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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Suzi on November 28, 2002, at 16:53:00
I have started Paxil for the 4th time now (20mg) and still after 25 days I am having trouble getting out of bed (Anxiety and depression). Does this drug just stop having an effect over time, or has my retarded stop/start method just plain messed me up?
Posted by Joel Maxuel on November 28, 2002, at 17:57:40
In reply to Paxil for the 4th time, posted by Suzi on November 28, 2002, at 16:53:00
> I have started Paxil for the 4th time now (20mg) and still after 25 days I am having trouble getting out of bed (Anxiety and depression). Does this drug just stop having an effect over time, or has my retarded stop/start method just plain messed me up?
Well, my mother stopped her paxil some time ago, and when she started back on it, she felt worse than ever. Something like the shakes, not sure about it though, she could have been jumpy like I was the first and only time I used it (which i took for almost 4 months). So may guess is, after stopping it, your body built up a resistance against it, which could lead to more anxiety/depression. I still say the drug gives you psychosis, Since I know two people who were DX'd that after coming off paxil. (and i don't know too many poeple were are on paxil besides.)
--
Joel Maxuel
ShamelessPlug(http://www.maxuel.ca);
Posted by Mr Cushing on November 28, 2002, at 18:51:38
In reply to Paxil for the 4th time, posted by Suzi on November 28, 2002, at 16:53:00
Hey, I went through the exact same thing with paxil. I found that it slowed me down waaaaay too much and that after 3-4 weeks on it, I'd be lucky if I just laid on the couch all day watching TV. But see... here's the thing, the TV part was only so that the other people living with me wouldn't be too concerned. My attention span was so shot that it was trouble just following the commercials.So, I tried Effexor and that worked amazing but it started making me hypomanic. But the thing is that while Effexor cleared out my head and really helped stabilize my panic/anxiety symptoms, we continued to dig deeper to find out exactly what was going on. Now I'm DX'd as being Bi-Polar with an adjunt Panic Disorder. But you know what, I believe that DX 100%.
Anyways, you could try switching over to Effexor to get rid of that annoying side effect. It only takes a 2 day dry-out from the Paxil before you can start up. Effexor is amazing while you're on it, but the start-up and the withdrawal are VERY bad. But I guess you can weigh the pros and cons on that one. Taking paxil, you feel retarded and can't get out of bed. Taking Effexor, you'll eventually go through some rough side effects, but when it stabilizes in your system, you'll feel amazing.
Posted by JonW on November 28, 2002, at 22:27:15
In reply to Paxil for the 4th time, posted by Suzi on November 28, 2002, at 16:53:00
> I have started Paxil for the 4th time now (20mg) and still after 25 days I am having trouble getting out of bed (Anxiety and depression). Does this drug just stop having an effect over time, or has my retarded stop/start method just plain messed me up?
Hi Suzi,
20mg is a low dose of Paxil and 4 weeks isn't a very long time. Give it at least 8 weeks, and talk to your pdoc about increasing the dose. As for lack of energy, etc., you should wait to see how much is caused by depression and how much is caused by Paxil. I would tend to think it's the Paxil, but depression can suck the life out of you. You could ask your pdoc about adding Provigil, or maybe switching to Effexor would help. I don't believe it's as good for anxiety as Paxil, but it seems to have fewer cognitive side-effects and doesn't drain the life out of you as much. I've never been on Effexor personally, but that's what I've heard from other people. If I were you, I'd give the Paxil some time. Stopping after just 4 weeks would mean you've wasted the time and money taking Paxil for the last month.
Hang in there,
Jon
Posted by linkadge on November 30, 2002, at 16:37:40
In reply to Re: Paxil for the 4th time, posted by JonW on November 28, 2002, at 22:27:15
SSRI's lower dopamine in the brain. This causes your receptors to increase, and adjust to the change. After you discontinue, your dopamine goes right up, but your receptors need time to decrease to the higher dopamine levels.
During this period of high dopamine levels
you may feel symptoms of psychosis. It should
not last longer than 2 weeks.Linkadge
Posted by Suzi on December 1, 2002, at 3:28:19
In reply to SSRI's rebound psychosis, posted by linkadge on November 30, 2002, at 16:37:40
> SSRI's lower dopamine in the brain. This causes your receptors to increase, and adjust to the change. After you discontinue, your dopamine goes right up, but your receptors need time to decrease to the higher dopamine levels.
>
> During this period of high dopamine levels
> you may feel symptoms of psychosis. It should
> not last longer than 2 weeks.
>
> LinkadgeSo what is the long term effect of taking SSRI's (Paxil in particular or any drug for that matter)? Is the brain actually chemically changed for good? What if in ten years they find out that this shit is actually causing damage? Does the brain repair itself over time, or are we just going to be a bunch of tweaked out lab rats for the rest of our lives?
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