mind right now. Over the years i have been on almost all the ssri's and they never have seemed to be of much help for me and anytime i go to a pdoc, i always end up being put back on one of them. if i call and say that paxil is intolerable
what would be a good suggestion for a different type of depression/anxiety med other than an ssri?
my biggest concern right now is that i cant sleep!
the more sleep i lose the worse i'm beginning to feel~ thanx for the help/support so far
Posted by SLS on March 5, 2006, at 14:48:06
In reply to Re: PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 5, 2006, at 14:29:30
> Sorry about the caps,,
NO PROB.
:-)
Believe it or not, Nardil might fit the bill if you can't tolerate any of the SRIs (including Effexor and Cymbalta).
- Scott
Posted by Racer on March 5, 2006, at 17:49:20
In reply to Re: PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 5, 2006, at 14:29:30
First off, whatever you do decide to do (and I very much agree that calling your doctor would be the best first step), don't lose hope. With a lot of the side effects that come up in the first few weeks, they fade over time. Generally, what you experience on an SSRI during the first month will be very different from what you'll experience after two or three months on a drug. Paxil is probably the best SSRI for anxiety, as far as everything I've experienced and read here of other people's experiences would show.
Also, just my own experience, Xanax for sleep left me MORE depressed over time. An actual sleeping medication, like Ambien, doesn't do that to me, for whatever that's worth. You might talk to your doctor about Trazadone, which is an antidepressant often prescribed for sleep. Might help boost whatever AD you go on, as well as helping your sleep. And sleep disturbances can play havoc with mood disorders.
Speaking of sleep, if you've recently switched shifts, that could be a big part of all this. If you can hang on for a few more weeks, some of this might improve just because you've adjusted better to the new schedule. Cross your fingers, huh?
And lastly, for other meds, there are several other classes of drugs that you might benefit from. The tricyclic antidepressants might offer something helpful, probably starting with nortriptyline or desipramine. But before those, I think I'd suggest Effexor or Cymbalta, which are dual serotonin-norepinephrine reupake inhibitors. That might help. Or Remeron, which is a newer drug and not related to the others. I don't know nearly as much as SLS does, though, so pay attention to anything he says. He's one smart fellow.
Good luck.
Posted by Last Chance on March 5, 2006, at 18:33:19
In reply to Re: PAXIL SIDE EFFECTS » NEEDHELPPLEASE, posted by Racer on March 5, 2006, at 17:49:20
The best I can offer is my own experience. I have taken Paxil, it helped quite a lot, but I can remember saying to myself that I could never go thru the initial 6 weeks again - it was absolutely terrible. I am not recommending to not take it - sounds like you are sensitive to the side effects of drugs - lower the dose at least in half or to 5mgs and go up slowly - it will take longer to get to a therapeudic dose but you won't be suffering quite such terrible side effects. My sister took Paxil, also, but she had no trouble with the first weeks - almost felt nothing. I really wish you the best with this and feel like I understand what you are going through. I still had to take an occasional Klonapin, half a .5 for anxiety. Richard
Posted by Emily Elizabeth on March 5, 2006, at 20:55:53
In reply to Re: PAXIL SIDE EFFECTS » Emily Elizabeth, posted by SLS on March 5, 2006, at 13:16:08
>> DO NOT stop paxil cold turkey or drop your dose too quickly.
>Your advice is excellent for anyone who has been taking one of these drugs for two weeks or longer. However, he has been taking Paxil for only 5 days.
Oops, I must have forgotten about the 5 days. I agree w/ you then. My own hellish withdrawal from Paxil makes me want to warn others whenever I can!
Best,
EE
Posted by Phillipa on March 5, 2006, at 21:34:46
In reply to Re: PAXIL SIDE EFFECTS » SLS, posted by Emily Elizabeth on March 5, 2006, at 20:55:53
I myself took l0mg of paxil for over two years. I took it in combination with my doc's prescription for xanax low dose and he prepared my body he said with 25mg of lopressor for around two weeks first. Where I can only tolerate low doses of it my sister take 40mg. We are all different. Fondly, Phillipa
Posted by TylerJ on March 5, 2006, at 22:22:26
In reply to Re: PAXIL SIDE EFFECTS, posted by SLS on March 5, 2006, at 14:48:06
> > Sorry about the caps,,
>
> NO PROB.
>
> :-)
>
> Believe it or not, Nardil might fit the bill if you can't tolerate any of the SRIs (including Effexor and Cymbalta).
>
>
>
> - Scott
-----------------------------------------
I'm a big fan of the MAOI's-Both Nardil and Parnate. Parnate definitely causes insomnia, which you don't need. However, I'm taking Parnate and I feel great and sleeping very well, but it took a couple of weeks on Trazodone(used for sleep) to get the dose just right and now I sleep like a baby, practically unheard of for someone on Parnate. The MAOI's very often work for someone who has not responded well to ssri's or othe AD's. And when they work..man do they ever work. After 3 wks I have no depression, no social phobia, no ocd, no anxiety at all. Scott's probably right, Nardil would probably be the maoi for you, it works extremely well for some people and doesn't cause insomnia as often as parnate. Ask Scott for more info on Nardil, he knows a lot more about it then i do. I will say one more thing, you've tried most or all of the ssri's-they work, but not for everyone. I don't
think Serotonin is your prob. Try something that increases concentration of neurotransmitters- noradrenaline, dopamine, serotonin, acetylcholine, and GABA. Nardil and Parnate inhibit Mono Amine oxidase (MAO), prolonging the life of neuro-transmitters. I wish you well-Get into your doc asap please.Tyler
Posted by NEEDHELPPLEASE on March 6, 2006, at 10:44:18
In reply to Re: PAXIL SIDE EFFECTS (nm), posted by TylerJ on March 5, 2006, at 22:29:50
WELL,
THANX SO MUCH EVERYONE, I GO INTO MY FAMILY DOCTOR TOMORROW because i called and told her about not sleeping hardly at all, what would be a good suggestion{if she's open to them}to help me get some good sleep at night? also, i can't see my pdoc for another 3 weeks but i am very interested in what sls had to say about nardil.
can you give me more info. please? in the meantime i cut my paxil down to 10 mg. and nothings different but it's only been 2 days now, still only 3 hours sleep at night and that's the worst feeling i could imagine,, anxiety at night and no sleep,
thanx all you wonderful people
Posted by Emily Elizabeth on March 6, 2006, at 11:52:04
In reply to Re: PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 6, 2006, at 10:44:18
Have you ever experienced symptoms of bipolar disorder? Is it possible that paxil is inducing mania? That can be a risk when a bipolar person is misdiagnosed and takes and SSRI. The agitation and lack of sleep would fit with mania. Although of course it is hard to diagnose over the internet! This thought may be way off. You might ask the doc abt it though.
Best,
EE
Posted by NEEDHELPPLEASE on March 6, 2006, at 12:26:31
In reply to Re: PAXIL SIDE EFFECTS, posted by Emily Elizabeth on March 6, 2006, at 11:52:04
HI, I DON'T REALLY know the symptoms of bipolar
but my brother is diagnosed bipolar spectrum disorder? i never have seemed to have gotten a label other than depression/ocd/anxiety. i do seem to have very changing moods though ie,
real horny for a while, then couldn't be bothered for a while and i have this thing where when i reflect back on memories like of my son as a baby or just any good memories,, there'll be times when i just start crying at these thoughts and feel so emotional and then other times i think of these things and feel almost unmoved and lack sentimental feelings. i do explain these things to my pdoc nut they always just seem to be watching the clock and throw an ssri my way.i dont know what this means exactly but the one time i was on a theraputic dose of an ssri(prozac)
for a long time i did lots of uncharacteristic things like, i left my girlfriend of many years and had a fling(3 months with some girl i just met) got engaged then broke up and moved back home
did lots of wild ,reckless types of things which isn't normally in my character.
so i dunno if this all means anything but thems the facts,
thanx for any advice/help
Posted by Phillipa on March 6, 2006, at 18:07:18
In reply to Re: PAXIL SIDE EFFECTS, posted by NEEDHELPPLEASE on March 6, 2006, at 12:26:31
That sounds very bipolar and with a history make sure you tell your doc. Good Luck. Fondly, Phillipa
Posted by NEEDHELPPLEASE on March 8, 2006, at 9:14:41
In reply to Re: PAXIL SIDE EFFECTS, posted by SLS on March 5, 2006, at 14:48:06
I HAVE RECENTLY posted about the terrible side effects that 20 mg. of paxil seemed to have stirred up in me in only a few days, i stopped the 20mg. after 5 days and went down to 10 mg.
the over anxious feeling and restlessness tension has subsided but i still have not slept more than
3 hours for almost ten days now. the strange thing is i'm really not even that tired and worn out(and i have a pyysical job) so yesterday i went to my family dr. and told her the deal and she added ambiencr to my already 1mg. of xanax at bedtime and i was so expecting to finally sleep a whole night last night and i STILL woke up after 3 hours and was wide awake and anxious and couldnt fall back to sleep. even with ambien/xanax
i am now so frustrated so i called my pdoc to tell him something had to be done and of course he's on vacation till the 20th but his receptionist heard my complaints/symptoms and immediately told me to STOP TAKING ALL SSRI'S and
call back in a week. so now i am confused where i stand. does this make sense to anyone what is going on??
sorry so long but i'm really struggling here!
Posted by TylerJ on March 8, 2006, at 10:06:41
In reply to REALLY CONFUSED NOW~, posted by NEEDHELPPLEASE on March 8, 2006, at 9:14:41
> I HAVE RECENTLY posted about the terrible side effects that 20 mg. of paxil seemed to have stirred up in me in only a few days, i stopped the 20mg. after 5 days and went down to 10 mg.
> the over anxious feeling and restlessness tension has subsided but i still have not slept more than
> 3 hours for almost ten days now. the strange thing is i'm really not even that tired and worn out(and i have a pyysical job) so yesterday i went to my family dr. and told her the deal and she added ambiencr to my already 1mg. of xanax at bedtime and i was so expecting to finally sleep a whole night last night and i STILL woke up after 3 hours and was wide awake and anxious and couldnt fall back to sleep. even with ambien/xanax
> i am now so frustrated so i called my pdoc to tell him something had to be done and of course he's on vacation till the 20th but his receptionist heard my complaints/symptoms and immediately told me to STOP TAKING ALL SSRI'S and
> call back in a week. so now i am confused where i stand. does this make sense to anyone what is going on??
> sorry so long but i'm really struggling here!
Did you have trouble with insomnia before you started Parnate? I know a lot of people will tell you not too, however, I agree w/ the receptionist, go off the Paxil-it just might be causing more harm than good. I would cut your med in half and taper off the next 2-3 days. Paxil has sedating properties, and for you it seemed to do just the opposite. The receptionist probably has orders from the doc concerning bad reactions to meds while he is gone. I would do what she said, but taper slowly, because Paxil does have the highest incidence of discontinuation symdrome of all the ssri's because of it's short 1/2 life and anti-cholinergic activity. If you taper down slowly you should be just fine because you were on a small dose for a short time. In the meantime I would use a little more Xanax ( if possible, and if it helps ) to help until you get into see your doc and take ambien cr for sleep. Best wishes.Tyler
Posted by River1924 on March 8, 2006, at 19:34:12
In reply to Re: REALLY CONFUSED NOW~ » NEEDHELPPLEASE, posted by TylerJ on March 8, 2006, at 10:06:41
Hey,
I wrote a really long response but it got eaten by my computer. I'll try to get back later but I need to get off the phone line. I'm waiting for a call from my doctor.
Two links to check out for bipolar, bipolar 2 and med induced mania. (Mania doesn't feel good a lot of the time... for a long time, I didn't know that.) See if any of the info fits. I know you can hardly think straight but if any of it fits, you'll know.
http://www.psycom.net/depression.central.html
Good luck and be careful. If you need immediate attention, don't wait: Go to the ER.
River.
Posted by NEEDHELPPLEASE on March 8, 2006, at 21:55:14
In reply to Re: REALLY CONFUSED NOW~, posted by River1924 on March 8, 2006, at 19:34:12
TYLER,
i couldn't find anything on med induced mania~ what is your take on it,,,thanx for the links,,
i'm scared thinking i might have bipolar,,
i definitely am an anxiety machine right now and
i have lots of the history,, bankruptcy, quitting jobs abruptly(walking out) then regretting it
getting way too serious w/ girls i just met etc. etc. thanx so much for any help,
Posted by TylerJ on March 8, 2006, at 23:24:45
In reply to Re: REALLY CONFUSED NOW~, posted by NEEDHELPPLEASE on March 8, 2006, at 21:55:14
> TYLER,
> i couldn't find anything on med induced mania~ what is your take on it,,,thanx for the links,,
> i'm scared thinking i might have bipolar,,
> i definitely am an anxiety machine right now and
> i have lots of the history,, bankruptcy, quitting jobs abruptly(walking out) then regretting it
> getting way too serious w/ girls i just met etc. etc. thanx so much for any help,
>I'm sorry your not doing well. :( Bipolar is highly treatable, so please don't be afraid...I know, easier said than done. Actually, that was River's post to you about med induced mania. However, I'll do some research tonight and tomorrow and let you know what I find out. Do you have both Zanax and Klonopin? Take more if you can to help with your anxiety. Did you go off the paxil or are you tapering off? If so, drink a lot of water to help cleanse your systom of the drug. If possible, try to get some execise in every day..proven to reduce anxiety. Man, I feel so sorry for you, I wish I could do more to help you. Just keep in mind, I've been in your shoes many times, miserable and just wanting to die,so anxious I couldn't sleep and I felt I couldn't take any more. But now I'm on the right med for me (Parnate) and life is good-no anxiety, no depression. Hang in there you WILL get better, contact me if you need anything.
Tyler
Posted by River1924 on March 9, 2006, at 0:37:23
In reply to Re: REALLY CONFUSED NOW~, posted by NEEDHELPPLEASE on March 8, 2006, at 21:55:14
" Bipolar patients have a strong tendency to fly into mania or extreme agitation on an antidepressant... major depressive episodes with agitation... treated in the same way ...and the result is disastrous.... psychotic depressions, excited and anxious depressions, and dysphoric moods, many induced by antidepressants, not to mention many who rapid-cycle after being prescribed an antidepressant..."
You will worry about your diagnosis but try not to... Paxil mixed with whatever ever else you are on... has, to sound like 70's disco diva, put you on a bad trip. First things first... get off the Paxil train... take it one day at a time. Peace.
Posted by TylerJ on March 9, 2006, at 11:33:30
In reply to Re: REALLY CONFUSED NOW~ » NEEDHELPPLEASE, posted by TylerJ on March 8, 2006, at 23:24:45
> > TYLER,
> > i couldn't find anything on med induced mania~ what is your take on it,,,thanx for the links,,
> > i'm scared thinking i might have bipolar,,
> > i definitely am an anxiety machine right now and
> > i have lots of the history,, bankruptcy, quitting jobs abruptly(walking out) then regretting it
> > getting way too serious w/ girls i just met etc. etc. thanx so much for any help,
> >
>
> I'm sorry your not doing well. :( Bipolar is highly treatable, so please don't be afraid...I know, easier said than done. Actually, that was River's post to you about med induced mania. However, I'll do some research tonight and tomorrow and let you know what I find out. Do you have both Zanax and Klonopin? Take more if you can to help with your anxiety. Did you go off the paxil or are you tapering off? If so, drink a lot of water to help cleanse your systom of the drug. If possible, try to get some execise in every day..proven to reduce anxiety. Man, I feel so sorry for you, I wish I could do more to help you. Just keep in mind, I've been in your shoes many times, miserable and just wanting to die,so anxious I couldn't sleep and I felt I couldn't take any more. But now I'm on the right med for me (Parnate) and life is good-no anxiety, no depression. Hang in there you WILL get better, contact me if you need anything.
>
> Tyler
Okay, this is what I learned. This pertains to Paxil Mania. First Paxil side effects, most common are nervousness, insomnia, shakiness, upset stomach, and delayed orgasm. Paxil can cause Hypomania-the patient may experience
a very relaxed mood, boundless energy, little need for sleep and rapid thoughts... (this doesn't sound like what you are going through). The Hypomanic patient can be irritable and they can get themselves into trouble because of relentless optimism that leads to poor judgment and reckless behavior. Hypomania is treated by immediatly stopping or lowering the dose. Paxil has a relatively short half-life, this means the body eliminates it pretty fast.
I personally don't think you are experiencing Mania. I think Paxil is causing a lot of side-effects for you such as anxiety, and insomnia...I would stop or taper off the paxil. Take more Benzodiazapines to help you until you get into your pdoc. Also, try over the counter Benadryl for insomnia take 50 mgs 45 mins before going to bed. If it puts you asleep and you wake up 4 hours later and can't get back to sleep take another 50 mgs of it. I take it, and for me it works great. Let me know what you think...I wish and hope that you begin to feel better very soon.Tyler
Posted by NEEDHELPPLEASE on March 9, 2006, at 21:45:25
In reply to Re: REALLY CONFUSED NOW~, posted by TylerJ on March 9, 2006, at 11:33:30
TYLER,
thanx so much for your concern and help/i do kind of doubt i'm experiencing mania, i'm not reckless/out of control i AM so damn anxious,nervous, focused on evrey negative aspect of my life and unable to even begin to feel any of the good right now. without a xanax every so often i couldn't cope right now,, i've had bouts of depression/anxiety since adolescence but only when big changes occur in my life do they get really bad like now. i feel like i'm stuck in panic/anxiety mode and can't get out. at some times i do romance the fact that suicide is always a way out, and i'm ashamed at those thoughts, but after i take a xanax that whole idea goes away and my normal feelings/self prevail
but only till the next round of anxiety.
what do you think would be a better med for me than an ssri,{which doesn't seem to do it for me??
you are one hell of a great person to take the time to help someone in there times of distress
most people couldnt be bothered,
god bless
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