Hi Cam,
First I should say I think you're a Gem for volunteering your time to ease our mind with educated knowledge. Thats very giving and thoughtful.
I used to take Paxil...and xanax during the "getting used to" period.
I am very sensitive to medications(probably a psychological thing more than a medical thing, who knows) Most people adapt to the Paxil in a week(I think?) I , on the other hand have to take 1/4 for a week...then 1/2 for another week, then yet 3/4 for one last week and finally after a month I start to balance out. The side effects are usually bad enough I spend many days fighting as hard as I can not to say "forget it" this is too much to bear. But I continue knowing from past experience it helps in the long run.
That's why this last time my Dr also gave me Xanax to deal with the side effects.
I lsot my insurance coverage back in July and no longer take the Paxil. However I had another refill for the Xanax and I also had Doxepin which he asked me to take before bed instead of xanax. (Yet ANOTHER med *sigh) This one "seemed" not to give me the bad side effects or that "hangover" feeling in the morning.
I take all medications in moderation and at the bare minimum because of my "issues" with meds and their side effects that I seem to react so easily to.
My question is...Ive had ALOT of difficulty lately with the attacks and constant edginess. I never take more than two Xanax a day and usually can go days without any meds.
For the past week or more , they have been bad and almost constant. Seems like Im always "on the edge" of a full blown attack. I also have the "tools" I learned in therapy to try and alleviate them and make them go away which for a time seemed to help, They arent now.
I am not sure the purpose of Doxepin or what it is actually prescribed for....isit ok to take it afte having taken Xanax in the evening?
Ive also been having more frequent and horrific nightmares lately too.....I wake once or twice a night already in an attack because of the intenseness of these nightmares.
Thanks for reading this lengthy post and any information is appreciated.
"Knowledge is power"

Jennifer (aka Serenity)