Discussions that mention paxil

Panic Disorders board


I am now on day 15 of taking Paxil 20mg..........I read somewhere that the side effects may bounce up and down for a while before my body adjusts.........for example........yesterday I felt a lot better..........some side effects.........but not near as bad..........but today the Nausea is back and I feel a foggy in the head again.............anyone else have this when they first started Paxil???

Just needing some reassurance, I was so hopeful that yesterday was a good sign that I was on the uphill climb from this..........am a bit scared that this may get worse again before it gets better..........

Thanks for all of your posts and responses, it really helps,

Kaytee
KayT - I myself was just prescribed Paxil CR 12.5 mg for Anxiety and Panic Attacks. I'm about to start taking it myself so I guess we'll both be in the same boat. Looking over some posts on these message board I noticed that many people had negative things to say about Paxil and the SSRI's in general. I'm a bit nervous about starting one of these drugs myself. I guess I'll just let you know some of what I've heard on other boards. Anxiety can increase slightly in the begining and it USUALLY takes between 3-4 weeks to feel a theraputic effect. So you are on day 15 and right around that time frame. Some people do take longer though. I was told by my doctor that side effects like nausea tend to be mild and are usually disappear the first few weeks also. So hopefully it hasn't been too bad for you and any side effects you have willl start to diminish even more. I can't tell you what to do, you can discuss it with your doctor, but if it was me and I wasn't experiencing any bad side effects, I'd wait it out for about 6 weeks and give it a chance. People have had a lot of good things to say about these drugs, and also a lot of bad things. I myself really don't know what to believe, but I do believe that trying one probably can't hurt someone. I'm not sure if I answered any of your questions, but I wish you luck and hopefully you'll feel some relief soon. I wish there were more positive stories about these drugs like Paxil posted online, but I guess most people come to these boards when they are having problems or doing research (like me). The doctors do assure me that taking a low dose of an SSRI is a relatively safe thing for most of the population. You can get a list of all the side effects online if you do a search, and although they don't sound too pleasant sometimes, they don't seem to be life threatning or too bad. I guess the only way to know is to try the drug and see how you feel, try to give it the full time to get some benefits, but if side effects get too bad, you can always stop the drug... if you've been on it for a few weeks always talk to your doctor before stopping though! If you are on a high dose, you may need to be tapered off. I'm going into this with a low dose, so the doctor told me take it with the intention of taking it for a minimum of 3-4 weeks, but if I feel any side effects that are bad or anything I really don't like, he said I can just stop taking the drug because I'll only be on the starting dose. Wish me luck.
Thanks for your post Rsspro18,

I to have read some negative things, but all in all I have seen more positive as far as the final outcome for people who actually stick it out through the first month of taking Paxil.

I've taken Paxil before, with minimal side effects......... but this time I switched directly over from Celexa and I think that is the cause of many of the side effects. A friend of mine works with Anxiety patients and I asked her about how I have been feeling and she advised that I have to give this 4-6 weeks to really work. She explained that Paxil tends to work faster on depression and takes a bit longer to work on the anxiety. She wasn't surprised by any of my side effects.........and said it all sounded pretty typical for the changes I made with meds............In the last few days I have noticed some improvements, but when the side effects come back or I feel worse again after a day of feeling better, it scares me a bit................but then I look at the fact that I am only on day 15 and was told it would be at least 3 weeks minimum for my body to adjust...............so I am hanging in there.......venting on the forum when I get scared or begin to doubt it all............Paxil worked great for me the first time I took it and I am anxious for it to adjust so I can feel better again........

Let me know how you are doing........Paxil does work........that is why I have hung in there and really worked hard not to give up and stop taking it..........this forum has helped me greatly..........

Kaytee
Hi, I have also recently started taking paxil. I was put on a 10 mg dose
for two weeks and now increased to 20 mg which I have been taking for
about a week. I am finding that I also feel worse most days now than
I did before starting paxil. My anxiety seems worse and I feel sooo nauseated
that it feels like my whole body wants to puke!! Its awful. I
also find it bothers my stomach alot. Like alot of indigestion etc..
but I also have an ulcer so that is probably why. I have been
suffering from panioc disorder for about 2 years. I am glad I
read your posts since I didnt realise that it took that long to
work and was considering going off of it. I will stick it out for
now. What other kind of side effects have you all experienced?
Any info would be appreciated. Thanx.
Hello,
I wanted to give you some good news and some bad news on the paxil front.
First, hang in there, the excessive panic and stuff does go away, and paxil is an incredible drug for minimising panic. I needed very little oxazepam (a fantastic pill for just when a panic attack hits, in case anyone doesn't know) when on it. I was on paxil for two years, and was actually really good (as far as panic was concerned - I took serzone with it too to help with the depression).
One word of warning - coming off paxil is HELL! Everything you're going through now is multiplied by 1000 when coming off it. The docs will tell you that you 'taper off' and it will be fine - but try tapering off - it's not so easy. I kept getting down to 10mg (from a one time high of 40mg) and the panic and fear would cripple me, and I'd end up going back up again. It's like this constant roller coaster ride - that awful sick, blood buzzing through your veins, heart racing fear - like any second you're going to be attacked. I have a friend who's been on it for several years (with some major sexual side effects) and can't get off it - every time she tries it's the same thing - fear, nausea etc.
In the end, I literally went 'cold turkey' just stopped - not recommended - I was in bed for a week, but I got off it.
I guess what I'm saying is, it's a great medication when you're taking it (unless you're one of the unlucky ones who suffers from the sexual side effects), but it's not easy to come off.
I'm not being down on the ssri's, I think they're great - I'm now on celexa (with the oxazpam for the bad panic) and so far (touch wood) it's going great. I'd just be really, really sure you want to be on paxil before you go there.
Sorry to be so down. Please write me if you wanna chat!!!
Have a good day! :wave:
Hi kat12345,


One thing I have noticed is that each persons experience with these meds is individual to them in many ways. I took Paxil for a year and a half and the start up experience I had then was minimal side effects but then I switched directly over to Celexa due to weight gain............I noticed a bit of fuzziness in my head for one day then I was fine............but when I tried the opposite recently, switching from Celexa back to Paxil.........the withdrawals from the Celexa caused multiple side effects..............the last two weeks have been tough.........but today I can say I am beginning to feel a bit better each day............from what I have read, many times a person begins to feel better and decides to stop taking meds, they taper off but then feel worse..........in some cases that has to do with their original symptoms coming back because they stopped the meds..............it's a bad cycle..........and in some cases it has to do with the brain trying to adjust back to where it was before the SSRI was in their system......for me Celexa was much more difficult to stop taking then Paxil...........

The increase you made may have something to do with the side effects that you are experiencing............I switched from 20mg of Celexa to 20 mg of Paxil...............but my doctor explained that he has seen 20 mg of Paxil do what it takes 40 mg of Celexa to do..........but again that depends on the person............so I think I should have started a bit lower and then gradually worked up as well as gradually tapered down the Celexa

The one thing I have learned from reading on this forum is that it takes time..........and patience........so I decided to try and settle down a bit and give my brain time to adjust to losing the Celexa and gaining the Paxil.........


Did you try increasing your dose of Paxil? I wish that I had listened to my doctor in the first place and just hung in there with the Celexa increase, but now that I've made it two weeks with out it, I am going to stick with what I am diong...........

Hang in there,
And feel free to email me, would love to correspond,

Kaytee
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I was on Paxil for 3 years and tapered off over a 6 month period about a year ago. Even with the tapering, I still felt flu-like for about a week and within a month or so, was having panic attacks again. I didn't want to go back on Paxil again because I had gained a tremendous amount of weight (80 lbs) so my doctor suggested clonazepam instead. I've since lost 50 of the 80 lbs that I gained, but am actually considering going back on Paxil again as I feel that I've acclimated to the clonazepam dosage and don't want to increase it because it's even more difficult getting off benzos. I should say that it is difficult for me that is (Xanax was a holy terror to get off of).

Anyway, in spite of the annoying side effects of Paxil (like nausea, weight gain, decreased libido, difficulty having an orgasm, etc.), I'd still go on it again as it worked very well for me. I should have just stayed on it but I wanted to get the weight off and didn't feel like I'd be able to while still on the med.

One other thing to point out; alot of side effects are dose related. I found for myself that 20mg worked generally well for me and the side effects were not as intense as when I was on a 40mg dose. The 40mg dose felt like I was in a constant fog and I wouldn't be able to remember anything or even be able to concentrate on anything. Of course, the anxiety and panic like totally disappears at that dose but who can live that way?

I would say to just hang in there and stay with the lowest dose that works for you. It does take about two months or so to really begin noticing that you feel alot better, but it's well worth it once you get there. The anxiety it creates in the beginning is tough to get through but that will pass too.

Good luck!
KayT....I've also had the same symptoms with Paxil (20mg for about a month)....So I went back to my doctor and told her how I had been feeling so she suggested Zoloft and gave me a 2 week sample pack....I've never had an upset stomach but it did give me diareah(???) for a few days but other than that this drug has been GREAT! ....For about the past month and a half I have been taking 50mg a day and my panic attacks are almost no more...Hope I could help and good luck
Kaytee,

I have been taking Paxil Cr (37.5mg) for 5 months now. The first 2 months of taking Paxil CR was awful. However, taking the med, along with relaxation techniques, and the help from all the wonderful people on this board, I made it through and I feel great!

Doug
Quote from Doug1984:
Kaytee,

I have been taking Paxil Cr (37.5mg) for 5 months now. The first 2 months of taking Paxil CR was awful. However, taking the med, along with relaxation techniques, and the help from all the wonderful people on this board, I made it through and I feel great!

Doug


Hi Doug,

Did you experience side effects for 2 months? Today was a rough day for me, I don't know if it is from going off the Celexa or going on the Paxil or both, but I dipped low today. I came home and my husband asked me what was wrong and I started crying. I felt like I had enough. I am on day 21 and feeling a bit frustrated today. My mood has been up and down these last few days and this morning I was ready to toss the Paxil.........but then I thought about it and the fact that I switched directly over from Celexa and that maybe I haven't given it enough time...............I just hope tomorrow is better then today........I'm not a feeling low kind of person.......I'm always wired........so this is a strange feeling for me...........and it scares me.......

Thanks,

Kaytee

T
I actually have been on Paxil for a couple of months now and I thoroughly enhoy it immensely. I had crappy side effects at first. The first month, at least. I had constipation, upset stomach, dizziness, tremors, and I was often fatigued. I sometimes felt worse than ever. A lot of people don't give it enough of a change, unfortunately. I've only gained a few pounds, but I quickly lost them because I am exercising now quite regularly. Exercise, eating right, and Paxil have been great on my anxiety. The only problem I've had is when I forgot to pick up my prescription this past week and was off of it for a few days too long and I was feeling crappy again. Blah. I'm taking it again though, so it's all good.
Quote from BlueEyezzMel:
I actually have been on Paxil for a couple of months now and I thoroughly enhoy it immensely. I had crappy side effects at first. The first month, at least. I had constipation, upset stomach, dizziness, tremors, and I was often fatigued. I sometimes felt worse than ever. A lot of people don't give it enough of a change, unfortunately. I've only gained a few pounds, but I quickly lost them because I am exercising now quite regularly. Exercise, eating right, and Paxil have been great on my anxiety. The only problem I've had is when I forgot to pick up my prescription this past week and was off of it for a few days too long and I was feeling crappy again. Blah. I'm taking it again though, so it's all good.


Thanks for the info BlueEyezz,

From the posts that I have read you describe my side effects almost exactly...........I think you had mentioned a general weird feeling in a post.........and that is how I would describe how I am feeling..........plus the upset stomach, head stuff and low mood swings.

I calmed down last night.........I think a good cry did me some good.......it's just frustrating because I didn't think the switch would be this difficult............and when I feel really bad I get the thoughts that say "This isn't going to work" or "This is going to make you lose it completely" and of course my anxiety goes up and it makes it all worse.........

A friend told me yesterday that I am doing this to myself.......because I choose to take the meds..............so to just stop taking them............but he doesn't get anxiety or how it feels and how overwhelming all of this can be............

Today I still feel a bit down..........but am optimistic that this will level out soon and I can feel like myself again........let's hope that's what I get for Christmas!:-)

Kaytee:-)