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Dear Zinkmom,
It's hard to know how to advise someone else on this, if you don't know all the details. I had 2 major surgeries(neck and brain stem)in the last year and a half, and my alcoholic husband went back to drinking after quitting for 5 years. Never before in my life had I felt so overwhelmed; and also, taking pain meds and muscle relaxers for the last couple years made me PHYSICALLY depressed (and, that in turn may have led to the mental depression and anxiety---who knows?)Anyway, I tried to "pull myself out of it", and NEVER wanted to try an anti-depressant. But, finally, after not being able to climb out of the hole by myself, I decided to try Paxil. I started out with a low dose (10 mg.) which didn't really do anything for me, so 2 1/2 weeks later, I asked my doc to up my dose to 20 mg.
It's been about a month now since I started taking the 20 mg. At first, I was TIRED all the time, but it was a physical thing, not a mental one. I still have a lot of pain in my neck and upper back, so that wears me out alot, too. But, at least now, I have the energy (at least mentally) to TRY to fix things. Before, it felt hopeless...I am definitey happier, less depressed and anxious than I was before. Apart from that, there are no other side effects. You don't get high from it---at all. You feel totally normal. It's just a serontin level adjustment. Serontin is like the endorphin "high" you get from exercise. About the only thing I've noticed is my mouth is dryer than normal, and I have less of an appetite (which is, to me, not a BAD thing...LOL). But, everyone is different. I tried Zoloft first and had a TERRIBLE reaction. I had the worst anxiety attack of my life. But, then again, I started out on 50 mg. So when I asked my doc for Paxil, I asked to start slow on a low dose. I think that's the best way to do it. It takes longer that way, but it's MUCH easier on the system.
Anyway, back to the subject, it's an individual decision. Only you know how you feel. If you can get over this on your own, you should try to. But, if after trying everything, you still can't---than maybe you need a little "help."
Good luck!!!

Liz





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