Hallo zusammen, in letzter Zeit habe ich eine ziemlich schwere Zeit mit Angst gehabt, aus welchem Grund auch immer, sie ging von gelegentlichen Anfällen zu ständigen. Ich war sowohl beim Psychiater als auch beim Therapeuten, sie möchten, dass ich mit der Einnahme von Paxil beginne, da ich es vor etwa 8 Jahren für postpartale Depressionen eingenommen hatte. Vor ein paar Wochen versuchte ich es zunächst mit Zoloft und musste es nach einer Woche absetzen, weil es meine Angst ins Unermessliche steigen ließ. Deshalb habe ich Angst, mit Paxil zu beginnen, ich habe Angst, dass das wieder passiert. Als ich Paxil vor Jahren einnahm, erinnere ich mich nicht an Nebenwirkungen, aber ich bin mir nicht sicher, ob das dieses Mal der Fall sein wird... Der Arzt hat mir auch Xanax gegeben, aber ich möchte nicht in die Gewohnheit verfallen, es einzunehmen... Jede Hilfe, jeder Rat wäre großartig! Ich will mich einfach besser fühlen!
I have just tried paroxetine (paxil) for a few days and I could not tolerate the side effects, feeling nauseous, dizzy, hot, headaches, flu like aching, really tired. I was only taking half a 10mg tablet (5mg).
I'm not sure what dose you have been given, some doctors start straight on 20mg, which is quite difficult to adjust to. It is best to start more gradually. Either ask for 10mg tablets or cut them in half.
In my opinion the xanax are more effective for anxiety and have less side effects. I know they can be addictive but if taken only when needed it is unlikely to be a problem. From personal experience it can be very unpleasant and difficult to stop taking antidepressants.
A psychiatrist will recommend medication because that is their job, but a therapist should not really be advising to take them, the one I'm seeing doesn't think they help in the long term.
It is a big decision whether to start taking them, and you need some free time, it is not something that is easy when you have other responsibilities like work or children.
Ich habe 20 mg bekommen, nehme aber nur 10 mg. Die ersten paar Tage schienen in Ordnung zu sein, aber dann kam Stress dazu und gestern wurde mir sehr heiß und ich fühlte mich flushig und ängstlich... das war nachts und ich nehme das Paxil morgens. Ich will nicht in die Gewohnheit verfallen, täglich Xanax nehmen zu müssen, aber heute musste ich zweimal 0,25 mg nehmen.... Ich hoffe nur, dass was auch immer meine Angst erhöht, die Medikamente wirken, es macht mich wirklich depressiv, weil ich mich wie ein Gefangener in meinem eigenen Körper fühle. Ich sehe meinen Therapeuten in einer Woche und den Psychiater auch. Haben Sie Ihren Arzt nach einem anderen Medikament gefragt?
Paroxetine is probably the best drug in its class (SSRI) when it comes to all anxiety-related issues. It was scientifically proven to be effective in the vast majority of people who took it, being able to reduce anxiety by 70%-80% (depending on the specific condition). However, as all other SSRIs, it becomes effective after about 4-6 weeks. Within the first few weeks it causes side effects as your brain has to adapt to the new serotonin levels. So yes, in the first 1-2 weeks you should expect nausea, insomia and... more anxiety. These side effects will gradually disappear. Now, taking Xanax in order to relieve these symptoms is questionable. Alprazolam (the active ingredient) has a relatively short half-life time in a human body and you may need to take a pill every 5-6 hours, which may become problematic after 2 weeks. Diazepam or clonazepam would be much much better choices - and remember that you would take these only for the first few weeks, before paroxetine becomes effective.
If paroxetine does not work in your case and - as you mentioned - sertraline was not effective either, you may ask your psychiatrist whether he would be willing to consider other options, such as irreversible MAO inhibitors. These are the most effective drugs when it comes to anxiety-related conditions and can work miracles in some patients. However, they are rarely used these days due to severe (and potentialy lethal) interactions with certain foods (like cheese or red wine). So, if I were you, I would try paroxetine as its the best anit-anxiety medication that you can safely take. If it does not work, you have other options to discuss with your psychiatrist.
Yes , you should be nervous starting Paxil or any SSRI for that matter.....there are a multitude of horrible adverse reactions to them.....i.e. agitation, more anxiety, unable to be still, insomnia, even suicidal and violent tendencies. Believe me.....I was on Paxil for15 years...and finally got off of them 5 years ago...glad I did....there are other ways of dealing with depression or anxiety.....do some research on the web about the dangers of SSRI or even any antidepreseent ! It is worth the trouble. Good luck