Viper73: need help please on Paxil

[Shep]

17 hours ago, viper73 said:

I think I will stay on both long term until I feel stable, and then I will taper the paxil 10mg first even though it will take me 6 years to get off of paxil and then I will wean myself of off clonazepam 0.5 it will take me 1.8 -3 years to wean off of clonazepam total years to wean off both is 7.9 to 9 years. If I wean like this I might not have window and wave. Because right now I have window and wave for the pass 4.5 years. Right now I am fixing my mistakes 4.5 years ago for tapping to fast, I learn my lesson well this time, the slower the tapper that how you win the race.

 

2 hours ago, viper73 said:

I only taking both paxil and clonazepam for 12 days, so if I go back to rescue does for both or just paxil for now and I need the clonazepam 0,5 for sleep for now.

 

Viper, it sounds like you're trying to get us to make the decision for you. We cannot do that. If you want off psychiatric drugs, that's your decision to make.

 

Please note that "rescue doses" do not apply to antidepressants - you either need to take the Paxil regularly or stop completely. It's not a drug that works well with "rescue doses." You may be able to periodically take a benzo, however, you still can become dependent on it. Clonazepam has a half-life of 18 - 50 hours, so you will still have the drug in your system days after you take one dose. You can use this half-life calculator to figure out how long it is after "x" amount of time:

 

Drug Half-Life Calculator

 

If you want to stay on these drugs long term,  please work with a forum dedicated to helping people with medical management, such as depressionforums.org  or patientslikeme.com. Surviving Antidepressants is a site dedicated to helping people taper. We do not do medication management for people who wish to undergo long-term drug treatment. 

 

Please take the time to thoroughly read what Gridley wrote in his post here - Gridley's post

 

That post answers the questions you continue to ask. Again, we cannot make the decision for you whether of not you should go back on these drugs and stay on them long term. 

 

[viper73]

Hi shep, I don’t want to stay on long term, I just don’t know what to do, I only tale Paxil 10mg and clonazepam 0.5 mg for 13days. I ask should I take them and get stable first before I tapper the paxil and then clonazepam like 6 years total . Or can I go take paxil 5mg for 5 days and then 2mg of paxil for like 2 months before I taper the paxil 2mg and then tapper 0.5 clonazepam after.

[Shep]

 

43 minutes ago, viper73 said:

Or can I go take paxil 5mg for 5 days and then 2mg of paxil for like 2 months before I taper the paxil 2mg and then tapper 0.5 clonazepam after.

 

If you wish to develop a dependency on Pail again, that's your decision to make. It doesn't make sense to do so, but if you feel you're benefiting from taking this drug, then yes, you would taper off it first and then the benzo.

 

Since you went back on Paxil and a benzo at the same time, you may not know which drug is helping you more, but I would suspect that the benzo is helping more, since the full effects of an SSRI generally aren't seen for at least a month. Benzo effects are seen immediately. 

 

You may already be dependent on the benzo, as that can happen in as little as 10 days. So you may want to stay on that drug for sleep and then taper off later. And come off the Paxil now.

 

You've gotten advice from several moderators now, all giving basically the same advice based on Surviving Antidepressant's harm-reduction protocol. You'll have to make the decision. 

[viper73]

Ok I will quit taking the Paxil now I only taking for 14 days, I will cold turkey the Paxil today, I just got the Cpap Machine to help me with depression, anxiety and sleep, I will stay on the Clonazpam 0.5 for sleep, I also start on acupuncture, she is very good. She will help me with my depression and anxiety too

[ChessieCat]

3 hours ago, viper73 said:

I will quit taking the Paxil now I only taking for 14 days, I will cold turkey the Paxil today

 

If you stop Paxil you might experience some withdrawal symptoms.   You need to be prepared that it might be a bit rough for a little while.  Try to stay calm and not panic and use non drug coping techniques to get through the rough patches.  When we panic we can make bad decisions.  If you panic you might be tempted to start taking the Paxil again. We have had other members panic and restart their drug and sometimes at too high a dose and it has made things worse.

 

3 hours ago, viper73 said:

I also start on acupuncture, she is very good. She will help me with my depression and anxiety too

 

Make sure that the treatment is calming.  Do not get detox or stimulating treatment.  See:

 

Acupuncture - Posts #6 & #8 (not detox or stimulation)

[Shep]

17 hours ago, viper73 said:

Ok I will quit taking the Paxil now I only taking for 14 days, I will cold turkey the Paxil today, I just got the Cpap Machine to help me with depression, anxiety and sleep, I will stay on the Clonazpam 0.5 for sleep, I also start on acupuncture, she is very good. She will help me with my depression and anxiety too

 

This sounds like a good plan. As ChessieCat noted, you may have some upticks in symptoms, but hopefully the new Cpap machine will help and you'll start sleeping better. And then later on, you can do a slow taper off the benzo. 

[Altostrata]

@viper73 What was the treatment plan that you made with your doctor?

 

What do you mean by "stable"? What do you mean by "rescue doses"?

 

Why did you start Paxil and clonazepam on the same day? How do you feel taking Paxil and clonazepam since November 6?

 

If using a CPAP machine for your sleep apnea is the treatment for your condition, why are you taking Paxil and clonazepem?

[viper73]

I didn’t make any treatment plans with my doctor, around 20 days ago I started to have sleep jerks or sleep myoclonus, I jerk around 20 to 50 times a night, that what cause my 9 days off insomnia, I became suicidal and I attempt suicide  twice that when I told my wife to drive me to the mental hospital. The hospital put me on paxil and clonazepam. I read that clonazepam help with the sleep jerks, but later on I found out that I have sleep apnea that also causes sleep jerks or high anxiety also causes sleep jerks so I don’t know which one cause my sleep jerks, I think I recently I quit my ocd compulsion that cause me high anxiety.

[viper73]

I also read sleep apnea cause anxiety, panic attacks, insomnia, depression, migraine headaches, high blood pressure and also Worsen depression, anxiety, panic attacks and even cause suicide ideation. So I hope that Cpap help with my depression, anxiety, insomnia and the sleep jerks 

 

[Colonial]

On 11/20/2020 at 7:35 PM, viper73 said:

I didn’t make any treatment plans with my doctor, around 20 days ago I started to have sleep jerks or sleep myoclonus, I jerk around 20 to 50 times a night, that what cause my 9 days off insomnia, I became suicidal and I attempt suicide  twice that when I told my wife to drive me to the mental hospital. The hospital put me on paxil and clonazepam. I read that clonazepam help with the sleep jerks, but later on I found out that I have sleep apnea that also causes sleep jerks or high anxiety also causes sleep jerks so I don’t know which one cause my sleep jerks, I think I recently I quit my ocd compulsion that cause me high anxiety.

 

Can you please answer this question from the 17th?

 

"Can you think of anything that would have induced this severe a round of insomnia for 9 days?

It would seem if you went on Paxil and a benzo to counter so severe an issue you would have to figure out why that happened first before you can plan a taper.

Did you have any other medications, herbs, alcohol, drugs, anything to destabilize your system?"

 

You are asking for advice on how to help but if we do not have a full picture on why you destabilized to begin with it is hard.

 

[Colonial]

On 11/20/2020 at 7:35 PM, viper73 said:

I think I recently I quit my ocd compulsion that cause me high anxiety.

 

Just checking in to see how you are doing day 12 without Paxil  and if your noticing any WD Symptoms.

Also, what did you recently "quit" that raised your anxiety?

Maybe we can recommend some non drug coping mechanisms.

Let us know how your doing.

Edited December 2, 2020 by Colonial