Bailey: Acute Paxil Withdrawal Symptoms

January 17

10 hours ago, Bailey said:

@XcaretukYeah I guess it's hard to tell. I have the worst stomachache now. I thought it was on its way but worse now then ever. Not sure if it's a virus or abdominal/stomach issues related to withdrawal. I'm so discouraged. I feel like I can't catch a break.

Hi Bailey, I know it’s such an awful time but you will start to feel better which is so hard to believe when you are in the thick of it. I still have some physical issues such as head pain/pressure, upper back ache and sweating and overnight symptoms but the anxiety has improved from being horrifying to manageable. I never thought I would start to feel better but I am…

January 17

@Xcaretuk You give me hope. Thank you. It does indeed feel impossible right now and I need that hope. Even your suggestion to accomplish an easy thing each day has been really helpful.

January 18

@LotusRising Did you have gastro difficulties in your withdrawal? If yes, what did you do? I have stomach and abdominal pain after eating and things are moving rather slowly. Someone suggested that because I'm in withdrawal "fight or flight" rather than "rest and digest," that my digestion has shut down. I need nutritious food to heal and am not sure how to approach this. I also can spiral a bit a night when my stomach hurts as I approach bedtime because I fear that I won't sleep at all. At best, I only sleep a small amount after falling asleep to begin with and then wake up panicky. Any ideas are welcome.

January 18

Yes, I had a lot of different GI issues, still do sometimes, but much better. I got through by drinking smoothies, since those seemed easiest for me to digest.

1 hour ago, Bailey said:

I need nutritious food to heal and am not sure how to approach this

You will heal even if you can't eat regularly. It will pass, just eat what you can - I added protein powder, greens powder and coconut oil/manna as a base to my smoothies and then added whatever fruit I had on hand. Small, easily digestible foods throughout the day. I would avoid raw vegetables, beans, or any other foods that you might typically find hard to digest.

1 hour ago, Bailey said:

I also can spiral a bit a night when my stomach hurts as I approach bedtime because I fear that I won't sleep at all.

Have you tried yoga nidra, sleep meditations? I listened to them every single night for months. I'm pretty sure my husband hated me, but it provided me some distraction. It wasn't a cure-all for sleep, but it helped.

January 18

@Bailey I also use liquid. I have a small cup I bring into the bathroom with me when dosing, I fill it with water. Once I take the the dose from the syringe, I draw up some water into the syringe and shoot it into my mouth to ensure any residue or extra is in my mouth and not the syringe. I then drink the little cup of water just be 100% sure. Maybe this would decrease some anxiety about the meds left in the tip for you? Hang in there. I have been where you are (and still am) after a dosing error.

I didn’t think I would make it through Christmas. I was delirious, weeping, unable to eat, every task made my nerves hurt, the thought of paying a bill or going to the store was enough to make me need to go bed. I cried all day, desperate for answers, desperate for sleep, waking in terror etc etc. but I have held on and have had two completely normal days in the last week. I even slept 8 hours last night with no terror! Hang in there ✨ the brain gets irritated but it does pass.

January 18

@Comfyquilt Thank you for the syringe idea and your encouragement. Yes, functioning for me is hard, really hard. Just making it through the day, waking up in terror, etc. It's all so much. I am so glad to hear things are getting better for you and that, too, encourages me that I can heal and get better.

January 18

@LotusRising thanks so much for your reassuring reply. I was panicking about not being able to eat and thinking I'd be stuck where I am forever as a result. I had started to spiral and think there was no way out of this.

I do have something I listen to at night, which helps. I'll also look into sleep meditations and yoga nidra. I definitely need the calm before bed given that I tense up thinking about only sleep a short amount of time and waking up in terror. I appreciate you.

January 18

@Bailey yes it was very dire for me, I felt desperate for help and relief. It’s come back a little bit today but I remember someone telling me about Wd “You have a primary experience of headaches, or uncommanded movements, or insomnia, etc. And you know “nobody is coming.” You are in repeated states of terror.
You (one) move into a secondary experience that you create for yourself. “I’m going to die, lose my job, get divorced, etc.”

it’s be re complex and I always try to remind myself that there are a lot of neuro emotions happening (I’m really guilty of these myself) and that the best thing to repeate over and over is “this is chemical Wd this is not me or who I am” I’ve probably said that to myself 10000000 times since Nov 😮‍💨

January 18

I can relate to all of that and it helps me to hear about your journey. I will try to remind myself that "this is chemical withdrawal and not the real me."

January 18

2 hours ago, Bailey said:

I'll also look into sleep meditations and yoga nidra.

Insight Timer is a free app with lots of meditations and yoga nidra. I hope it helps!

2 hours ago, Bailey said:

thinking I'd be stuck where I am forever as a result. I had started to spiral and think there was no way out of thi

Definitely not stuck where you are forever, though I know it can feel like that sometimes.

Have you seen this topic:

January 18

@LotusRising Someone else mentioned Insight Timer to me this week. I've not heard of it and need to check it out. And I'll definitely take a look at the info. on emotional spirals as that's absolutely me right now. Thank you!

January 18

Hi Bailey, I just read through your thread and am sorry to hear that you are having so many issues with your taper. You are getting a lot of good advice. Paxil is the number one hardest AD to taper (Effexor almost ties with it), it must be done slowly and carefully, and even then, it can be tough going at times. The good news is that even with a CT recovery happens, it just takes a while. You will get there.

Don't worry about the syringe. They are designed to take into account the little bit left in the tip, and it is not enough to affect your dose in the first place. As for the bubbles, it sounds like you are halfway there. Full the syringe, tip it point up and tap it a few times to let the bubbles rise to the top. Even let it sit in this position for a few minutes, then gently squeeze the plunger to push out the air, and now refill the lost bit from the bottle to get the full dose. There is no need to rinse the syringe and drink the water, the meniscal amount of the drug you would get doing this would have no effect.

The reason for you feeling so poorly and all the WD symptoms is clearly shown in your signature and reenforced in your postings. Your initial taper was much, much too fast and in too large of steps. This has destabilized your system, and it needs a long rest to try and catch up and adjust. Every change in dose, each new supplement etc. just destabilizes things even more and restarts the clock on recovery. Your body is screaming out for stability. That can only be achieved by proactively doing nothing.

I hate to say it, but all the things you are experiencing are quite normal. However, they will subside somewhat as you stabilize. Stabilization will not happen overnight; it will take much longer than you think or hope it will, but I've never seen it not happen. One shining example is our member Coldturkmama. She CTed paxil at the same time I started my paxil taper. It took her longer to recover, but she did.

For now, you need to work on relaxing/coping strategies. Explore what you are feeling, understand it, don't fear it, and the big key work on acceptance. There is a lot of information on all these subjects throughout the site. Talk with members, learn and try things and you will recover.

January 18

@brassmonkey Thank you so very much for all the information and encouragement. You mentioned that each new supplement resets the clock. Would you say that about things like fish oil capsules and magnesium which have been recommended here? I've thought I would try to carefully add those things one at a time. I'm definitely shooting for stabilization and will hold for a long time once I get there. Thank you for adding that you've never seen stabilization not happen even if it takes longer than we want.

January 19

With ADWD it is very difficult to make hard and fast statements because just about anything can throw things off track. Fish oil and magnesium in general are two of the most helpful supplements, but they have a spotty track record. They work for the majority of people but can cause a wide range of problems for others. Once those problems crop up it restarts the recovery clock. Both of them are very subtle in their actions when they help, but can be very disruptive when they don't. This is why we recommend starting one at a time and with a very small dose.

January 19

@brassmonkey Ah, OK. That helps a lot. I was going to carefully introduce fish oil and then maybe magnesium down the road. I had also toyed with the idea of topical magnesium oil as well. However, maybe I'll simply concentrate on getting what I can from food so as not to cause any issues. Thank you.

January 24

@LotusRising I'm so scared and terrified of everything. Things that "normal" me would think are inconsequential take on huge proportions (will there ever be a normal me again?). I keep having things go round and round in my mind. So many fears. I woke up at 2am and couldn't stop cycling through various fears. It seems I'm primed to ruminate on anything that crosses my path or that ever has crossed my path from years gone by. Anything I can do?

January 25

13 hours ago, Bailey said:

@LotusRising I'm so scared and terrified of everything. Things that "normal" me would think are inconsequential take on huge proportions (will there ever be a normal me again?). I keep having things go round and round in my mind. So many fears. I woke up at 2am and couldn't stop cycling through various fears. It seems I'm primed to ruminate on anything that crosses my path or that ever has crossed my path from years gone by. Anything I can do?

Bailey I am the same. Will I ever get back to normal? I am ruining my husband life? Why was I so stupid? Afraid to meet people. I think this is part of the process of this horrible journey . But I try to keep in mind that SA is the best place to be among people going through the same thing especially the moderators that have been there and are telling us we will improve but it takes time. We need to hold on and take one min at a time. Sending hugs…

January 25

@Xcaretuk Thank you. I hate that we're in this but I'm glad to have met someone kind like yourself who understands. I'm clumsily typing in my morning akathisia -- convulsing-like movement, terror -- for distraction. Just trying to survive. I know you understand this well.

January 28

This is embarrassing but any thoughts on or experience with glycerin or saline enemas when things are just shut down for days and days? And you have pain? Side effects for our hypersensitive systems in withdrawal?

Also, gosh, my terror, anxiety, electrocution, akathisia symptoms are off the charts extreme today. My instinct is to go to the ER (for safety) but how can they really help? It all feels so terrifying and hopeless right now. Pure anguish. I want out of this body so badly.

January 29

On 1/12/2024 at 12:21 PM, Emonda said:

We all make this mistake at least once...accept it, learn from it, and move on 👍 You'll be fine.

I now have a recurring alarm on my phone. When it goes off, I immediately take my dose.

Not surprising.

The documentary LostinCanada mentioned is worth a watch. A shortened version was also on ABC four corners a few months back.

5 hours ago, Bailey said:

This is embarrassing but any thoughts on or experience with glycerin or saline enemas when things are just shut down for days and days? And you have pain? Side effects for our hypersensitive systems in withdrawal?

Also, gosh, my terror, anxiety, electrocution, akathisia symptoms are off the charts extreme today. My instinct is to go to the ER (for safety) but how can they really help? It all feels so terrifying and hopeless right now. Pure anguish. I want out of this body so badly.

Hi Bailey,

Keep hanging in there. It’s so hard isn’t it? The Akathisia is my worst symptom especially when trying to get back to sleep in the morning. If it’s particularly bad it sets me up for a fearful day. However the electrocution like symptoms for me overnight and daytime anxiety have def tampered down compared to when it first started. I am waiting a couple of weeks then will be asking the moderators for their opinion on whether I should come down to 18mg instead of 20mg to see if I get any relief from the Akathasia. Did you tag the moderators in this post? I am 60 and not very technical… I felt the same awhile back about going to ER or even admitting myself but after reading and researching I feel the same as you. Please keep talking, you can tag me anytime, though I am Australia so we have a bit of a time difference. In regard to enemas I don’t have much experience with those but take psyllium husk when required…

January 29

@LotusRisingThis is embarrassing but any thoughts on or experience with glycerin or saline enemas when things are just shut down for days and days? And you have pain? Side effects for our hypersensitive systems in withdrawal?

Also, gosh, my terror, anxiety, electrocution, akathisia symptoms are off the charts extreme today. My instinct is to go to the ER (for safety) but how can they really help? It all feels so terrifying and hopeless right now. Pure anguish. I want out of this body so badly.

Is there another moderator I should tag? Thank you.

January 29

@Xcaretuk Thank you so much. Which moderators should I tag. I don't think the one who usually answers (lotus rising) me has been on lately.

January 29

Hi @Bailey

Sorry, I’ve been away! I’m mostly back now.

No need to be embarrassed. I’m having a lot of GI stuff right now too. I’ve been in a big flare for a few weeks so I can relate.

What is happening? Are you still getting hungry, or is that affected too? Are you eating fiber? Have you tried things like prune juice, warm lemon water every morning? I’ve been away from home, but I’ll be going back to my old standby of castor oil packs over the abdomen. Other options - you could try senokot to help move things along. If all else fails, yes you could certainly try suppositories or an enema - I’ve had to do both, but personally, I would start with the other options.

2 hours ago, Bailey said:

My instinct is to go to the ER (for safety) but how can they really help?

This was my instinct too when I was early on in my WD journey, but I quickly found out the ER was not the safe place I thought it was, nor were they able to validate my experience, or even help me.

2 hours ago, Bailey said:

Also, gosh, my terror, anxiety, electrocution, akathisia symptoms are off the charts extreme today.

What coping skills are you currently using to handle these symptoms?

January 29

2 hours ago, LotusRising said:

No need to be embarrassed. I’m having a lot of GI stuff right now too. I’ve been in a big flare for a few weeks so I can relate.

What is happening? Are you still getting hungry, or is that affected too? Are you eating fiber? Have you tried things like prune juice, warm lemon water every morning? I’ve been away from home, but I’ll be going back to my old standby of castor oil packs over the abdomen. Other options - you could try senokot to help move things along. If all else fails, yes you could certainly try suppositories or an enema - I’ve had to do both, but personally, I would start with the other options.

@LotusRising I'm glad you're back and hope you're feeling OK. I'm sorry you're having a flare up. I am getting increasingly hungry which is a good sign. I'm just not eliminating for days and days or ever without help. It seems like a cement block in my gut and then my stomach and gut begin to hurt.

I did do a glycerin enema this past Saturday and then had a horrific Sunday with extreme symptoms. I don't know if it was cause and effect or not. There was one other time this happened as well -- saline enema one day, horrific symptoms the next. I wondered if the enema contents upset my hypersensitive system. Or, if doing the enema changed the way I absorbed/interacted with my medicine. I take meds at 6:30 am (liquid Paxil, xanax XR) and do the enema around 2pm. I'm always trying so desperately to figure things out.

I'm drinking a lot of warm water but I hadn't known about lemon. Does lemon help? I've really tried to up my water intake in general. However, even when I stop really early in the day, I have go to the bathroom multiple times at night. That would be OK except for when I wake up, it starts the terror cycle. It seems when I try to do one "helpful" thing, there's then some awful consequence to that. I'm trying to eat fiber -- steel cut oatmeal, frozen blueberries, leafy greens, nuts. I'm never sure how my stomach is going to react so I'm also having to be careful with just about any food.

My doctor has suggested low FODMAP which I just started a few days ago. Not sure that's the answer but perhaps will help with some GI pain.

2 hours ago, LotusRising said:

What coping skills are you currently using to handle these symptoms?

I've tried distraction, meditation apps, music, epsom salt baths, walking. Yesterday was so extreme that nothing seemed to touch it.

January 29

8 hours ago, Bailey said:

@LotusRisingTo kłopotliwe, ale czy masz jakieś przemyślenia lub doświadczenia z lewatywami glicerynowymi lub solą fizjologiczną, gdy wszystko jest po prostu wyłączone na wiele dni? A boli Cię? Skutki uboczne dla naszych nadwrażliwych systemów podczas odstawienia?

Poza tym, mój strach, niepokój, porażenie prądem i objawy akatyzji są dziś ekstremalne. Instynkt podpowiada mi, aby udać się na ostry dyżur (dla bezpieczeństwa), ale w jaki sposób mogą oni naprawdę pomóc? To wszystko wydaje się teraz takie przerażające i beznadziejne. Czysta udręka. Tak bardzo chcę się wydostać z tego ciała.

Czy jest jeszcze jeden moderator, którego powinienem oznaczyć? Dziękuję.

I dont know much by I try dried prunes too,At the moment I do not have a problem with constipation only with pain and a quick feeling of overfilling the stomach. . I researched that I shouldn't drink yogurt when constipated because it worsens so I prefer kefir which loosens it up. for the pains I've been swallowing some turmeric because I think it's some kind of inflammation of the stomach membrane and I think it helps a little. Lately I've been drinking a glass of special mineral water that reduces hyperacidity and is supposed to help with digestion. Anyway, it doesn't hurt just has a rotten egg smell unfortunately because it contains minerals

In my case such as a little gastroparesis, why WD from SSRIs causes it?
The doctor gives sulpirydum for it because he says it's just nerves. Why does he pretend to know the cause if he doesn't ?

January 29

thank you @modelarz71 I think I've also read that tumeric is supposed to help. Interesting about the other things you've learned and are doing. I appreciate you sharing those things.

January 30

11 hours ago, Bailey said:

I'm sorry you're having a flare up.

Thank you, it is what it is and honestly, it has been much worse, so I really can't complain. Just frustrating.

11 hours ago, Bailey said:

I am getting increasingly hungry which is a good sign.

I agree, I think this is definitely a good sign. This happened to me as well. Complete cement block and no appetite, coupled with very very slow digestion, basically not moving at all, with fullness after a only a few bites. I'm not sure if this is the same for you, but I knew things were improving when my appetite started coming back.

11 hours ago, Bailey said:

I don't know if it was cause and effect or not. There was one other time this happened as well -- saline enema one day, horrific symptoms the next. I wondered if the enema contents upset my hypersensitive system. Or, if doing the enema changed the way I absorbed/interacted with my medicine.

Hard to say for sure. I think it's normal to try finding a reason for symptoms, but I wonder sometimes if it isn't just the natural course of things. It sounds like you're spacing things apart, so I wouldn't think the enemas would interfere with your medication, but you might try timing the enema to your usual bowel pattern, to keep with your body's natural rhythm.

11 hours ago, Bailey said:

Does lemon help?

I found lemon water really helpful first thing on rising. It's meant to stimulate digestive enzymes, which gets the ball rolling so to speak. And the castor oil pack can help to pull circulation to the area which can promote bowel function. Alternatively, if you can tolerate magnesium, magnesium citrate is another option, but as with anything, start slow.

11 hours ago, Bailey said:

I've tried distraction, meditation apps, music, epsom salt baths, walking.

It sounds like you're doing all the right things, so keep at it. It will improve slowly but surely and I think time will be your biggest healer.

January 30

@LotusRising Thank you so much. I also have that cement block in my gut. Nothing moves. Ever. The constipation is terrible. I drink ginger tea first thing in the morning because I usually get up in some sort of GI discomfort. I'll see about the lemon water, too. Thank you for mentioning that. I had also not heard of castor oil packs. I'm looking into that. I've been using my heating pad daily.

I've started eating more including leafy greens and hope that helps get things going. I try to drink quite a bit of water in the morning, including warm water which is supposed to help with digestion. I have to cut off drinking water quite early in the day because I already go to the bathroom a lot at night even with the early cut off. I need to sleep and when I wake up, the terror cycle starts.

Do you know if withdrawal prompts more bathroom trips at night? It seems I shouldn't have to go as much as I do given how early I stop drinking fluids. I don't think this would be the case under normal circumstances. Anyway, thanks so much for everything.

January 30

4 hours ago, Bailey said:

I had also not heard of castor oil packs. I'm looking into that

If you decide to try this route, I would start with only 15 minutes each night and slowly work your way up to longer durations.

4 hours ago, Bailey said:

Do you know if withdrawal prompts more bathroom trips at night?

Yes, it can. I remember this happening early in WD for me. I think it's related to autonomic dysfunction whereby the body can't regulate fluids properly. I stop drinking at least 3 hours before bed and this seems to work for me. It's also possible your electrolytes are off, or sometimes even drinking too much water for your body to absorb can be a problem. Do you pee a lot during the day also? How much water are you drinking? You could try an electrolyte hydrator if it persists - the right balance will help your body pull the water into cells rather than peeing it all out.

January 30

24 minutes ago, LotusRising said:

If you decide to try this route, I would start with only 15 minutes each night and slowly work your way up to longer durations

Do you have a caster pack that you like or recommend? I think I'm going to try it. Thank you for the tip on starting out slowly. I'll do that.

24 minutes ago, LotusRising said:

If you decide to try this route, I would start with only 15 minutes each night and slowly work your way up to longer durations.

Yes, it can. I remember this happening early in WD for me. I think it's related to autonomic dysfunction whereby the body can't regulate fluids properly. I stop drinking at least 3 hours before bed and this seems to work for me. It's also possible your electrolytes are off, or sometimes even drinking too much water for your body to absorb can be a problem. Do you pee a lot during the day also? How much water are you drinking? You could try an electrolyte hydrator if it persists - the right balance will help your body pull the water into cells rather than peeing it all out.

Ah, OK. Right now I'm only drinking 32 - 40 oz of water because of the excessive night trips. I also drink non-caffeinated tea and bone broth which maybe adds another 30oz of liquid. I stop really early in the day. I go a fair amount in the day but not all the time. It's nighttime where things seem to be out of proportion with what I've had given how early I stop all liquids, which is between noon and 2pm. I go to sleep around 10:00-1030pm and usually the first trip is within an hour.

I'll look into electrolytes. I'll see what healthy options I can find. I'm trying to eat a super clean diet with all this -- no gluten, no dairy, no caffeine or alcohol, no sugar, only tiny amounts of carbs b/c of how they make me feel, no processed foods. Also a low FODMAP diet to see if it helps with the GI issues.

January 30

1 minute ago, Bailey said:

Do you have a caster pack that you like or recommend?

I use the Queen of Thrones pack off Amazon and she also has an option to add the castor oil. I'm sure there are cheaper options, but hers is organic material and doesn't have any chemical additives. I used it consistently for about 2 weeks, always 15-30min, along with the morning lemon water and I had sort of an aha moment where my bowels and digestion sort of sprang back to life. It may have been coincidental, it may not have, but it's now my go-to and it's easy enough to implement without using additional medication or supplements. It's recommended to place a heating pad over the castor oil pack to increase absorption, but I will sometimes use the pack after a bath when my body is already nice and warm.

7 minutes ago, Bailey said:

I go to sleep around 10:00-1030pm and usually the first trip is within an hour.

Hmm, it could be related to cortisol rising overnight. I believe high cortisol can cause increased urination and while cortisol is supposed to drop at night, it can become dysregulated in WD and rise instead due to stress. I use vega hydrator, again from amazon, but LMNT is a good one too, a little pricey for me in Canada, but maybe more affordable for you in the US. Neither have added sugar - I think they're sweetened with stevia.

January 30

21 hours ago, modelarz71 said:

I dont know much by I try dried prunes too,At the moment I do not have a problem with constipation only with pain and a quick feeling of overfilling the stomach. . I researched that I shouldn't drink yogurt when constipated because it worsens so I prefer kefir which loosens it up. for the pains I've been swallowing some turmeric because I think it's some kind of inflammation of the stomach membrane and I think it helps a little. Lately I've been drinking a glass of special mineral water that reduces hyperacidity and is supposed to help with digestion. Anyway, it doesn't hurt just has a rotten egg smell unfortunately because it contains minerals

In my case such as a little gastroparesis, why WD from SSRIs causes it?
The doctor gives sulpirydum for it because he says it's just nerves. Why does he pretend to know the cause if he doesn't ?

Many psychiatric drugs, and others, can cause damage to the vagus nerve which causes gastroparesis. Also mineral water should not typically smell like rotten eggs. Shop around and find one that doesn't.

January 30

43 minutes ago, Bailey said:

Do you have a caster pack that you like or recommend? I think I'm going to try it. Thank you for the tip on starting out slowly. I'll do that.

Ah, OK. Right now I'm only drinking 32 - 40 oz of water because of the excessive night trips. I also drink non-caffeinated tea and bone broth which maybe adds another 30oz of liquid. I stop really early in the day. I go a fair amount in the day but not all the time. It's nighttime where things seem to be out of proportion with what I've had given how early I stop all liquids, which is between noon and 2pm. I go to sleep around 10:00-1030pm and usually the first trip is within an hour.

I'll look into electrolytes. I'll see what healthy options I can find. I'm trying to eat a super clean diet with all this -- no gluten, no dairy, no caffeine or alcohol, no sugar, only tiny amounts of carbs b/c of how they make me feel, no processed foods. Also a low FODMAP diet to see if it helps with the GI issues.

There are a lot of sites on the internet that help one make their own castor oil packs. I bought the materials on Amazon and made my own. It is more expensive to buy the pre-made ones.

January 30

@LotusRising I saw the Queen of Thrones pack, too, when I searched and that one looked the best to me so I'm glad you mentioned that you have and like it. And I'll definitely look into the electrolyte drinks. Thanks so much for all your help.

January 30

@savinggrace great idea to make your own -- thanks for responding.

January 30

You’re welcome. You can make a pack and keep it in the refrigerator. I am never sure how long to re-use them though? I really haven’t given them a good try, admittedly, but I did make them. 😀

Bailey: Acute Paxil Withdrawal Symptoms

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