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Marckieparkie: Paxil Withdrawal Morning Panic


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I am currently withdrawing from Paxil. Did a too fast taper, crashed bad, and have reinstated. I seem to be somewhat (compared to being out of my mind) stabilized after 3 months of reinstatement.


However, my daily routine aside from poor sleep quality, is that I feel very anxious with panic barely under control from about 5:00 AM until noon'ish. The rest of the day I am functional and actually have periods where I feel almost normal.

Does anybody experiencing Paxil (or any SSRI) withdrawal have this symptom pattern?


Before using Paxil I never had any of these symptoms. I took it for mild seasonal depression annually for 4 months. Each year it was harder and harder to get off. I should have paid closer attention.

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Try this link Mark



Morning panic is quit a withdrawal normal thing.  

You can start your own thread here to tell us about your history and it will remain your place for all your things... your own little bit of real estate on SA




People will reply to your questions there too. 


this may be helpful 



BUT since you used paxil only 4 months every year I would suggest you talk to Alto about what to do next as I think you may be a special case... she may just pop in to welcome you.. till then welcome to SA 

your in the right place 

Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 


There is a crack in everything ..That's how the light gets in :)

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  • Moderator Emeritus

Welcome Marckieparkie,

I moved you post from symptoms to our introductions section. You can use this thread as your ongoing journal to track progress, write about symptoms, ask questions and communicate with the community, add to it whenever you want.


What dose of paxil are you on now?  What symptoms are you still having since reinstating?


These drugs are not supposed to be continually started and stopped, they change the way the brain and nervous system work and each change causes disruption and destabilization, which takes time to recover from.  I think, perhaps all the starting and stopping over the years may have caught up with you.


The link btdt provided has information about how to safely taper paxil, but you probably need to hold longer before you start tapering again.


Please also read:


Why Taper By 10% of My Dosage?


About reinstating and stabilizing to stop withdrawal symptoms


Are you currently taking any other medications?



I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?

VIDEO: How are psychiatric diagnoses made?

VIDEO: Why do psychiatric drugs have withdrawal syndromes?

VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes




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Thanks btdt that link on morning panic answered my question 100%. It is indeed a very common symptom.


It is something I will have to tolerate while it slowly goes away. Knowing this makes it much easier to deal with.


Thankfully forums like this exist where people in similiar situations can support each other.




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Hi Petunia,

In retrospect all the annual starting and stopping each year over a 12 year period really really caught up to me. The SAD thing is the last two winters I had began using light therapy for my winter depression and had cut the dose to only 12.5mg of Paxil CR and felt much better than the 25mg before the introduction of light therapy.


Long term Paxil did more harm than good in my case. Had I known that light therapy, fish oil, exercise,

socializing, etc were so effective I would not have needed the Paxil in my case.




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  • 7 years later...

How common is poop out withdrawal?


I have heard stories of antidepressant users actually beginning withdrawal after taking the med for a few years. This is not just that the med has stopped working or phycological symptoms are returning it is actual withdrawal. In my case I have been on Mirtazapine for 3 years now.

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  • Moderator

Dear @Marckieparkie

welcome back to SA. Your intro topic is where you can ask questions about your case, we like to keep your history in one area so that we can refer back to it. 


To help us advise you better, can you please create a drug signature for yourself? Here are the instructions: 

How to List Drug History in Signature - Introductions and updates - Surviving Antidepressants


It is possible that you are having adverse reactions to your drug rather than withdrawal symptoms. 

Why did you decide to  go back on antidepressants after having such a hard time with Paxil? 



"Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig 


I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. 


In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. 


Aug  2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg,  xanax prn, wellbutrin for a few months, trazodone prn 

Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used)

Aug 2018 - citalopram 40 mg (self titrated up)

September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0

Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd

March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week

Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering)

citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg,  7/27/19 -1.5 mg,  8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43 (holding for now).


Supplements: magnesium citrate and bi-glycinate

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  • 6 months later...
On 5/13/2022 at 1:44 AM, Marckieparkie said:

How common is poop out withdrawal?


I have heard stories of antidepressant users actually beginning withdrawal after taking the med for a few years. This is not just that the med has stopped working or phycological symptoms are returning it is actual withdrawal. In my case I have been on Mirtazapine for 3 years now.

This is me now. Mirt for 3 years

Aug 2004 - Dec 2006: Aropax ( 20mg - 30mg). Aug 2007: Fluoxetine (for 3 weeks).

Sept 07 - July 12: Lexapro ( 10mg - 20mg). Pooped out July 12. Titrated down off Lexapro over 3 weeks and switched to Paroxetine (with Xanax to cover switch for 2 weeks).

Aug 2012 - Aug 2019: Paroxetine (titrated up to 20mg in first few weeks,, dose reduced to 15mg . for 7 years until it 'pooped out'.

4th Aug 2019 - Reduced dose of paroxetine to 10mg (for 1 day) - under phychiatrists directions. Last dose of paroxetine.

5th Aug 2019 - Switch to 15mg Mirtazapine.

5th Aug - 15th Aug 2019 - 15mg Mirtazapine plus intermitent use of Lorazapm (0.25- 0.5 . Also used 12.5mg Quetiapine for 3 nights for sleep.

23rd Aug 2019 - Ended up in crisis team. Mirtazapine increased to 30mg. Diazapam 10mg twice daily.

30th Aug 2019 - Mirtazapine 30mg + Diazapam reduced to 7.5mg twice daily

6th Sept 2019 - Mirtazapine 30mg + Diazapam reduced to 5mg twice daily

13th Sept 2019 - Mirtazapine increased to 45mg. Diazapam increased back up to 10mg twice daily.

20th Sept - 29th Sept 2019: Mirtazapine 45mg. Diazapam being reduced from 10mg down to 0mg this week (in 2mg increments couple of days).

30th Sept - Thursday 3rd Oct 2019: Mirtazapine 45mg. WORST ANXIETY EVER. Akathisia. Couldn't stay still. Suicidal idealization.

Friday 4th October - present: Reduced from 45mg to 30mg (straight drop to alleviate akathisia - reduction definitely helped alot but still not gone completely)

, Vit B6, Curcumin, Magnesium (no adverse effects from adding these supplements - have helped akathisia somewhat).

* Everything done from 23rd August under care of outpatient crisis team management.


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