Hi to all who are on paxil cr. I'm currently taking 37.5mg once a day. Has anyone experienced derealization with a sudden urge to throw up or memory lapses? I find my derealization episodes happen at night and usually wake me up out of a sound sleep. I think I start to panic and that might bring on the extreme nausea. But I'm going to my doc next week and I don't know if I should up my meds or stay with the same dosage because these side effects really suck and I'm still a little anxious about going on vacation in two weeks. I get anxious about eating in strange places. I also have school coming up in January and I want to avoid memory lapses. What should I do? Help!!!!