Welcome to the Medication section of Anxiety Zone!
I kinda want to wait and talk to another doctor (one that i had been seeing for a longer but had to wait because of insurance situation) before i continue Paxil. I've only been on one dose and now I'm unsure where i should head. I have tried to take on the anxiety on my own with moderate success. I'm getting rid of habits that i had developed but I still feel a distracting and overwhelming fear along with the moments of dreadful anxiety. This makes me also want to give the Paxil a chance to work and help me get back into a routine and move forward with my life. The withdrawals part though puts me off. I know the medications have withdrawal symptoms but wouldn't it be better to stop now and weight a bit or to try it and talk to a doctor in a month about the next step. I'm just want to make the right choice.
You won't feel any horrid withdraw symptoms after 1 dosage intake of Paxil (Paroxetine). If you took Paxil for a few more weeks, you may, but at this point, your feelings of anxiety are coming more from your worries about antidepressant usage, than from the actual med. Paxil has a half life of 24 hours, so that dosage that you took would be out of your body within two days. Any other lingering anxiety would just be your mind stuck in worry, that the medication is still in your system, but it's been discarded, gone, kapoof (grin).
I'm also worried and thinking about the potential for weight gain with Paxil, I've lost 6 lbs over the last month due to anxiety (not eating as much and probably my workouts). I workout often and eat moderately ok but i have read stories of people saying that despite exercise they have packed on over 20-50 pounds on Paxil. Some even 100. In some way I feel like I might be okay with a little weight gain but also it makes me uncomfortable since I chose put on a mix of fat/muscle of 40lbs from bulking and working out during college. I like to be in control of my weight and I put on that weight because I was tired of being so skinny. I feel like putting on weight out of my control might not be so good and don't know if I'd even like more wight packed on if it was all fat.
There are some
users who have side effects of weight gain, however you're already working out, regularly. Not only is your exercise program good for your weight control, but it's also good to manage your moods. The sample who made issues about weight gain, normally don't mention the lack of exercise in their study. Likewise those who gain weight, often don't report side effects earlier. Normally if you start a new medication, a good doctor will ask you to return in four weeks, after your initial visit. If excessive carbohydrate cravings are an issue within a month, your doctor will find ways around it, even if it means trying another med. So you being proactive about your medication intake can easily make this a non-existant issue.
Just FYI, I take Zoloft (Setraline) and have not gained weight. In fact, I've lost unwanted weight, since the medication makes me energized. and unreactive to unwanted anxiety. With that extra energy, I hit the gym five times a week. What's hell is having out of control anxiety, and that is why taking an antidepressant is so useful. When taken properly, you can say goodbye to the anxiety, by having it under control with the antidepressant.
I think you should take the Paxil, however I think you should wait before you actually start taking it. Be committed, mentally, first before you begin your use of psychiatric medication.
1) First be sure you have a doctor in place, who will see you in four weeks,
after you begin your medication regimen.
2) Be sure you have insurance issues covered on the day you plan to take your medicine.
3) You really should see a psychiatrist to monitor you on your medications than a general practitioner.
4) Don't hold back anything to your doctor about your feelings, especially your issues with anxiety and depression. Be open with your doctor about your moods, since we're dealing with a psychiatric disorder that is linked to your psychical health. Feel confident to call him, if you were to encounter problems.
5) Know the value of antidepressant usage.
6) Go to sites like Anxiety zone where you can meet like minded people who can support you in your use of medication. There are many people, like myself, who can tell you the wonderful benefits of antidepressants. You can feel less anxious to go on dates, improved concentration at school, more confidence to walk in social settings, however to get those benefits, you have to be proactive with your medication intake, and your relationship with your doctor. If you follow your doctor properly, you can achieve those benefits!
7) Make a commitment to be on the medication for at least a year. If your doctor approves, you could change that to six months.
Once you have these steps in place, then I think you'll be ready to take your antidepressant regimen.
You may have some rough spots in the beginning. So your doctor should prescribe you a benzodiazepine in the initial weeks of your medication usage, where you can manage any feelings of high anxiety that may occur for a week or so, but do die down between 2 to 3 weeks.
This will be a journey that you won't regret, but be sure you're ready emotionally to take your antidepressants, before you begin!