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You are having the normal anxiety and panic that most folks have when starting a new antidepressant. There are some basics that everyone should know when starting a new antidepressant that many doctors don’t mention. It can take 4 to 6 weeks before you notice any benefits from the drug. It is very common to feel worse before you feel better during the start up phase of any antidepressant. During the start up, you will likely feel more anxiety, more agitated, just more “out of balance” in general, and it may cause some insomnia at first. You might have headaches, dizziness and possibly some stomach upset. This is all normal. Yes, there are usually side effects from antidepressants, some are mild and go away and some don’t. You will need to give it a good 6 to 8 weeks to see how it effects you. I currently take Paxil
(20 mgs/daily) and do experience some side effects from it, but they are tolerable. Weight gain is a common side effect from all of the SSRI class of antidepressants, but for me, it actually suppresses my appetite. Paxil is also known to be one of the more sedating antidepressants, but there again, it has the opposite effect on me as I find it to be rather stimulating. That may be why it suppresses my appetite.

Xanax has a very short half life of around 8 to 12 hours, but the therapeutic effects from it usually wear off within just a few hours. The term “as needed” when taking medication has a very broad meaning, since “needing” the drug and “wanting” the drug are often confused and over using Xanax can lead to some pretty nasty addiction problems. The daily dosage and how long it is used has more to do with the possibility of addiction than the number of times in a day it is taken. It is quite common to take a 1 mg pill of Xanax and break it into .25 mgs and take it 4 times a day. However taking a 1 mg pill 4 times a day is quite a different story.

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