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Personally, I hate Paxil and SSRI's in general. I've taken Paxil, Prozac and Celexa and hated them all. Celexa did nothing except for negative sides and Paxil/Prozac had a somewhat positive impact on depression, but basically made me feel like an unmotivated zombie. Paxil was the worst though. Taking Paxil I gained about 60 pounds over the course of 14 months, I had awful carbohydrate cravings, I had alcohol cravings, I couldn't sleep, I developed a night time sleep disorder, I felt like a zombie, I had no energy, I had no motivation, I didn't care about anything...it was like I had no personality or emotional ups and downs...everything was just grey feeling. It was so awful, I had no energy and felt so tired, but yet I couldn't sleep more than 4 hours a night. The weight gain and lack of motivation had to be the worst though, prior to taking the paxil I had been working out 4 or 5 days a week...but on paxil I really didn't care about anything except eating. I couldn't even motivate myself to do schoolwork, I ended up getting like a 2.4 GPA one semester, when my average had beeen 3.5. In short I think SSRI's are far too easily prescribed....all of the SSRIs I took affected my personality so dramatically that it disturbed me sometimes. At the beginning my depression was extremely severe and I think the Paxil may have helped a bit...but after that I really regret being on an SSRI. And when I stopped Paxil there was a withdrawal with all kinds of weird side effects.
Currently I'm taking 200mg of Wellbutrin SR and doing great...I've lost 50 of the 60 pounds I gained by working out and eating better. The carb/alcohol cravings are gone and I'm motivated to workout 4 or 5 times a week. My grades are great and I feel "normal" actually. Only complaint is that my social anxiety is still an issue, but its a worthwhile tradeoff for all the horrible sides that SSRI's give....I'm considering asking for Ativan to deal with the situational anxiety.