Medications and Neuro exams

[scamelo1]

I am planning to go to the CCF in  earlyJanuary for second opinion.  Symptoms for months and our local Dr's can't seem to do much more.   Symptoms include jitters almost all day and upon waking, shake internally, feels like a current or vibration in body at times, numbness in hands, dry mouth and loss of appetite, fatigue and unable to sleep more than a few hours at night.  Most routine tests came back normal.  On a previous post it was suggested it could be a connective tissue disease.  I may have fibromyalgia As well.

BRAIN MRI RESULTS:
I had an MRI and  report said  "Two Tiny cortical White matter Lesions in the left centrum semiovale which are non specific and my be related to early demyelinations versus gliosis secondary to small vessel disease. Correlation is recommended clinically. No intercranail Masses. Minimal right mastoiditis."

I do not have any major stress in my life other than this mysterous disease.

My Dr. Suggested trying Paxil CR 12.5mg in case its anxiety. I have not started it yet.

Besides the MRI Results above, my question is  if I start paxil can it interfere when I go to you guys for furter testing?  For example could I develop a side effect from it and no now if its paxil or me?  I will want to see a neurologist as well as a rheumatologist depending on what internal medicine eval says .

What do you suggest?  currently taking vitamins only.  Had high BP before I lost all the weigh, seems stable now.  I get occasional premature beats.

Can the MRI results be MS, local Neuro said was probably not but I don't know
Should I wait?

[CCF-Neuro-M.D.-CS]

The spots described on your MRI are seen in many patients and typically are the result of high blood pressure or small vessel ischemic disease. Based on the description, they do not sound like MS lesions. Regarding the Paxil, this should not interfere with your evaluation. If you develop a side effect, then taking the medication away would resolve the issue. However if you wish to wait, that is also a reasonable option. Hopefully once you have your evaluation at Cleveland Clinic things will be clearer. Good luck.

[scamelo1]

would it be ok to take 1/2 ativan once in a while before the tests?  or should I avoid this also?

[scamelo1]

I also get muscle aches.