How do I get off Paxil?

Your stomach may feel irritated as you switch to a lower dose of Paxil. Instead of eating your usual 2 or 3 big meals, eat 4 or 5 small meals so it's easier for you to digest. You can also relieve sudden nausea by sucking on sugar-free hard candy or ginger.

1. Psychotherapy is great support for your depression or anxiety.

1. Get rest if you're feeling fatigued or drowsy.

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You'll probably feel tired in the first few weeks of tapering off Paxil, so give yourself time to rest during the day. Plan on a nap as well as some physical activity so you don't feel sluggish all day. The good news is that this common side effect seems to ease up pretty quickly.

Section 4 of 8:How do I taper off Paxil?

If you can't get a personalized plan, taper off your use of Paxil slowly. Plan to reduce your dosage by 10 mg a day and stay at this level for 1 week. Then, cut back another 10 mg a day for the following week. Keep reducing the amount until you're taking 20 mg a day.

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It's totally fine to adjust your tapering rate if you're experiencing side effects. You may stay at a reduced level for more than a week or cut back by 5 mg instead of 10 mg.

Recent studies have highlighted the lack of official tapering dosages and they've called for more research and guidelines.

Section 3 of 8:Can I stop taking Paxil cold turkey?

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To minimize withdrawal symptoms, your psychiatrist will probably have you gradually reduce the amount of Paxil you take. Since they know your current dosage and history of depression, they can give you specific guidance about how much to take every week. Someone with severe depression will usually need to taper more slowly and be monitored more closely.

2. Switch to smaller, more frequent meals if you have nausea.

2. Reduce your dosage by 10 mg a day at weekly intervals.

Hi everybody! I have been looking at posts on narcs and narc abuse on here and if has really helped me out a lot. I am currently struggling with my situation and need some advice/support. I met a narc last year, everything seemed to good to be true. Love bombing, always texting calling and taking me on dates. Everything changed when someone warned me about him out in public in front of him and who he is. This caused a conflict with us and the love bombing seized. he would tell me that everything is okay and i can come and talk. He would set a time limit on me and kick me out after that. he would then text me like everything was fine and we hung out again and after that he completely ghosted me for one week. He came back and texted me a week later laughing about the ghosting and acting like nothing had happened. he continued to text me ( not like in the beginning) make plans with me, then on the day of the plans he would just ghost me. One day he would act interested the next silence. i contacted him a month later and he acted like nothing happened. He was on a vacation and sent me a picture of another woman ( someone he allegedly met on the trip) to strike a reaction but i never gave him one. After the trip he came to my place and was extremely rude, accusing me of going on dates with a bunch of men. The next day he accused me of being an alcoholic and that he wanted nothing to do with me but said well maybe we can be "friends" then ghosted me i assumed at this point it was over and i would never hear from him again. He contacted me on the holiday a month later acting like everything was great. We ended up hanging out a month or so later and when we hung out it went well, i thought things were going in the right direction. after we hung out.. silence. I would try to text him and if he replied it would be very short then he just stopped replying. He ghosted me for almost three months. I thought he was done this time and of course he popped up again like nothing happened. At this point i was getting sick of if so i questioned him as to why he dissapeared and always does this. Of course he had some sob story about a injury and family member dying of cancer. I felt pity for him and he gave me an apology.. so i took him back stupidly. things seemed to be going smooth for a couple months, of course until his family member died and his injury got better he never contacted me and was distant. Menawhile, i was there for him during the difficult time for him. He lied to me about the funeral and never wanted to chat. I was chasing him and he would always claim nothing was wrong but when i said i thought he used me when he was down he could not handle it and would always tell me he didnt care and to go away. I would get so upset i would try texting him to work it out he would barelt respond and if he did he would not be nice about it. we did hang out a couple times after that, he would ignore me after. One day i was like hey i think you are seeing someone else, and i was like well ixam seeing someone so no problem if you are he said " buy bye good luck with your new guy stop contacting me" i was devastated and tried to get into contact with him for weeks then i just gave up and accepted it was over. He ended up contacting me a month later acting like everything was fine. He wanted to go out and have drinks i told him i would. He and i both seemed to have a great time. He ends up ignoring me again. I kept texting him trying to figure out what was wrong. He kept saying everything was fine and i said ok can we hang out again? He said maybe i was like why? He just kept saying maybe … our last conversation we had… i said what is wrong ? He said nothing is wrong everything is fine. I asked him why he keeps saying maybe. He said " maybe but i dont want to see you right now" i said why? He saix " im just not feeling it, if i wanted to date i would" i said why did you contact me less then a week ago wanting to go out? He said i didnt.. even though he did. So i said should i just move on or what? He said whatever you want to do. So i said that he was really confusing me and asked him if he had anything more to say before i move on? My messages were turning green so i panicked he blocked me and reacted irrationally. I said " omg did you block me? My messages are not going through. Even texted him on my work phone asking what was up. And called him twice ( please dont judge me i know it is pathetic i never was this type of girl before him) so he replied and said " Ok I'll block you now" then immedietly blocked me. He has never blocked me before since I have met him he will just ghost. Is this ths final discard aka " grand finale? Did i just push him too far? this has upset me so much its hard to even function.

If you feel really drowsy, don't drive or operate dangerous machinery.

Section 6 of 8:What helps with Paxil withdrawal?

You might feel like you're alone during the tapering process, but that's not true! Your doctor is there to support you and you can find other people in the process of getting off of Paxil, too. Search online for a support group or check local community centers for anti-depressant support groups. Being able to talk with others who are going through the same experiences can really help.

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If you're experiencing the opposite problem—having a hard time falling asleep—try taking your dose early in the morning and avoid caffeine. Your doctor can also prescribe a mild sleep aid while you're tapering off of Paxil.

1. It's better to taper off Paxil slowly to prevent severe withdrawal symptoms.

2. Joining a self-health group can make you feel supported.

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Don't be afraid to let your family and close friends know that you're getting off of Paxil and might need extra support and encouragement.

Your doctor or psychiatrist will explain the risks of going off Paxil cold turkey, but they'll probably still want to monitor you if you're determined to stop right away. Either way, they need to know that you're not taking Paxil so they can give you the best care in the future.

If you stop taking Paxil without reducing the dose first, you'll experience unpleasant withdrawal side effects like irritability, nausea, vomiting, dizziness, nightmares, headaches, or skin sensitivity. You may even have more severe symptoms like suicidal thoughts, which is why it's really important to work with your doctor or psychiatrist to gradually cut back on your dose.

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It's also really important to talk with your doctor about why you want to stop taking Paxil. They'll want to be sure that you're able to manage your depression or anxiety without the medication.

2. Talk to your psychiatrist before you stop taking Paxil cold turkey.

If these don't help, ask your doctor about switching to a slow-release form of Paxil while you're quitting it.

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You may be feeling anxious or concerned about going off of Paxil. Studies have shown that counseling and psychotherapy like cognitive behavioral therapy can help you get off of antidepressants without relapsing.

1. Create a personalized plan with the help of a psychiatrist.

Keep in mind that any mental health issues that you're managing like anxiety disorder, PTSD, panic attacks, or depression, will probably rebound while you're getting off of Paxil. This is another reason it's so important to gradually taper off your dose.

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3. Stay at your lowest dosage for 1 week before you completely stop.

3. Take your dose at bedtime if you experience dizziness.

If you're taking Paxil to manage bipolar disorder and you suddenly stop taking the medication, you might switch from depression to mania. It's especially important for you to taper off your dose of Paxil before quitting it completely.

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Minimize stress while you're quitting Paxil—try to avoid big life changes that cause you anxiety or take a break from people who stress you out so you can stay calm.

For instance, if you're currently taking 40 mg a day, reduce the amount to 30 mg and take this amount for 1 full week. Then, take 20 mg a day for the following week.

If there isn't a local support group, consider establishing one yourself. Contact local mental health support centers and ask about setting up an anti-depressant withdrawal group.

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Once you get to 20 mg, or a lower amount if you started with a smaller dosage, continue to take Paxil at that dose for 1 week. Then, stop taking it altogether.

For instance, if you had been taking 10 mg a day, you'll be able to get off Paxil faster, but you still need to reduce the amount gradually. Go down to 5 mg a day for 1 week. Then, if you feel comfortable, stop taking Paxil.

Section 2 of 8:What can I do to manage side effects?

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If you feel unbalanced or woozy, stand up slowly after you've been sitting and walk with supports—use handrails or a cane if you're really dizzy. Staying hydrated can also help, but skip the caffeine or alcohol.

You might experience electric shock-like sensations in your brain. Most people refer to these as brain zaps and researchers admit that more studies are needed to understand how to manage them.

Check with your insurance company to see what mental health resources are covered. You may need a referral from your primary care physician to get treatment.

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