I started taking 20mg Paxil 3 weeks ago for anxiety related to eating. Basically I can't eat when I'm anxious, in fact I sometimes dry heave, so I get anxious about being anxious when I am expected to eat, like going out for dinner, lunch, etc. Sometimes this spirals out of control and then I get anxious about every meal. This is where I'm at now so my Dr prescribed Paxil. It has made my symptoms worse, which I have read is common. I wasn't initially told this and I thought I was going crazy. I went back to the Dr and was given Ativan to help. I have been taking between 1-2mg of Ativan a day just to get by. I know the Paxil will take 4-6 weeks to work but I'm worried since my symptoms have increased it won't be as effective. I am waking up each morning very early (4.30am) incredibly anxious to the point I am dry heaving, even if I've had a good day prior. I am desperate for this morning anxiety to go away. Even if I have a nap, I wake up anxious. Obviously the ativan makes me drowsy so I'm napping a lot. I'm scared to fall asleep! I am feeling a bit helpless because my CBT isn't really working and I feel reliant on the ativan. I have found this forum very helpful and just wanted to hear from anyone that found Paxil to increase symptoms of anxiety initially but eventually found it to be effective.
It is an awful feeling to wake up to anxiety. Being afraid to go to sleep is a valid feeling at this point. If the Paxil is not working by the 6th week you may have to adjust your dose or go to another antidepressant. Zoloft and Lexapro address anxiety. Be catious with the Ativan, it can build a dependency and tolerance. Ask your doctor about Buspar that is for anxiety and is not addictive. It is hard to do CBT when you are unable to feel or think clearly.
Check with your doctor for options.
Hope you feel better soon.
When I was first prescribed paxil(5 mgs), yes, only 5, I was so nauseated and my anxiety was horrible. I can remember suddenly waking up one day feeling wonderful! I was full of joy with no worries. I was so grateful! It took me about 6 weeks to finally feel this way. So if you can stick to it a little longer, maybe you will experience the same relief! Best of luck to you. I truly hope it works for you... it is hard to be patient when you feel miserable. Hang in there!
- Paxil Information for Consumers
- Paxil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Paxil (detailed)
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