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Just starting Paxil...what to expect?
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Just starting Paxil...what to expect?

Just today I took a first pill of Paxil (10mgs). I was just wondering what I could expect. Right now I feel terrible like I need to vomit. I am feeling extra anxious right now too. Just keep thinking something is wrong or I am having some sort of serious side effects. Is it normal to have these side effects right away? It is around noon right now and I took the first pill at 915 this morning.

I was prescribed this because I have been having symptoms of dizziness, fatigue, and more recently just worrying. I have had many ekgs, a stress test, an echo, and a 24 hour holter monitor, and the cardiologists don't think anything is wrong with my heart. I have also had a gallbladder ultrasound, and a couple of blood tests and came up with nothing. My doctor just wanted to see how I reacted because it is possible this was anxiety.
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Avatar_m_tn
Ask why he started with Paxil.  I would never do these meds with a doctor, only with a psychiatrist.  They know better which ones are more problematic.  And only with a psychiatrist who seemed to have done his homework.  Most don't.  I'm just troubled by "trying" a med to see if it works, as if this were a yeast infection.  Anxiety is very difficult to treat, and no medication is guaranteed to treat it, but a benzo would have been more appropriate than Paxil if you're just trying to relax.  Paxil is an antidepressant, it can help a lot with anxiety, but it can also overstimulate someone as it's mainly an antidepressant.  And it's one of the more problematic of the ssris, certainly not where you start.  You start with Lexapro or Prozac, not Paxil.  And they can all be difficult at the beginning.  I urge you to think this through more with yourself, your physician, and a psychiatrist with experience with these types of meds.  And research the meds they mention; you have to do your own homework.  So far, your symptoms are normal, but that isn't the main question, the main question is whether this is the appropriate way to determine this.  A therapist can determine whether you seem to suffer from anxiety without any medication.  And once you're "on" one of these, they can be difficult to quit, so you don't just "try" them.  They're really for when other methods don't work.  Other responses here may differ, but as someone who's been on these meds I'm uneasy with what you describe.
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Avatar_m_tn
I have an appointment coming up on Tuesday with the counseling center on campus here. I had already been taking some Ativan to help relax when I have serious anxiety problems. I only took one of these Paxils and have not liked what I have felt today. Will it be a huge problem for me to not take it again after only taking it one time?

I actually had both of them prescribed by an ER doctor, but I did not take the paxil till after I talked with my GP. He said it might be good to start because he thought it would after a while slowly make me less and less anxious. Recently I have really been worrying a lot just because the symptoms I have I have never experienced before. And now that they haven't found anything it just is making things worse and worse.

Thanks for your input
Jordan
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Avatar_m_tn
Your story sounds a lot like mine.  I too have had the full cardiologist work up.  I went to the cardiologist because i was feeling flutters and "pauses" in my heart beat (they started during a panic attack).  The cardiologist said I did not have any abnormalities.

I was on paxil 6 years for panic disorder which lead to depression (no enegery, disconnected, no emotions) ago and I didn't like it. I can't remember how long I was on it but it didn't work for me.  I switched to Zoloft and it worked well for me.  The first week or so was tough and I felt side effects but they went away.  I just started back on two days ago so i am going through the adjustment period as well.

I think you should talk to your doctor but definitely talk to a psychiatrist.  hang in there, it will get better.
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Avatar_m_tn
If you've only taken one, you shouldn't have any problem stopping.  And then do your homework before you take your next step.  Which should be after you start counseling.  Good luck, and congrats for having the good sense to check up on your doctor.
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358304_tn?1409713092
I am on 10mg paxil... have been on it for about 3 weeks now...

The first 3 or 4 days I took it... I would feel really lethargic.... and almost see double vision for a second. and would just feel out of it.... there was one time I took it and I took a walk to shake the feeling... and out of nowhere I felt like I was going to throw up... but I didnt.

After the 3rd or 4th day, the symptoms went away... so just hang in there. =)
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458072_tn?1291418786
Have you had your thyroid checked? thyroid disease can cause some of the same symptoms, and if it is the thyroid, taking paxil or any antidepressant is like putting on a bandaid.

This is exactly what happened to me 19 years ago. And all it takes is a little lab work.
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Avatar_m_tn
I was on Paxil for a few years mainly for anxiety and panic disorder.  I was desperate at the time and it was my first antidepressant ever prescribed to me, so I really didn't know what I was getting myself into.  I don't recall having any major side effects in the beginning and it helped at first.  Eventually I got off of it because it just seemed to make me feel more depressed and lethargic (among other things), even though my panic attacks stopped.  Plus, I did experience some sexual side effects being on Paxil.  That was frustrating.  As suggested, I would hold off and continue to research it more if you're able to, especially if you have a decent support group and counseling where you are.  I get more anxious when taking a new med, so you may get that feeling in the beginning regardless of that you take.  Good luck.    
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Avatar_m_tn
Thanks everyone for your comments. I am holding off on the paxil until I talk more to the counselor. All I have heard is bad things with people who have taken it. I think I will still take the Ativan as needed because that seems to help when I get pretty anxious.

To: peggy64

I have had blood work done a couple of times, but I don't know what exactly they were looking for. Mostly they had said liver and kidney function was fine, and monospot was negative. When I go back to my doctor I am going to press them to see if I can get a full thyroid workup because that I what I have been thinking too.

Thanks
Jordan
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Avatar_f_tn
i was very depressed for many months and tried everything.They gave me a dose of paxil.  the next morning i woke up with a smile on my face. couldn't do without it
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901807_tn?1287019388
I really can't believe there are so many people out there who are just like me,
I really thought I was alone no one I know has aniexty so no one understands.

I tryed paxil a few years ago and my family doctor gave it to me and it worked the opposite way on me I became more depressed and started cry all the time and then
I started taliking about killing my self so I ended up in the hospital and then I started
she a theripist and she said I should have never started out on paxil. Now that scared me so much that I am trying to handle my axniexty on my own with no medz and I have my good days and my bad but this website has really helped me alot.
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Avatar_m_tn
hello, i was on paxil for 8 yrs. worked GREAT. stopped workin after 8 yrs and then went on lexapro and klonopin. that worked ok for a few yrs, then tried cymbalta, celexa ect. thoses were BAD. i then tried to get on paxil again after 5 yrs. i started on 10mg after weaning down to 5mg oof lex. that made me feel lke a zombie. i went back onto lex and a year later, im trying to get on paxil again. this time im starting on 5mg for a week then to 10. im on day 3 and so far i have waves of little brain zaps, anxiety/panic attacks and dizzy. i hope things go smoother this go around.
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Avatar_f_tn
hey noob fyi you responded to a post that is almost 6 months old...
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