Discussions that mention paxil

Panic Disorders board


Hi all,

I saw the doc today, have been feeling horrible since tapering down the Paxil, although the head fog is gone, my anxiety has creeped back in and I have felt terrible.

The doc wants me to switch over to Zoloft 25mg tonight. I am down to 10 mg of the Paxil and am so scared to do this.............but it's either that or keep tapering and prolong this...........

When I switched from Celexa directly to Paxil I was fine...........it was the head fog and not being able to think that made me decide to drop the Paxil dose...........again that did lift the fog.........but since I haven't replaced it with another SSRI, my body is trying to withdrawal..........

I know I am being overreactive about this, but am scared, I've gone from 20mg of Celexa for almost three years to 20mg of Paxil for the last four weeks.......then tapered to 10 for a week and am now going to Zoloft........

I know there's a lot of trial and error with these meds, and the doc thinks the Zoloft will help with the withdrawal that my body is going through.

Anyone else had to switch over like this to find success?

Any advise would ease my mind!

Thanks,

Kaytee:-)
Quote from KayT:
Hi all,

I saw the doc today, have been feeling horrible since tapering down the Paxil, although the head fog is gone, my anxiety has creeped back in and I have felt terrible.

The doc wants me to switch over to Zoloft 25mg tonight. I am down to 10 mg of the Paxil and am so scared to do this.............but it's either that or keep tapering and prolong this...........

When I switched from Celexa directly to Paxil I was fine...........it was the head fog and not being able to think that made me decide to drop the Paxil dose...........again that did lift the fog.........but since I haven't replaced it with another SSRI, my body is trying to withdrawal..........

I know I am being overreactive about this, but am scared, I've gone from 20mg of Celexa for almost three years to 20mg of Paxil for the last four weeks.......then tapered to 10 for a week and am now going to Zoloft........

I know there's a lot of trial and error with these meds, and the doc thinks the Zoloft will help with the withdrawal that my body is going through.

Anyone else had to switch over like this to find success?

Any advise would ease my mind!

Thanks,

Kaytee:-)


Dear KayT,
I think it is time to replace the word "withdrawal" with "Condition". It appears that you can not do without a medication and the amount of back and forth worrying about what to do is driving you up the wall. I feel you need a constant dosage of a benzo as I have said. You exhibit all the signs of panic fear and if the celexa which is a design for obsession was not working for you then this just confirms it in my mind. This is only an opinion but if the paxil is not doing anything for you or was not at a higher dosage, then you are either going to have to try the zoloft or convince your Doctor to let you take Klonopin or xanax. You, I can tell, although we would all like to be drug free, simply can't deal with this without medication. You are going to have to deal with this and if you don't argue it out with your Doctor as to what you are going to take, he or she is going to stop treating you because you will not try to help yourself. You are going through so much pain and suffering now, you need to make a firm decision and do it. Please for your own sake, do something. I know you are scared but that is a symptom also and it will only get worse. God bless you KayT. Please make a decision for your own sake and do it.

Sincerely, Your Friend,

Sickman :)
HI Sickman,

Welcome back.............I tapered the Paxil down to 10mg and felt horrible...........I had hot flashes, felt like I had the flu, woke up shaking...........and my anxiety went thru the roof...........

I knew then that I wasn't going to be able to handle going off the Paxil at that pace and also knew that I didn't want to drag this out and feel horrible week after week until I tapered down...........

So, they had me dump it at 10mg and go on to Zoloft............I feel wimpy because I couldn't take the side effects of tapering..........but on the other hand.......am a bit relieved because I felt horrible.........worse then I felt when all of these med changes took place...........remember, I was feeling some extra anxiety, that is why the swith to Paxil started in the first place, and I picked the Paxil because it worked well for me before............but at the time I wasn't really wound to the hilt or anything, I just knew that the Celexa had quit working as well and that I needed to nip this before it did get worse............

I see the doctor on Wednesday and am going to ask for the Klonopin.........this weekend was rough, but this evening I can say I am feeling a bit better............my doctor called this an adverse reaction to medication............for some reason the Paxil just didn't do for me what it did before.........instead each week I took it I felt more side effects and more in that famous Paxil Fog..........and when I started taking the Paxil I wasn't afraid at all........I was excited because I knew how well it worked for me before.........so this wasn't a case of fear of taking it........it was more a case of the more I took it the more scared I got..........maybe in a week or two longer it would have kicked in better or the Fog would have lifted..........but five weeks seemed long enough to me for the SEs to at least improve a bit.........

Today was better, I am calmer then I have been in a month........I know I bounced around a bit with this.........but I had the doc telling me to keep taking the med even though I knew it didn't seem the same this time.............and I tried to stick it out.........almost five weeks...........before I finally said "enough" something isn't working here.............and that is when I made the decision to taper off the Paxil and try a Benzo.........I just didn't have a clue how hard it is to stop taking the Paxil............

I will ask the doc about the Klonopin on Wednesday, what is a normal dose? For now I am going to stick with the Zoloft and see if maybe it can help me..............it seems to have a calming effect on me........which is probably what I need...........

Kaytee:-)
Quote from Sickman:
Dear KayT,
If the Zoloft appears to be helping you this fast, I would suggest that you stay with it and give it a try. All of us are different and if it calms you, that is the action of a benzo. If you do try Klonopin, it will be a call by the doctor but I would tell him or her that you want to start on the lowest dosage possible and slowly work to your required level. In my opinion, if an anti-depressant is calming you, then you probably don't need much of a dosage of a benzo to control your disorder. Give the zoloft a chance for awhile if it appears to be working by itself, you can always ask to add the Klonopin by a phone call for a prescription if you have already discussed this. The last thing you need is to be over medicated when you don't need it. It is a vicious circle, isn't it? Luck my Friend at the Doctor.

Sincerely,

Sickman :)



I was surprised that today I felt this calm come over me.........it may just be that the Zoloft filled the empty space where the Paxil had been thus the horrible SEs subsided.............do you think since I was down to 10mg of Paxil it was okay to switch directly over??? I thought of you when I made this decision, and asked a lot of questions before I agreed to it..........It's strange how trying to nip my anxiety before it got out of hand turned in to my anxiety getting out of hand............I truly think that if the Paxil hadn't given me such problems I would have been okay.......I had no fear in taking it...........

BTW, the doc mentioned me going back to the Celexa (this was a weekend doctor at my drs office who I don't know very well) and I said no way, if it wasn't working for me why go back to it.............

The he told me to stop the Paxil and take 50mg of Zoloft and if that didn't offset the Paxil withdrawal to take another 25mg of Zoloft on top of the 50.............I knew that was a big no...........so I just listened and then waited to get advise from someone I trusted.......and felt knew more about this process..............

What I was told by my good friend who is a counselor and knows her stuff pretty good.........was to go ahead and switch over......because the SEs from the Paxil were making me sick and I was also feeling withdrawal.............but she told me to start at the beginning dose of 25mg and not to do what the weekend doc had said...........so that is what I did............she did tell me that it would be two or three days before I leveled out and that it would be a rough few days.........she doesn't sugar coat it she hits me with it like she sees it............but she seems to think that Zoloft will be better for me and that I will tolerate it better.............

Okay, now you can tell me if I made a big mistake?? heehee

Kaytee:-)
Had my doctors visit today...........spent most of last night up all night feeling ill........coming off Paxil is a real pain...........it's like it grabs on and won't let go.........

Anyhow, she put me on 1mg Xanax three times a day and at bedtime as well if needed. She told me she was sorry that she didn't pull me off the Paxil sooner and that she had just hoped it would work out.........anyhow, she said the first week of Paxil withdrawal is the worst, and I am almost through that and then it should get better each week............she said the Xanax will help a lot with the withdrawal symptoms...........that is why she wants me to take it continuosly for a few days at least and see how I feel............I did take it when I got home today, but tried half the pill just to see if that will zombie me our or anything.............Sickman, since I've already been on .25, will my body need to adjust to the higher dose??

She is keeping me on the Zoloft, increasing it to 50mg on Friday night and then seeing how that goes............the Xanax may be temporary until we see what the Zoloft can do for me..........it does seem to calm my panic..........

I feel better today then I did yesterday, but am hoping with the Xanax on board things will improve much faster............

I know a not so great way to lose 20lbs..........take Paxil for 4-5 weeks then stop...........can't say it will be fun though!

So that is the plan, the doctor and I agreed that this is the best route to take for me at this time..............let's hope each week finds me feeling better then the one before.

Kaytee:-)
KayT, the xanax will probably help you a lot til you are thru the withdrawals from the Paxil. I personally have never been on it, but read where someone said it was as bad as coming off heroine! I also have read that a lot of people are against ever getting started on paxil, so be glad you're thru the first week & getting off of it. My doc put me on Klonopin til I adjust to my new AD, xanax & Klonopin help to calm & also help us to relax to sleep. Sounds like a good plan that your doc has.
[QUOTE=lori j]KayT, the xanax will probably help you a lot til you are thru the withdrawals from the Paxil. I personally have never been on it, but read where someone said it was as bad as coming off heroine! I also have read that a lot of people are against ever getting started on paxil, so be glad you're thru the first week & getting off of it. My doc put me on Klonopin til I adjust to my new AD, xanax & Klonopin help to calm & also help us to relax to sleep. Sounds like a good plan that your doc has.


It has been tough to stop taking the Paxil..............the Xanax.........although I haven't been brave enough to take the full 1mg yet..........just half of that seems to be taking some of the edge off............and I know it helps a little to be switching to the Zoloft as well...........today I feel a bet edgy and irritable and still funny in the head...........the fast thought processes have eased up..........which the Xanax is probably helping with as well...........and I am going to try the 1mg today to see if that will help more with this...............but am very glad to be on Day 6 of this transition...........I hope it will get better each day.........

Thanks for the response,

Kaytee:-)
Quote from KayT:
It has been tough to stop taking the Paxil..............the Xanax.........although I haven't been brave enough to take the full 1mg yet..........just half of that seems to be taking some of the edge off............and I know it helps a little to be switching to the Zoloft as well...........today I feel a bet edgy and irritable and still funny in the head...........the fast thought processes have eased up..........which the Xanax is probably helping with as well...........and I am going to try the 1mg today to see if that will help more with this...............but am very glad to be on Day 6 of this transition...........I hope it will get better each day.........

Thanks for the response,

Kaytee:-)


Hi KayT,
All I can tell you is that benzos are safer then tranquilizers. As a general rule of thumb of xanax: Up to 3mg a day for anxiety disorder and 4mg and up for panic. You will not need more then 3mg in a 24 hour period. If 0.5mg three times a day is not working, then do as the doctor says and take the 1mg three times a day. The only thing it will do is make you rest or get some sleep. When a Psychratrist really regulates and worrys about abuse problems or overdose is when a patient is taking 10mg or more a day. The key to this whole situiation is to stop the problems and wing back off the xanax SLOWLY but as soon as possible. I would take it 3 times a day but not as NEEDED. 3mg a day (spread out) is plenty. You don't have to take 3mg a day. Take what you need but I only take 4mg and I would not recomend taking more then 3mg. Hopefully the Zoloft will work out for you and you will not need the xanax any longer. If you miss a dose of xanax and it is within an hour of the time you were suppose to take it, then take it. If not, skip it. Do not double up dosage. Your Doctors plan seems like a good course of action and hopefully the Zoloft will do the trick alone. If this does not work, then I myself of course would consider this to be condition and insist on a benzo, such as Klonopin as my constant medication. If that does not work for you then xanax will be the answer. If you end up on Klonopin or xanax, you work up to the level you need to be at. You don't have to keep raising it, you just have to learn to level out and manage your symptoms. Lets hope for Zoloft but there is nothing wrong with the benzos if they are the answer to get back what you need. Remember, everything is additive, as you are finding out. Chin up, stay strong.

Sincerely,

Sickman :)
Thanks LoriJ for the info,

I don't think my doc is willing to look at Klonopin at this time. I used to take it years ago and when I found out I was pregnant with my daughter I was taken off of it cold turkey...........I got very sick...........the whole withdrawal thing............and I had only taken .25 or .50 at bedtime for a year and a half...........my OB GYN ended up tapering me down to a tiny speck until my body let go of it...........



Sorry Sickman,

I didn't see your response to my Xanax post, so I asked again............Thanks for the info.........

I have noticed that If I stay constant with the Xanax (three times a day, spread apart) it has helped more then if I wait until the symptoms occur then try to take the Xanax to stop them................

As for withdrawal, you and I have talked about this a few times, and I have to say that it is not pleasant............although after almost five weeks my doctor even agreed that the Paxil was not doing what it should and making me feel worse............she said she was sorry and should have taken me off it 2 weeks ago when I went in with these concerns...............but these drugs are trial and error and all I really can say that she may have done better is hear what I was saying.............not just label me as another person looking for an "instant cure" and not wanting to wait for the Paxil to kick in............

I am doing okay, feeling pretty ill on and off, flu like symptoms, anxiety (although the Xanax is taking the edge off that most of the time, if I keep it in me regularly), I have lost 20lbs, etc etc etc ..................
But It is better then a week ago and I know that after some time passes my brain will adjust from the withdrawal............currently my brain feels tired...........fatigued.........it needs a rest............as do I.

I'm supposed to return to work on Monday and still don't know if I am ready..............I do lots of multi tasking and am a little scared of overloading when what I need to do know is get to feeling better............but then again work might do me some good.............

Sometimes the forums are nice, but at other times I read something and it scares me, gets my wheels turning and that's not always good.........

Well, better run,

Take Care,

Kaytee:-)
It's good to hear that I sound better in my writing.........the people who have been around me through this also say that I sound much better......calmer..........not as afraid of this........

As for myself, I have noticed small changes, but still am feeling a bit down about all of this.........I think I am just very tired........my brain feels fatigued..........I did notice that my thoughts are still a bit scattered but not as bad as they were............I think that is where the fear of going back to work comes in to play...........that is where I was the most upset by all of this because I felt like I was working so hard just to concentrate and think straight.............so I guess I am experiencing some work anxiety...........I don't want to get there and then fall in to pieces............of course, that is probably irrational, because If I am sitting here typing to you clearly then I can most likely do it at work...........I just still feel yuck, still having the ADD type feelings (fast thinking) and still some anxiety trying to creep in, although the Zoloft and Xanax have stopped the Panic!

8 days in to quitting Paxil and I am so relieved to be past that first week, although my doctor says I may feel residual for up to a month, but the first week would be the worst of it............

Last night (early evening, not late at night) I had this surge of energy and took down the xmas tree........then I thought, oh no, am I manic??? :-)! If there is something to worry about out there I will find it. My friend and I laughed about it later last night, because that was just my panic trying to throw a punch in there.............actually I think it is a good sign that I had the burst of energy, that means that something is working here..........


One thing I have not let this do to me, although I have had days that I have felt on the edge of checking myself in to some Psych Unit( by the way, my doc said that they would not have kept me, just given me Xanax and sent me home, she says I am no where close to being put in a Psych Unit and to get that fear out of my mind, and she's telling someone with anxiety this??heehee)

Anyhow, back to what I was saying, I kept moving, kept functioning, did not lay in bad all day and pull the covers over my head (although I felt like it a time or two), I tried my best to keep distracted and that did help get me through the days.......my kids have been home from school so that has helped as well, I went for walks, went swimming, etc.............and although I didn't feel very good, it did help to keep me distracted and to keep me on the go............

so here I am now, like you said about the cross roads, I have now crossed that road and although I can't say I am out of the woods yet as far as really feeling better, I am better then I was say a week ago, the extreme panic is gone (doc said that was from the Paxil withdrawal and was some of the worst panic I have ever felt), the Paxil Brain fog has lifted, and although it is in the distance I can see light at the end of the tunnel for the first time in a long time.............

And I am much calmer, not so sure I see it as much as others that are around me............but I am not frantic like I was a week ago........pacing and pacing over this.........more then anything I was looking for a quick fix to all of this but have realized that it won't come that way.........that each week I will feel better..........and look how fast the first week has flown by???

Better run,

Thanks Sickman,
You have really helped with this,


Kaytee:-)
Quote from Sickman:
Dear KayT,
If you can do all that in one day, I would say you have made it. I went grocery shopping with my wife, got dizzy carrying in the groceries, took and long nap and got on the messageboard. Successful day for me, I made it also. You are finally on your way and you have gave me and others the pleasure of trying to help you. Thank you for this, and now it is your turn to pass on what you have learned from this because with all the help we may have given you, it is still individual and unique. We gave you encouragement and information only. You musturded up the strength to get through this yourself and that is the support and information that others will need. Bless you always.

Sincerely,

Sickman :)


Do you think a lot of this stuff with my head is just from the meds and maybe I will have to get used to some of it?? For example, at the grocery store tonight I just felt as if I couldn't concentrate as well at what I was doing..........thinking faster then normal.........it's hard to explain.......like it takes me a few seconds longer to absorb the information...........The Paxil did this to me constantly and got pretty bad........but this is lighter but still noticable............maybe I'm just asking for a drug with no SEs and I know that is impossible...........I do know that 8 days with the Zoloft and things are much smoother..........I'm sure the Xanax has helped with that as well..........and I do know that I am not fully over the Paxil/Celexa withdrawal, so I will give it some more time and see if it eases up more...........I can handle the SEs just not the confused lack of concentration stuff of which the Paxil nailed me with............

I am here for anyone who has a question or needs support..........you were always there to respond to me and to help me with my questions, no matter how repetitive..........and I appreciate that..........and I may still need it from time to time..........sometimes reassurance can make all of the difference in the world.........

Kaytee:-)
KayT, you know I never had panic attacks, but always had depression, til my doc tried me on two new AD's, one after the other, when my old trusted one failed. First he tried lexapro & I was only on it 2 1/2 weeks, but still had withdrawals & the most horrible panic attacks. Woke up in the middle of the nite one nite & had to sit up cause I felt like I could not breathe at all. Then he tried me on effexor xr & that only lasted 2 1/2 weeks & had same p.a.'s from withdrawal from that, so I do think you may still be feeling some of the withdrawal from the paxil, if I had all that with just being on each for 2 1/2 weeks. I still do get panic attacks now, but not as severe or as often.