majnun99 replied: "If you're having panic attack symptoms, then you're not really free from anxiety. The throat tightening is a classic anxiety symptom. I don't know what you mean by "punky" heart beats but anxiety can make your heart beat harder and faster. It doesn't sound like withdrawal symptoms, it sounds like your anxiety is coming back.
Paxil from a medical doctor is probably going to be more reliable than counselling and herbs.
I quit taking Paxil and starting taking St. John's Wort. My depression and anxiety wasn't bad, but I had terrible stomach aches. As soon as I stopped taking St. John's Wort, the stomach aches went away. I'm back on Paxil again. The side effects of St. John's Wort were far worse than Paxil ever was.
Maybe you'll luck out, but I just don't think the chances are very good. Sorry, but I'm giving an honest opinion."
Moonface replied: "Hi, sorry to hear you are feeling so bad. Either way, the following steps should help:
1.Breathe properly - if you control your breathing, you control panic. As soon as you notice the signs of anxiety, check your breathing: breathe in slowly through your nose pushing your tummy out (to the count of 5 or so). Breathe out slowly and for a bit longer (to the count of 7 or so) through your mouth. Do not breathe rapidly or shallowly (in the chest area). This will soon restore the balance of oxygen and you will feel a lot better.
2. Cognitive Behavioural Therapy! CBT is proven to be the most effective thing for panic attacks, OCD and anxiety etc. It takes a bit of work, but it is super effective. (After 15 years of panic attacks, mine stopped completely). You can speak to your doctor about taking a course or you can take a course for free online at:
3. Try relaxation exercise tapes (progressive muscular relaxation). They really help if you practise often enough. You can get free downloads in you put "progressive muscle relaxation" into Google (e.g. lots of universities have them as free downloads)
With each step practise makes perfect. (i.e. practise the steps every day, not just when you are feeling bad). I hope you feel better soon. Best of luck!"
When I haven't taken my paxil CR 30mg for a couple of days and I start feeling overwhelming sadness...? Is that from withdrawal or is that the way I will be if I stop taking it altogether? I no longer have health insurance so asking "my doctor" is out of the question. I try to take it every other day to every 3 days to make the script last as long as possible.
JOHN P replied: "One of my friends asked me this kind of questions before,I found helpful here ."

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