ro4eva
Bluelighter
I need help my fellow bluelighters. I have figured out that my heightened senses are due to the fact that the Paxil is acting like a stimulant in my current condition. I went to the store today and I was having flashbacks to when I started my LTC. I couldn't focus on items on the shelf etc.. My DP seems to have gotten worse as well. On the positive side, my senses are strong, I have more energy, and my mood has lifted noticeably.
So, my question is, should I continue with Paxil as if this is just a phase or should I stop taking it altogether? Will this keep getting worse? I was pretty close to a panic attack today as well with my heart skipping a beat and I haven't had those problems in a couple of months. So, in some ways I feel better and in some ways I feel it's been a setback.
Although I believe we all react a little differently to drugs (especially psychotropic drugs), I definitely think it's a phase, and you'll move past it if you stick with the regime. My opinion is based on my own personal experience with four different SSRIs (including Paxil) - one of which I ended up staying on for several months, until several severe LTC-related symptoms ceased to exist, at which time I decided it was time to taper off the SSRI.
I also experienced very vivid flashbacks during my first 4 weeks on an SSRI. In my case, it was Zoloft (Sertraline) and not Paxil (Paroxetine) - but still the same family of antidepressants.
The first few weeks are by far the hardest for almost everyone who is starting SSRI treatment, due to the severe adverse side effects one may (or may not) experience. For this reason, as much as 1 in 3 patients give up on the treatment. Also, for this reason, the prescribing doctor will usually also prescribe a benzodiazepine on the side in order to help alleviate some of those side effects, such as anxiety, nervousness, vivid dreams, panic attacks, insomnia, and so forth.
I know that it's much easier said than done, but try your best not to give up.
If you're able to book some time off work or school in order to concentrate on your recovery, it may help you better tolerate the aforementioned side effects, as it did for me.
By taking 6 months off work, I was able to "ride out" the first few weeks of treatment by keeping my body as comfortable as possible, and my mind concentrated on something which did not require much effort, but was also interesting and/or entertaining.
In other words, I became a couch potato for about 3 weeks, due to the side effects being so severe (on top of the LTC symptoms - it was really bad and I was thinking a lot about suicide at that time). I remember for one of those weeks watching 24 (Seasons 1 to 4) back to back while eating relatively healthy food. I know this may sound very unhealthy, but it was actually quite therapeutic for my mind, which was by far the biggest issue. Obviously I did get up and took breaks, walked/jogged best I could for a good hour each day, avoided any recreational or non-prescribed mind-altering substances including caffeine, nicotine, and alcohol. I felt the benefits far outweighed the risks.
Afterwards (after the SSRI acute-adverse side effects stopped), I gradually got back into running errands, exercising, being productive at home, etc.
I did have some issues with procuring a benzo script at first, as my psychiatrist was concerned that I would increase my dosage without his consent, but I managed not to.
Good luck with everything - I hope that things work out for you (it's a really difficult time, I sincerely feel bad for you, but again, don't give up - it will pass, I promise)

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