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I am taking Paxil now

arod_77arod_77 __BANNED USERS regular
edited December 2008 in Help / Advice Forum
Am I going to die?


Started yesterday. So far my only manifested symptom is lack of appetite

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Posts

  • ElJeffeElJeffe Registered User, ClubPA regular
    edited December 2008
    Paxil may or may not work for you. If you ever go off of it, the symptoms may or may not make you wish you were dead.

    In FFVII, there's this one enemy that's a giant coin and it flips itself by way of attack. Heads, it heals 1000 of your hp. Tails, it explodes and does a fuckton of damage.

    What I'm saying here is that I think the folks who made Paxil were big Final Fantasy fans.

    ElJeffe on
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  • NerdtendoNerdtendo Registered User regular
    edited December 2008
    That's a pretty damned accurate description. It's actually now required by law that pharmacies hand out a sheet detailing the higher rate of suicides among teens on anti-depressants.

    Drugs aren't an exact science. They test them, see if they work how expected, and then prescribe them for that purpose. They don't work for everyone the same way, and sometimes they can be bad for some people.

    Nerdtendo on
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  • ElJeffeElJeffe Registered User, ClubPA regular
    edited December 2008
    I have heard many people say that Paxil worked great for them. For my wife, it made her so depressed that she refused to leave the house for weeks, and when they finally took her off of it she was a fucking mess for the next month. So... yeah.

    I mean, you're already on it. Hope for the best, but if shit starts going south, talk to your doctor ASAP.

    ElJeffe on
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  • MeeOkMeeOk Registered User regular
    edited December 2008
    God forbid you have this happen to you. I had been taking anti-depressants (bupropion to be exact) for about five weeks, when I started having insanely bad allergic reactions to something. Two visits to the ER later, they decide it's my anti-depressants, and that I have to stop taking them right god damn that minute.

    So over the next week my moods are terrible again, and I'm having crazy bad withdrawal symptoms. For a week. And I still have not gotten anybody to give me a prescription for more anti-depressants. The reason I first started taking the damn things was because I was forcibly taken to an ER, and then stuck in a psychiatric ward for eight days. All because I intentionally over dosed on a ton of pain killers.

    So keep a close eye on your moods, and don't stop taking the fuckers abruptly, even if a doctor tells you to. ER doctor's are dumb. You're never supposed to stop taking a medication that messes with your brain chemistry, abruptly.

    They're not actually dumb, I'm just really really bitter about feeling worse than when I first started taking them. And that nobody is helping me get a prescription for another one.

    MeeOk on
  • DoctorArchDoctorArch Curmudgeon Registered User regular
    edited December 2008
    Never, never stop an anti-depressant cold turkey. They are not the type of medicines that last a short time in your body, instead efficacy is built up over time by accumulated medicine in the system.

    Talk to your pharmacist, they actually know all the details regarding the drugs. If it doesn't seem to be working for you, talk to you doctor about trying something else. Pharmacology is a hit-or-miss affair, and what works on one person isn't guaranteed to work on someone else. But do not, do not quit cold turkey. If you are having suicidal symptoms, talk to your pharmacist and your doctor and they will get you one something else.

    But if it works, yay for you! I hope you feel better.

    DoctorArch on
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  • blakfeldblakfeld Registered User regular
    edited December 2008
    Few things worth mentioning

    Anti-Depressants are not inherently bad, different pills do different things to different people. So if Paxil doesn't work out for you, try something else, because they really can make a big change. However, for the first week, you are going to feel hazey and terrible, and that will happen again if you cut off cold turkey, its important to realize it for what it is. Also, its important to realize that it will help symptoms of depression before actually depression. The suicide rate is higher because it helps reguvinate motivation BEFORE you start to feel better.

    Paxil didn't work for me, but I realized it was the pill and was able to get off of it. Some of the things it did the me was while my anxiety was gone, I still got pretty depressed, except that it went deeper than before, and I'd imagine vivid images of turning my car into a ditch or something crazy like that. Also it gave me reoccuring dreams. Every night for as long as I was on paxil I had a dream that I was surviving the zombie apocolypse, and the dream would continue until I was surrounded and had no hope, when I would choke up and force myself awake.

    However, once I realized what was causeing that and spoke with my doctor, I was weaned off and switched to Lexapro, and every single one of those problems went away. So like I said, different pills DO give different results, don't lump them all together. Life's too short to spend it staring into the dark.

    blakfeld on
  • arod_77arod_77 __BANNED USERS regular
    edited December 2008
    I am a nervous wreck today (I don't really even have too much anxiety--mostly depression)

    arod_77 on
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  • CrayonCrayon Sleeps in the wrong bed. TejasRegistered User regular
    edited December 2008
    I'm on Amitriptyline for a combination of my "anxiety" and my migraines and I haven't had any terrible reactions to it. I was a "test kid" for xanax for my local doctor back in the early 90's because he had never given it out and that was awesome. But anywho, yeah-just do what people say and don't come off of it abruptly or you'll be in a world of fuck.

    Crayon on
  • ElJeffeElJeffe Registered User, ClubPA regular
    edited December 2008
    I would recommend you have a couple people you know and trust keep an eye on you. Let them know you're on Paxil, that you don't know what sort of side-effects you might experience, and to sort of monitor you for things like extreme depression. Because if it gets bad, it may be difficult for you to act to fix it, and you may wind up sort of hiding away from the real world, or something. Find some people to watch your back.

    ElJeffe on
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  • GungHoGungHo Registered User regular
    edited December 2008
    To echo Jeff... when you're on "mood stabilizers", anti-depressants, or other kinds of mind-altering meds, you should really have the input of others regarding whether or not it's working or if you're having certain side effects. Frankly, they are changing the chemistry of your mind, and you're not in a position to be objective about that.

    Also, obsessing about the possible side effects will make you go crazy.

    GungHo on
  • arod_77arod_77 __BANNED USERS regular
    edited December 2008
    oh man I just had an awesome erection and had great sex.

    lets hope it lasts.

    arod_77 on
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  • ElJeffeElJeffe Registered User, ClubPA regular
    edited December 2008
    That's a pretty bitchin' side effect.

    ElJeffe on
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  • ihmmyihmmy Registered User regular
    edited December 2008
    typically you don't notice the intended or side effects for at least 2 week with paxil, and up to a month before it's at full effect

    ihmmy on
  • ZombiemamboZombiemambo Registered User regular
    edited December 2008
    ElJeffe wrote: »
    I have heard many people say that Paxil worked great for them. For my wife, it made her so depressed that she refused to leave the house for weeks, and when they finally took her off of it she was a fucking mess for the next month. So... yeah.

    I mean, you're already on it. Hope for the best, but if shit starts going south, talk to your doctor ASAP.

    My doctor was smart enough to tell me to stop taking a medication (not Paxil, but one that can cause depression) as soon as certain symptoms show up. Not "Take this medicine for 2 more weeks, despite wanting to kill yourself. Then we'll see."

    So yeah, if severe depression, anxiety or any other symptoms show up stop taking Paxil immediately and contact your doctor.

    Zombiemambo on
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  • arod_77arod_77 __BANNED USERS regular
    edited December 2008
    I hope against hope I don't get the sexual side effects (or weight gain for that matter)

    I guess worrying about it wont help

    arod_77 on
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  • Mace1370Mace1370 Registered User regular
    edited December 2008
    Archgarth wrote: »
    Never, never stop an anti-depressant cold turkey. They are not the type of medicines that last a short time in your body, instead efficacy is built up over time by accumulated medicine in the system.

    Talk to your pharmacist, they actually know all the details regarding the drugs. If it doesn't seem to be working for you, talk to you doctor about trying something else. Pharmacology is a hit-or-miss affair, and what works on one person isn't guaranteed to work on someone else. But do not, do not quit cold turkey. If you are having suicidal symptoms, talk to your pharmacist and your doctor and they will get you one something else.

    But if it works, yay for you! I hope you feel better.

    This is not how selective serotonin reuptake inhibitors (SSRIs) work.

    Serotonin is a neuron transmitter. That means it is released by (presynaptic) neurons in your brain and acts on other (post-synaptic) neurons. Normally it is taken by up into the presynaptic neuron after release, but SSRIs inhibit this reuptake. This results in a greater concentration of serotonin in the synaptic cleft, which explains why people feel worse at first when taking the drug (serotonins effects are initially increased). However, eventually the serotonin receptors on the post-synaptic neuron sense the greater concentration of serotonin around them and desensitize/downregulate. The overall effect is desensitization in the long run, but you have to get over the short term effects to get there.

    Edit: as to why it has worse effects on teenagers is up for debate. The explanation I heard was that teenagers, in general, have a high level of stress (dramalol). All stress pathways feed into a pathway that activates ACTH releasing neurons. These ACTH releasing neurons are the same neurons that serotonin activates. So, when a teen starts to take the drug they get hit with a double wammy.

    Mace1370 on
  • MeeOkMeeOk Registered User regular
    edited December 2008
    Just going to pop my head back in here. The stuff I was on works with dopamine levels. And I still felt (and still feel) like shit. I originally chose bupropion because it has less side effects than some of the others, as it is one of the newer anti-depressants. Celexa (spelling) is also a newer anti-depressant.

    MeeOk on
  • DoctorArchDoctorArch Curmudgeon Registered User regular
    edited December 2008
    Mace1370 wrote: »
    Archgarth wrote: »
    Never, never stop an anti-depressant cold turkey. They are not the type of medicines that last a short time in your body, instead efficacy is built up over time by accumulated medicine in the system.

    Talk to your pharmacist, they actually know all the details regarding the drugs. If it doesn't seem to be working for you, talk to you doctor about trying something else. Pharmacology is a hit-or-miss affair, and what works on one person isn't guaranteed to work on someone else. But do not, do not quit cold turkey. If you are having suicidal symptoms, talk to your pharmacist and your doctor and they will get you one something else.

    But if it works, yay for you! I hope you feel better.

    This is not how selective serotonin reuptake inhibitors (SSRIs) work.

    Serotonin is a neuron transmitter. That means it is released by (presynaptic) neurons in your brain and acts on other (post-synaptic) neurons. Normally it is taken by up into the presynaptic neuron after release, but SSRIs inhibit this reuptake. This results in a greater concentration of serotonin in the synaptic cleft, which explains why people feel worse at first when taking the drug (serotonins effects are initially increased). However, eventually the serotonin receptors on the post-synaptic neuron sense the greater concentration of serotonin around them and desensitize/downregulate. The overall effect is desensitization in the long run, but you have to get over the short term effects to get there.

    Edit: as to why it has worse effects on teenagers is up for debate. The explanation I heard was that teenagers, in general, have a high level of stress (dramalol). All stress pathways feed into a pathway that activates ACTH releasing neurons. These ACTH releasing neurons are the same neurons that serotonin activates. So, when a teen starts to take the drug they get hit with a double wammy.

    Thanks for the correction. Does my primary point of not stopping cold-turkey still stand however?

    DoctorArch on
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  • WhiteZinfandelWhiteZinfandel Your insides Let me show you themRegistered User regular
    edited December 2008
    I know that there are definitely situations where you've gotta stop cold turkey. My docs tried me on a med (abilify) that very, very few people get bad side effects on. Turns out it makes me hallucinate, lose control over my muscles, and have seizures. When I went to the ER they told me to stop taking it right that minute. And to the OP, worrying lots is stupid. You'll hear all sorts of horror stories, but that's because they're more interesting and fun to tell than the success stories. Currently I'm on Zoloft, and it's working out great. My moods are way up and the only noticeable side effect is that my blood pressure is a little wonky. That translates to me being light headed when standing up after sitting down for a while, but even that's pretty mild. If you worry a bunch you're going to cause problems, rather than just find them.

    WhiteZinfandel on
  • Mace1370Mace1370 Registered User regular
    edited December 2008
    Archgarth wrote: »
    Mace1370 wrote: »
    Archgarth wrote: »
    Never, never stop an anti-depressant cold turkey. They are not the type of medicines that last a short time in your body, instead efficacy is built up over time by accumulated medicine in the system.

    Talk to your pharmacist, they actually know all the details regarding the drugs. If it doesn't seem to be working for you, talk to you doctor about trying something else. Pharmacology is a hit-or-miss affair, and what works on one person isn't guaranteed to work on someone else. But do not, do not quit cold turkey. If you are having suicidal symptoms, talk to your pharmacist and your doctor and they will get you one something else.

    But if it works, yay for you! I hope you feel better.

    This is not how selective serotonin reuptake inhibitors (SSRIs) work.

    Serotonin is a neuron transmitter. That means it is released by (presynaptic) neurons in your brain and acts on other (post-synaptic) neurons. Normally it is taken by up into the presynaptic neuron after release, but SSRIs inhibit this reuptake. This results in a greater concentration of serotonin in the synaptic cleft, which explains why people feel worse at first when taking the drug (serotonins effects are initially increased). However, eventually the serotonin receptors on the post-synaptic neuron sense the greater concentration of serotonin around them and desensitize/downregulate. The overall effect is desensitization in the long run, but you have to get over the short term effects to get there.

    Edit: as to why it has worse effects on teenagers is up for debate. The explanation I heard was that teenagers, in general, have a high level of stress (dramalol). All stress pathways feed into a pathway that activates ACTH releasing neurons. These ACTH releasing neurons are the same neurons that serotonin activates. So, when a teen starts to take the drug they get hit with a double wammy.

    Thanks for the correction. Does my primary point of not stopping cold-turkey still stand however?

    Generally you shouldn't stop them cold turkey. However, you should always check with your doctor first.

    Mace1370 on
  • Mad JazzMad Jazz gotta go fast AustinRegistered User regular
    edited December 2008
    Mace1370 wrote: »
    Archgarth wrote: »
    Mace1370 wrote: »
    Archgarth wrote: »
    Never, never stop an anti-depressant cold turkey. They are not the type of medicines that last a short time in your body, instead efficacy is built up over time by accumulated medicine in the system.

    Talk to your pharmacist, they actually know all the details regarding the drugs. If it doesn't seem to be working for you, talk to you doctor about trying something else. Pharmacology is a hit-or-miss affair, and what works on one person isn't guaranteed to work on someone else. But do not, do not quit cold turkey. If you are having suicidal symptoms, talk to your pharmacist and your doctor and they will get you one something else.

    But if it works, yay for you! I hope you feel better.

    This is not how selective serotonin reuptake inhibitors (SSRIs) work.

    Serotonin is a neuron transmitter. That means it is released by (presynaptic) neurons in your brain and acts on other (post-synaptic) neurons. Normally it is taken by up into the presynaptic neuron after release, but SSRIs inhibit this reuptake. This results in a greater concentration of serotonin in the synaptic cleft, which explains why people feel worse at first when taking the drug (serotonins effects are initially increased). However, eventually the serotonin receptors on the post-synaptic neuron sense the greater concentration of serotonin around them and desensitize/downregulate. The overall effect is desensitization in the long run, but you have to get over the short term effects to get there.

    Edit: as to why it has worse effects on teenagers is up for debate. The explanation I heard was that teenagers, in general, have a high level of stress (dramalol). All stress pathways feed into a pathway that activates ACTH releasing neurons. These ACTH releasing neurons are the same neurons that serotonin activates. So, when a teen starts to take the drug they get hit with a double wammy.

    Thanks for the correction. Does my primary point of not stopping cold-turkey still stand however?

    Generally you shouldn't stop them cold turkey. However, you should always check with your doctor first.

    Yes, this is true. The same way it takes a few weeks for the neurons in your brain to downregulate and adjust to the increased levels of serotonin in the synapse, it takes them a few weeks to upregulate when there's a decrease. It's the body's natural defense mechanism against unforeseen changes in brain chemistry (i.e., keeping your head right if something goes wrong). Of course, if you end up with side effects like severe allergic reaction, you should stop asap and talk to your doctor immediately. Weaning yourself off psychotropic meds won't do any good if you send yourself into anaphylaxis.

    All that said, don't sweat the side effects. Everybody reacts differently to drugs, and a dosage of a med that works for someone else might not work for you. There is no magic pill that will fix everything right away, so you could be in for a lot of trial and error in the future. Of course, you and your doc might hit a home run with your first swing. For all the horror stories people tell about psychotropics (I'm looking at you, Scientology), they do a lot of good for a lot of people when used correctly and responsibly.

    Mad Jazz on
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  • arod_77arod_77 __BANNED USERS regular
    edited December 2008
    So apparently everyone on the internet is telling me I am going to get fat because of a change in leptin levels because of Paxil.

    Is this true and can I take supplements to combat it?

    I really don't want to be fat--id' rather die than be fat again.

    arod_77 on
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  • Mace1370Mace1370 Registered User regular
    edited December 2008
    arod_77 wrote: »
    So apparently everyone on the internet is telling me I am going to get fat because of a change in leptin levels because of Paxil.

    Is this true and can I take supplements to combat it?

    I really don't want to be fat--id' rather die than be fat again.

    I don't know if Paxil affects your leptin levels. Leptin is a powerful hormone in your body that controls appetite. If Paxil does affect leptin levels, it may make you feel hungry. However, you are still in control of whether or not the food goes in your mouth. You will not magically become fatter by eating the same number of calories each day as you were before you started taking Paxil.

    Mace1370 on
  • GirlPantsGirlPants Registered User regular
    edited December 2008
    Why don't you spend your money on a therapist or some counseling instead of drugs? Treating the symptoms aren't going to cure the disease.

    I've tried a lot of different drugs in my life, both legal and illegal in hopes of finding something that would stablize me. You know what I realized? That nothing is better than talking with a good friend or family member and that conciously working to always think positively is the best medicine.

    GirlPants on
  • ComahawkComahawk Registered User regular
    edited December 2008
    GirlPants wrote: »
    Why don't you spend your money on a therapist or some counseling instead of drugs? Treating the symptoms aren't going to cure the disease.

    I've tried a lot of different drugs in my life, both legal and illegal in hopes of finding something that would stablize me. You know what I realized? That nothing is better than talking with a good friend or family member and that conciously working to always think positively is the best medicine.

    This is shit advice. You are not a medical doctor or a psychiatrist, so do not act like you know what you are talking about.

    These drugs can be dangerous, but what you need to do has already been stated. Get someone to watch over you for the next couple weeks to tell you if you have taken a bad/aggressive turn. When I was put on Paxil I suffered tremors in the morning and over-aggressiveness. I was later switched to Celexa, which I'm told better reacts with teenagers.

    Basically, keep an eye on yourself and don't be afraid to voice concerns to your doctor, you are not going to get better by keeping to yourself.

    Comahawk on
  • ZombiemamboZombiemambo Registered User regular
    edited December 2008
    GirlPants wrote: »
    Why don't you spend your money on a therapist or some counseling instead of drugs? Treating the symptoms aren't going to cure the disease.

    I've tried a lot of different drugs in my life, both legal and illegal in hopes of finding something that would stablize me. You know what I realized? That nothing is better than talking with a good friend or family member and that conciously working to always think positively is the best medicine.

    Unless you have a disorder like Bi-Polar or OCD, in which case you're retarded if you don't take proper care of yourself. I have OCD and without taking my medication I'd be a complete wreck, regardless of who I spoke to. I know this because I've tried it before.

    Zombiemambo on
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  • WhiteZinfandelWhiteZinfandel Your insides Let me show you themRegistered User regular
    edited December 2008
    Or severe depression. Really you should be getting medication and therapy.

    WhiteZinfandel on
  • EndomaticEndomatic Registered User regular
    edited December 2008
    and exercise.

    Endomatic on
  • FyreWulffFyreWulff YouRegistered User, ClubPA regular
    edited December 2008
    I was prescibed this because they thought it would help me get me to turn in homework during high school (Spoiler: it didn't).

    I hope it helps you but as stated above, DO NOT STOP PAXIL COLD TURKEY. Unless you have a doctor telling you to do it, do not do it.

    I did it. It literally feels like you're going downhill really fast and you can't stop it. If you have to stop cold turkey, do it and stay over at someone's place for the day so they can watch you.

    Otherwise as long as you don't get any side effects, if you want to stop you should slowly reduce dosage.

    But also remember, if you feel better after a while on this medicine, you must keep taking it. This is the number one mistake people make, they feel better so they think the medicine isn't needed anymore, and they just end up crashing again.

    FyreWulff on
  • arod_77arod_77 __BANNED USERS regular
    edited December 2008
    So I am feeling awesome--getting sick boners--and have lost about 10 pounds of fat and gained 2 pounds of muscle so far due to a combination of appetite control making my dieting easier and my exercise regimen

    my sex drive actually feels balanced for the first time in years

    this is the best.

    arod_77 on
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  • WhiteZinfandelWhiteZinfandel Your insides Let me show you themRegistered User regular
    edited December 2008
    Awesome, dude!

    WhiteZinfandel on
  • ShadowfireShadowfire Vermont, in the middle of nowhereRegistered User regular
    edited December 2008
    ElJeffe wrote: »
    I have heard many people say that Paxil worked great for them. For my wife, it made her so depressed that she refused to leave the house for weeks, and when they finally took her off of it she was a fucking mess for the next month. So... yeah.

    I mean, you're already on it. Hope for the best, but if shit starts going south, talk to your doctor ASAP.

    Quoting about a week late, but Paxil was the first one that worked for me. Prozac made me sleep way too much (14+ hours, no alarm could wake me). Wellbutrin made my muscles seize up and gave me a couple of nights in the hospital. Paxil evened me out while we worked on my therapy.

    Shadowfire on
  • AresProphetAresProphet Registered User regular
    edited December 2008
    FyreWulff wrote: »
    I was prescibed this because they thought it would help me get me to turn in homework during high school (Spoiler: it didn't).

    I hope it helps you but as stated above, DO NOT STOP PAXIL COLD TURKEY. Unless you have a doctor telling you to do it, do not do it.

    As someone who did it (quitting it cold turkey I mean, not getting doctor's advice. I didn't get that) I'll second this.

    Without a doubt the stupidest thing I've ever done in my life and I'm lucky it didn't kill me.

    AresProphet on
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  • BetelguesePDXBetelguesePDX Registered User regular
    edited December 2008
    Regarding the debate on whether or not you should stop it cold turkey, most of the time you do not want to go off it immediately. However it is a question of risk vs benefit. If doing a gradual taper of the medicine is going to be more harmful to you than stopping cold turkey, then you have no choice. A (rather drastic & hypothetical) example is an allergic reaction that causes swelling in your airway. Continue the medicine and choke to death (but avoid the withdrawal syndrome) or stop the medicine, continue to breathe and go through the withdrawal syndrome?

    So yeah, risk vs benefits.

    BetelguesePDX on
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