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Mental Health  (Expert Forum)
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Xanax Vs Paxil
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Xanax Vs Paxil

by Lady Jane, Aug 08, 2001 12:00AM
Hi
I am in my 4th setback (anxiety, panic attacks, etc)
I have always used Xanax before and it helped me through my difficult times.  As I am in my 4th setback, and all the doctors want for me to take is Paxil.  I have a phobia about pills and try to explain this to them, but they seem to tune out.  (When I say doctors I mean my GP and phscologist) I am taking 3 x .25 mg of Xanax a day. It's a small dose, but now I am feeling the need to increase it because my symptons are starting to increase again.  I know Xanax is addictive, I know that your body gets used to it, but it worked for me before. Even if I think of taking Paxil, I get panicky.  My anxiety is high now, because I am losing faith in what I am taking due to the professionals telling me not to use Xanax because it just masks the problem.  But I know my body, and even though Paxil is not suppose to be addictive, I have heard that coming off of any anti-depressant
is difficult.  I feel lost.  I feel frustrated.  I feel depressed now.  My big symptons are:  Bouts of anger (for no reason) crying spells, and that wonderful spacey feeling that doesn't want to go away.  And I am starting to feel dizzy alot too, and kind of like I am there, but not there...   I don't know what to do anymore...

Lady Jane

by Roger Gould, M.D., Aug 09, 2001 12:00AM
Ask your doctor about switching to klonopin..it is the same as xanax, longer lasting, and easier to stop when you are ready.
Member Comments (9)

by wildcat, Aug 08, 2001 12:00AM
To: lady

lady,

I have an anxiety disorder and tried several of the SSRI's like Paxil. They cause more trouble with withdrawal then they are worth.

The Benzo's such as xanax are best for anxiety but addictive. You should ask for a long acting one like Klonopin. It will work wonders one the anxiety and not wear out fast so you need more and more. It has helped me for two years now. I take a heavy dose though because I am also fighting a seizure disorder caused be improper detoxification from alcohol two years ago.

take care,

wildcat

by Lady Jane, Aug 09, 2001 12:00AM
To: wildcat
I tried to do a search on Klonopin and found nothing.  Is there another name for it?  Is this a new drug as I have never heard of it? Are there any side effects?

by KRAIG, Aug 09, 2001 12:00AM
Klonopin,Clonazepam ARE THE TWO NAMES FOR IT THY THEM

by Lady Jane, Aug 10, 2001 12:00AM
To: wildcat
I checked out the medication and it is to treat seizures.  I don't think that would be appropriate for me, but thanks anyways.
I trust Xanax.  I have used it before and it got me through my rough times.  It's just a matter of withdrawing from is very, very slowly which is how I do it when I am ready.  I am only taking half the doses that I used to so I need to up my medication until my anxiety passes.

by KRAIG, Aug 10, 2001 12:00AM
To: lady jane
paxil is about the worst thing I have ever experinced. If I could do it all over it would be in bed crying instead of on the floor crying because the paxil. soory to sound so gloom but ive been there ill stick to my xanax

by pooh7, Aug 12, 2001 12:00AM
hi i am taking klnopin clanazapm for aniexty . And it has been better the xanax but very addictive like xanax But it works well. I have been taking it for 10 yrs really would like to stop. ok thanks hope this helps

by Jenncoop, Oct 18, 2001 12:00AM
I am on xanax, .25 1 or 2 times a day. Klonopin, .05 4x a day, and Paxil I just started at a baby dose od 2.5 mg a day.
THAT PAXIL keeps me antsy ALL day long!!
My Dr. says please give it an adequate try, but jeez.
I can eat xanax, and klonopin all day trying to take away the antsy feelings, but it does not go away. I wonder how on earth it controls anxiety??????
Any help out there, just email me.
I have panic dioder/major depression. I get bouts about every 6 yrs. this is my 3rd one. First one xanax was all that was required, second, prozac and klonopin, this one.......yikes I don't even know how they can help me this time! Please if you have a success story with Oaxil, let meknow I sure could use it. :)
Jenncoop

by Nebula, Oct 24, 2001 12:00AM
To: Jenncoop
HI, I have been rather successful with Paxil 40mg, but it can wear off (like everything), and the anxiety and depression can come back.  There are others to try, like Luvox (no sexual side effects) or Effexor (or something like that).
    When I first started Paxil, I remember feeling kind of "high" part of the time, but I used Paxil for OCD, too, and I just wanted it to stop so bad that I didn't tell the Dr. that I felt high.  That high / dizzy feeling stopped soon enough, but Paxil does have lousy sex drive killers.  
   Isn't Xanax a sedative (is Klonopin, too?) I tried Alprazolam and it made me sleep all day, which I cannot do since I want to go to school full-time.      
   I've found Yoga to be great for both anxiety and depression.  I do a lot of therapeutic breathing when anxiety strikes and I try to do cardio workouts early in the day as help.  I still drink coffee 1/2 caff. and go to school full-time, so I have a lot of stress, but need my caffiene to function sometimes.
   "Greg" wrote a thread to me about B vitamins and "inostitol" and to check out www.algy.com about the do's and don'ts of Meds and alternatives.  I'm going to check that out now, and you could too!
   I am also looking into Light Therapy since my anxiety and depression strike in the winter (in the Midwest), and Dr. RG says it doesn't hurt to try.
   Eating sedatives all day is scary!:( There are other options!
   Please try out some cardio exercise and a yoga class and vitamins.  Good Luck and let me know what happens!!!!
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