Another Paxil Question For Jackie (and anyone else with advice)

Question:

::Thanks so much for your informative response. You are welcome :) ::I’m glad you mentioned that Wellbutrin can be a problem for people with ::anxiety. I do suffer from GAD. I had to take xanax for quite a while, ::but have been off it for several months and the Paxil CR I used to take ::seemed to handle the anxiety pretty well. It’s only when I had to switch ::to regular Paxil that I started having problems. BTW, have you heard ::when Paxil CR might be available again? I went to drugstore.com and it seems that paxil cr is available. I was able to add paxil cr to my shopping cart without getting a notice that it was unavailable. Call a local pharmacy and inquire about paxil cr`s status. http://www.drugstore.com/pharmacy/drugindex/rxsearch.asp?search=paxil+cr Good luck with your upcoming pdoc appt! Let me know how it goes. Jackie ~*~I`m an angel! Honest :) The horns are just there to keep my halo up straight~*~ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hello Jackie: A while back, you were very helpful and answered a question for me about the sedating effects of Paxil. I was now wondering whether Paxil can ever cause dizziness. I occasionally feel just slightly dizzy when I stand up and when I’m walking. I’m wondering whether you’ve experienced anything similar. Also, in your prior response, you mentioned that Wellbutrin might help me offset the sedating effect of the Paxil. Since I’ll be seeing my psychiatrist in a few days, I was hoping to get your thoughts on the right dosage for Wellbutrin and on any other meds that help offset the sedation.

I’d change to a less sedating SSRI, such as Zoloft, Celexa, or Lexapro. Then you wouldn’t have to take two pills. Chip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Jackie: I checked with my regular pharmacist. He said that CR is not yet available and no date has been announced. I wonder if you’ll get a notice from Drugstore.com that it made a mistake. Thanks again. DCH – Hide quoted text — Show quoted text – ::Thanks so much for your informative response. You are welcome :) ::I’m glad you mentioned that Wellbutrin can be a problem for people with ::anxiety. I do suffer from GAD. I had to take xanax for quite a while, ::but have been off it for several months and the Paxil CR I used to take ::seemed to handle the anxiety pretty well. It’s only when I had to switch ::to regular Paxil that I started having problems. BTW, have you heard ::when Paxil CR might be available again? I went to drugstore.com and it seems that paxil cr is available. I was able to add paxil cr to my shopping cart without getting a notice that it was unavailable. Call a local pharmacy and inquire about paxil cr`s status. http://www.drugstore.com/pharmacy/drugindex/rxsearch.asp?search=paxil+cr Good luck with your upcoming pdoc appt! Let me know how it goes. Jackie ~*~I`m an angel! Honest :) The horns are just there to keep my halo up straight~*~

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Chip: Thanks for your help. I have an appointment with my psychiatrist tomorrow afternoon and I’ll mention your suggestions. DCH – Hide quoted text — Show quoted text – Hello Jackie: A while back, you were very helpful and answered a question for me about the sedating effects of Paxil. I was now wondering whether Paxil can ever cause dizziness. I occasionally feel just slightly dizzy when I stand up and when I’m walking. I’m wondering whether you’ve experienced anything similar. Also, in your prior response, you mentioned that Wellbutrin might help me offset the sedating effect of the Paxil. Since I’ll be seeing my psychiatrist in a few days, I was hoping to get your thoughts on the right dosage for Wellbutrin and on any other meds that help offset the sedation. I’d change to a less sedating SSRI, such as Zoloft, Celexa, or Lexapro. Then you wouldn’t have to take two pills. Chip

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hello Jackie: A while back, you were very helpful and answered a question for me about the sedating effects of Paxil. I was now wondering whether Paxil can ever cause dizziness. I occasionally feel just slightly dizzy when I stand up and when I’m walking. I’m wondering whether you’ve experienced anything similar. Also, in your prior response, you mentioned that Wellbutrin might help me offset the sedating effect of the Paxil. Since I’ll be seeing my psychiatrist in a few days, I was hoping to get your thoughts on the right dosage for Wellbutrin and on any other meds that help offset the sedation. Thanks in advance, DCH — The charter is available at: http://readystump.algebra.com/~asapm

Response:

::A while back, you were very helpful and answered a question for me about ::the sedating effects of Paxil. I was now wondering whether Paxil can ::ever cause dizziness. I occasionally feel just slightly dizzy when I ::stand up and when I’m walking. I’m wondering whether you’ve experienced ::anything similar. :: ::Also, in your prior response, you mentioned that Wellbutrin might help ::me offset the sedating effect of the Paxil. Since I’ll be seeing my ::psychiatrist in a few days, I was hoping to get your thoughts on the ::right dosage for Wellbutrin and on any other meds that help offset the ::sedation. :: ::Thanks in advance, Helloooo DCH :) Yes, paxil can cause dizziness. It`s one of the most common side-effects. One of the pharmacies I used to fill my paxil script a few years back use to put a warning label on my paxil body about needing to change positions slowly. What happens is when you change positions quickly, like from laying down or sitting, to a standing position, your blood pressure drops a bit and you get lightheaded or dizzy. Google orthostatic hypotension to learn more about it if you like. This still happens to me, annoying but not dangerous. Try to change your positions slowly. Go to a sitting position and dangle first before standing, if you had been laying down. That should help. About the wellbutrin…….your pdoc will know best what dose to start you at, if he even chooses wellbutrin. I would say start with the absolute lowest and see if that helps. Keep in mind that wellbutrin is a stimulating antidepressant and many people with anxiety cannot tolerate it. Of course, there are always exceptions to the rules.Paxil sedation still a problem for you? How is it working otherwise? Take care :) Jackie ~*~I`m an angel! Honest :) The horns are just there to keep my halo up straight~*~ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Jackie: Thanks so much for your informative response. I am still having a problem with sedation. I don’t feel physically weak, but do feel like I haven’t had enough sleep. I do get 6 to 8 hours sleep a night so I don’t think that is a problem. I’m glad you mentioned that Wellbutrin can be a problem for people with anxiety. I do suffer from GAD. I had to take xanax for quite a while, but have been off it for several months and the Paxil CR I used to take seemed to handle the anxiety pretty well. It’s only when I had to switch to regular Paxil that I started having problems. BTW, have you heard when Paxil CR might be available again? DCH – Hide quoted text — Show quoted text – ::A while back, you were very helpful and answered a question for me about ::the sedating effects of Paxil. I was now wondering whether Paxil can ::ever cause dizziness. I occasionally feel just slightly dizzy when I ::stand up and when I’m walking. I’m wondering whether you’ve experienced ::anything similar. :: ::Also, in your prior response, you mentioned that Wellbutrin might help ::me offset the sedating effect of the Paxil. Since I’ll be seeing my ::psychiatrist in a few days, I was hoping to get your thoughts on the ::right dosage for Wellbutrin and on any other meds that help offset the ::sedation. :: ::Thanks in advance, Helloooo DCH :) Yes, paxil can cause dizziness. It`s one of the most common side-effects. One of the pharmacies I used to fill my paxil script a few years back use to put a warning label on my paxil body about needing to change positions slowly. What happens is when you change positions quickly, like from laying down or sitting, to a standing position, your blood pressure drops a bit and you get lightheaded or dizzy. Google orthostatic hypotension to learn more about it if you like. This still happens to me, annoying but not dangerous. Try to change your positions slowly. Go to a sitting position and dangle first before standing, if you had been laying down. That should help. About the wellbutrin…….your pdoc will know best what dose to start you at, if he even chooses wellbutrin. I would say start with the absolute lowest and see if that helps. Keep in mind that wellbutrin is a stimulating antidepressant and many people with anxiety cannot tolerate it. Of course, there are always exceptions to the rules.Paxil sedation still a problem for you? How is it working otherwise? Take care :) Jackie ~*~I`m an angel! Honest :) The horns are just there to keep my halo up straight~*~

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

::I saw my psychiatrist yesterday afternoon. In order to control the

Jackie: My psychiatrist told me that a number of his patients have successfully used Provigil. Hopefully, just taking the Paxil in the evening will do the trick, however. I’ll let you know what happens. – DCH – Hide quoted text — Show quoted text – ::sleepiness, he asked me to take my whole Paxil dosage before going to ::bed instead of half in the morning and half in the evening. If that ::doesn’t resolve the problem after a few days, he wants me to try taking ::100 mg of Provigil C when I get up in the morning. According to my ::psychiatrist, this drug is used to treat narcolepsy (at much higher ::doses) and shift work sleep disorder. He also said that it will not ::increase anxiety. If necessary, I can also take an additional 100 mg at ::noon. At least I didn’t have to pay for the Provigil since he had ::samples in his office. I’ll let you know how things are going after a ::few days. If you’re interested in reading more about Provigil, here’s a ::link to the Mayo Clinic’s description of the med. Dear DCH, I hope taking the paxil in the PM works for you! Just beware that some people, like me<g, can`t tolerate taking antidepressants in the evening. Strange as it sounds, taking paxil in the AM makes me feel tired…..but when I took it in the PM, it made me feel so restless that I had a hard time sleeping. This doesn`t About provigil, from everything I read about it, it seems there are better choices out there. You might want to browse through some archived posts on provigil. http://makeashorterlink.com/?R2BA1280B Good luck! I hope you find an answer for the paxil fatigue :) Jackie ~*~Anything preying on my mind would starve to death~*~

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi, DH, Best wishes with the med adjustment.  Keep us updated on how it’s going for you. smiles, Elise

– Hide quoted text — Show quoted text – Hi Jacqueline: I saw my psychiatrist yesterday afternoon. In order to control the sleepiness, he asked me to take my whole Paxil dosage before going to bed instead of half in the morning and half in the evening. If that doesn’t resolve the problem after a few days, he wants me to try taking 100 mg of Provigil C when I get up in the morning. According to my psychiatrist, this drug is used to treat narcolepsy (at much higher doses) and shift work sleep disorder. He also said that it will not increase anxiety. If necessary, I can also take an additional 100 mg at noon. At least I didn’t have to pay for the Provigil since he had samples in his office. I’ll let you know how things are going after a few days. If you’re interested in reading more about Provigil, here’s a link to the Mayo Clinic’s description of the med.

http://www.mayoclinic.com/invoke.cfm?objectid=3361ACED-6F3F-49BD-A92E… – Hide quoted text — Show quoted text – Thanks again for your help. – DCH ::Thanks so much for your informative response. You are welcome :) ::I’m glad you mentioned that Wellbutrin can be a problem for people with ::anxiety. I do suffer from GAD. I had to take xanax for quite a while, ::but have been off it for several months and the Paxil CR I used to take ::seemed to handle the anxiety pretty well. It’s only when I had to switch ::to regular Paxil that I started having problems. BTW, have you heard ::when Paxil CR might be available again? I went to drugstore.com and it seems that paxil cr is available. I was able to add paxil cr to my shopping cart without getting a notice that it was unavailable. Call a local pharmacy and inquire about paxil cr`s status. http://www.drugstore.com/pharmacy/drugindex/rxsearch.asp?search=paxil+cr Good luck with your upcoming pdoc appt! Let me know how it goes. Jackie ~*~I`m an angel! Honest :) The horns are just there to keep my halo up straight~*~ — The charter is available at: http://readystump.algebra.com/~asapm

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

::I saw my psychiatrist yesterday afternoon. In order to control the ::sleepiness, he asked me to take my whole Paxil dosage before going to ::bed instead of half in the morning and half in the evening. If that ::doesn’t resolve the problem after a few days, he wants me to try taking ::100 mg of Provigil C when I get up in the morning. According to my ::psychiatrist, this drug is used to treat narcolepsy (at much higher ::doses) and shift work sleep disorder. He also said that it will not ::increase anxiety. If necessary, I can also take an additional 100 mg at ::noon. At least I didn’t have to pay for the Provigil since he had ::samples in his office. I’ll let you know how things are going after a ::few days. If you’re interested in reading more about Provigil, here’s a ::link to the Mayo Clinic’s description of the med. Dear DCH, I hope taking the paxil in the PM works for you! Just beware that some people, like me<g, can`t tolerate taking antidepressants in the evening. Strange as it sounds, taking paxil in the AM makes me feel tired…..but when I took it in the PM, it made me feel so restless that I had a hard time sleeping. This doesn`t About provigil, from everything I read about it, it seems there are better choices out there. You might want to browse through some archived posts on provigil. http://makeashorterlink.com/?R2BA1280B Good luck! I hope you find an answer for the paxil fatigue :) Jackie ~*~Anything preying on my mind would starve to death~*~ — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi Jacqueline: I saw my psychiatrist yesterday afternoon. In order to control the sleepiness, he asked me to take my whole Paxil dosage before going to bed instead of half in the morning and half in the evening. If that doesn’t resolve the problem after a few days, he wants me to try taking 100 mg of Provigil C when I get up in the morning. According to my psychiatrist, this drug is used to treat narcolepsy (at much higher doses) and shift work sleep disorder. He also said that it will not increase anxiety. If necessary, I can also take an additional 100 mg at noon. At least I didn’t have to pay for the Provigil since he had samples in his office. I’ll let you know how things are going after a few days. If you’re interested in reading more about Provigil, here’s a link to the Mayo Clinic’s description of the med. http://www.mayoclinic.com/invoke.cfm?objectid=3361ACED-6F3F-49BD-A92E… Thanks again for your help. – DCH – Hide quoted text — Show quoted text – ::Thanks so much for your informative response. You are welcome :) ::I’m glad you mentioned that Wellbutrin can be a problem for people with ::anxiety. I do suffer from GAD. I had to take xanax for quite a while, ::but have been off it for several months and the Paxil CR I used to take ::seemed to handle the anxiety pretty well. It’s only when I had to switch ::to regular Paxil that I started having problems. BTW, have you heard ::when Paxil CR might be available again? I went to drugstore.com and it seems that paxil cr is available. I was able to add paxil cr to my shopping cart without getting a notice that it was unavailable. Call a local pharmacy and inquire about paxil cr`s status. http://www.drugstore.com/pharmacy/drugindex/rxsearch.asp?search=paxil+cr Good luck with your upcoming pdoc appt! Let me know how it goes. Jackie ~*~I`m an angel! Honest :) The horns are just there to keep my halo up straight~*~

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

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