Paxil Free

A personal record of Paxil withdrawal.

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Paxil-Free For 17 Months

April 21st, 2002.

I had someone ask me this in an email: “What were you like while taking the Paxil? Did it help you deal with matters better, keep you in control of your emotions? Did you feel better than you do now?”

I didn’t do anything to take care of myself while I was on Paxil, except wake up every morning and take that little pink pill. Talk about taking the easy way out. But yes, it did help me deal better with my emotions. I realized afterwards that I was detached and numbed out from my feelings and the reality of my life, that I didn’t cry once while I was on Paxil. But at the same time I seemed to feel good, relaxed, easy going, both socially and emotionally. Paxil did work for me — I was depressed, then I took the Paxil and wasn’t depressed.

I did feel better then than I do now, but I’m dealing with myself and life differently now, being more honest with myself — not ignoring my emotions by taking Paxil. My life is a hell of a lot harder now than it’s ever been, but that’s the choice I’ve made. Real life can’t be easy all the time. It’s work.

Instead of taking a pill, I’ve decided to face life more honestly and actually identify and work through the underlying issues that caused me to feel depressed in the first place. It would be a hell of a lot easier to start taking Paxil again, but I want to build a foundation of emotional health that is real, not neurochemically induced.

That’s my personal choice, and it’s definitely the hard road, the road less travelled. But I’m giving it a try (it may take years), because if I do managed to live a healthier life where I don’t feel depressed all the time (it’s still a battle for me), it’ll be because I’ve worked on developing more positive and healthier attitudes towards myself, towards taking the action of taking care of myself.
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Wanting Rest

Thursday, September 21st, 2000 (continued).

I began therapy for post-traumatic stress (PTS) last year. It helped more than anything else could have. It was absolutely the best thing I could have done. Since then I have had other things happen (including my initial Paxil withdrawal) where I felt like I didn’t have any control over my life. I have dealt with the PTS, and I don’t have anymore symptoms (no “flashbacks,” etc.), but so many other things have happened (nonstop it seems) since my initial PTS experience that I just haven’t had the time to rest and recover, to re-evaluate, etc.

I was feeling ready to get on with my life this past July, and so — following my doctor’s orders — stopped taking Paxil cold turkey. And you know how the story goes from there. The only thing I’m afraid of now is what’s going to happen to me next as I continue to wean myself off the Paxil. I keep trying to stay composed, but I am scared out of my mind every step of the way. I can feel those ***king brain zaps ready to pounce on me once I go down to 10mg, and I am not looking forward to it. That’s the only fear that I’m feeling. And that’s a real fear whereas the fear from PTS is largely irrational. PTS was no fun at all, but Paxil sure the hell doesn’t make it any better.

In my work, I can usually write two to three thousand solid words a day. I doubt I’ve written that much in all of the past two weeks. I’m getting through this, but I’m getting sick of it too. I know all about PTS. But most of what I’m experiencing now is just a pain in the ass.

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Day 15: Having to go Back on Paxil?

Wednesday, September 20th, 2000. From a Paxil-withdrawal forum similar to paxilprogress.org:

Colin said:

I can’t believe I’m going to do this. After almost a month, I caved in and called my doctor. I get a Paxil refill this afternoon. I’m scared to go back on it but I’m also scared to be off of it. Can anyone help me?

You may have mentioned before how you went off the Paxil, but I lose track of who says what around here, so forgive me if you’ve outlined how you went about it. If I were to take a guess, though, I’d say you got off the Paxil cold turkey — and if not cold turkey then way too fast. That’s my best guess.

I went cold turkey a few months ago, lasted 6 days and on the 7th day I had go back on the Paxil. I felt suicidal a few weeks later. Losing control like that — and not having control like that — just doesn’t jive well with me. I’m much better now, but it was definitely one experience I could have done without.
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The Weaning Begins (Day 4)

Saturday, September 9th, 2000.

Today is my 4th day of weaning myself off Paxil, but this time I’m doing it slowly. The first time I stopped was cold turkey because my doctor said it was okay to do that. That was a few months ago, and I haven’t been the same since.

It took me this long to get my courage back up to give it another try. Outwardly, I appear pleasant and calm, but inside I’m scared and have been at least for the past month anticipating getting off the Paxil again. As well informed as I’ve become since the hell of my initial withdrawal experience, I’m still scared. Everything I went through during my withdrawal has definitely left an impression on me, and one that I’d much rather have done without.
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The Passage of Time Changes

Sunday, September 3rd, 2000.

Background information: I began taking Paxil last year after some unfortunate but traumatic events led me into a depression. After getting over all these experiences, and in a position to move onto greener pastures, I followed my doctors orders and stopped taking Paxil cold turkey. That was a couple months ago.

When I tried getting off the Paxil cold turkey, I went crazy for six days, and then decided to go back on it. But since then I haven’t been the same. Besides the trauma of the withdrawal, which I was totally misinformed and uninformed about, I’ve been feeling more apathetic than I was before I was even on the Paxil. If I told my new doctor this, he’d probably want to up my dosage. Screw that.
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My Side of the Story

April 7th, 2001.

I was prescribed Paxil (20mg/daily) for depression and post-traumatic stress in November of 1999. At the same time I began to see a therapist who helped me deal with the symptoms of the post-traumatic stress (which included flashbacks; no fun there, let me tell ya). More than Paxil, more than anything or anyone else, the benefits of this communicative therapy (a.k.a. talking) were immeasurable.

However, the Paxil did provide a certain calm which allowed me to deal more effectively with the emotional trauma of the experience I had gone through. (For my own privacy, I’ve chosen to withhold the exact details of that experience.) It seems to me that Paxil regulates one’s emotions so that they are more manageable. How exactly it does this nobody really knows, but there are a few theories out there which I think have some validity to them.
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#12: Fatigue and Nausea

March 27th, 2001. (Basic Facts – continued)

The nausea, along with unpleasant digestive problems (those are fun), is usually accompanied by the seizures that are #1 on this list. Most of the time it seems to happen when someone has tried going off Paxil cold turkey. By weaning slowly, though, one’s appetite might get all out of whack, but the nausea apart from the seizures and dizziness usually isn’t a huge problem.

The fatigue, though, is a problem. Paroxetine withdrawal is an exhausting experience. Every single second of it is exhausting — especially while the seizures are happening. It’s been nine months since my Paxil withdrawal experience began, almost four months since I last took any Paxil, and my energy level, physically, emotionally and cognitively, is still far from being 100%. Things are slowly getting better, but what can I tell you? This experience stole away a huge chunk of my life and robbed me of my health of which I am still trying to recover. So sue me if the bounce in my step isn’t as bouncy as it used to be. I’m feeling a little worn, a little bit tired, and maybe it shows. But I am alive, and that’s an accomplishment. Believe me, it is.

* * *

And so that’s about it in terms of the basic facts of Paxil withdrawal. It may not look like a pretty picture — that’s because it isn’t. But remember to keep in mind that most of what I’ve listed here is the worst of it all. Everyone is different and the chances of you experiencing everything on this list are slim. If you take care of yourself with daily exercise, avoid stressful situations, take some vitamin supplements and wean slowly at your own pace, you might not experience any of these things. Imagine that. That’d be great.

For some people, the transition from Paxil to being Paxil free is a relatively smooth ride. I happen to have been a bit sensitive to all the crap my withdrawal experience laid on me, but the #1 rule to remember is that everyone is different. Everyone can survive the withdrawal, but at their own pace and in their own way.

P.S. (Sept. 2006): These are the Paxil withdrawal effects I’ve had some experience with. But everyone is different, so I’d guess there’s at least another dozen or so withdrawal effects that aren’t on this list. Here are some of them:

#13: Depersonalization.
#14: Verbal and cognitive difficulties such stuttering, stammering, poor concentration, word-retrieval problems and loss of memory.
#15: Sleep disturbances such as nightmares and vivid and unusual dreams.
#16: Depression and so-called relapse.
#17: Digestive problems like diarrhea.
#18: Feeling scared most of the time.

You know, fun stuff!

Check out paxilprogress.org’s FAQ page for more info.

(I’ve also posted a Paxil withdrawal guide from the original Paxil Free website. It’s the actual page from the old site, untouched since it I first posted it.)

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Introduction (2001)

February 28th, 2001.

I began taking Paxil, paroxetine hydrochloride, for depression and post-traumatic stress shortly after a traumatic event in November of 1999. By July 2000, ten months later, my doctor and I agreed that I was doing well enough to stop taking the medication. So I followed his medical advice and discontinued the Paxil. Within 24 hours, I experienced such severe paroxetine withdrawal that I eventually became suicidal — and it scared the hell of me. The neurological trauma of paroxetine withdrawal was more physically and mentally debilitating than any kind of depression I had ever experienced.

Most of the records I kept during my withdrawal experience were in the form of messages I posted to Paxil withdrawal support groups similar to paxilprogress.org. Saved on this blog are the most informative of those messages. The postings appear in the order in which they were written, along with all the relevant responses I may have received.

It is a record of my withdrawal experience, not because I’m vain and I like listening to myself talk, but because it’s the only record I kept, and having reviewed all of it recently, I can see that it presents the reality of the experience more accurately than anything else I’d have the energy to put together right now. Along with a support group such as paxilprogress.org, I can’t think of anything more valuable for someone living through paroxetine withdrawal than to read exactly how someone else survived it.

While it’s true that there isn’t a whole lot of fun to be had for someone living through the effects of Paxil withdrawal, the important thing to remember is that you can survive it. That may not sound like much right now, but I have done it and so have many others who had it worse than me. If there’s one thing to learn from the record and testimony on this site, perhaps it’s how to smooth out some of the bumps in the road ahead so that when the worst of it comes at you, it doesn’t knock you so far down that you can never get up again. It can be overcome. As unbearable as it may seem at times, it will eventually go away, and you’ll be all right.

Okay, maybe not all right, but I’m pretty sure you’ll feel at least a thousand times better.

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