Paxil & Ativan

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Regular Member

Date Joined Jun 2006
Total Posts : 35
   Posted 10/25/2006 6:57 AM (GMT -7)   
Okay...So I've been taking 40 mg of Paxil (generic) for a couple of months now, and I was having a hard time both getting to sleep and staying asleep...So my doctor prescribed 0.5 Ativan at night...That didn't do it, so I started taking 1 mg.  That did the trick, but lately I've been really tired the next day...My eyelids feel so heavy, and I'm just kinda lethargic....Anybody else experience this, and/or have any suggestions?
Thanks in advance,

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Date Joined Oct 2005
Total Posts : 2500
   Posted 10/25/2006 7:22 AM (GMT -7)   
I dont know about the meds but I am sure someone will be by shortly to help ya out.

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Date Joined Jan 2005
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   Posted 10/25/2006 10:19 AM (GMT -7)   
What time are you taking the ativan ayt ?? usuaualy it doesnt not give this kind of "hangover feeling" but if taken late it just may do so if you are up earlay plaus I would imagine the paxil as well mixed will or may cause this......I know I take the ativan during the day and it doenst make me tired or feel drowsyunless I have ot gotten a good full nigth UNITERUPPTED sleep ...........

I am sure others will be along to post as well abotu this
Perhaps harry has a better answer for you ......
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Veteran Member

Date Joined Sep 2006
Total Posts : 924
   Posted 10/25/2006 1:01 PM (GMT -7)   
I don't take Paxil, but I take a SSRI called Lexapro.

I also take Ativan. I take it twice a day, equalling up to 1 mg. You shouldn't have a "hangover" feeling as I don't experience that at all.

Are you drinking alcohol? I felt extremely drowsy the next day if I even had one drink the night before with the Ativan. Now I don't drink any alcohol because I hate the reaction to it the next day.

Maybe the Paxil is just now kicking in for you, and you're feeling drowsy from that? If so, do you take it at night or in the morning?

If you're taking it in the morning, maybe you should switch to taking it just before bed so you don't feel so drowsy the next day.

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DX: Panic Disorder, Depression, TMJ (Temporomandibular Joint Disorder), Chronic Migraines
RX: Ativan/Lorazapam (1 MG a day), Lexapro (15 MG a day), Tylonel for the TMJ and Migraines

Regular Member

Date Joined Jun 2006
Total Posts : 35
   Posted 10/25/2006 1:28 PM (GMT -7)   
Thanks to all for replying....Regarding your response Twiggygal....I'm only taking 1 mg of Ativan at night because the Paxil was causing me to not be able to go to sleep. I didn't think I had a problem with the Paxil causing me to feel sleepy, I just thought it was the Ativan. Maybe I should try taking the Paxil at night before bed??? I'm not sure...I'm confused and tired...But at least I'm not anxious :) I would like to not be so tired though...Everyone at work says I look tired. That's not cool!


Patty B.
Regular Member

Date Joined Oct 2006
Total Posts : 72
   Posted 10/25/2006 5:42 PM (GMT -7)   
Hi Tuna
I'm new here but have been lurking for a week or so.
Saw your post and thought I'd share my little experience with Lorazepam, Ativan.
Last year I had a panic attack and was given a couple Lorazepam 1mg in the ER- told tp take one when I needed it. I did need it one night and it wiped me out for a good 24 hours--I was tired all day and could barely function, didn't like it, I have a family to keep up with! I told my doc and the first thing she said was-you don't drink do you? I've never drank, she told me that my body wasn't used to the drug's effects in the same way as my body has never had to deal with the effects of alcohol and suggested I take half and half worked for me .
Fast forward to two weeks ago--I had only just been subcribed to Paxil (10mg at bedtime) for anxiety and panic for one week when I have a wicked and long anxiety attack session in the evening and was given 1mg Ativan under my tongue, in the ER. I was fine at first but it kicked me in the butt the next day and lived with what I can only call residue feeling of fatigue, and as you said lethargy, the rest of the week. I also had left over anxiety and tired limbs from the anxiety attack so I was wiped. Didn't realise that ativan was lorazepam or I would have asked for half.
Any hoo, after that week my doc put me on 20mg paxil (at bedtime) and I keep ativan around in case of another attack. If I do need to take one I will try to half one of those tiny little pills. I'm hoping the paxil will waylay the P/As and won't have to discover what happens if I need to take ativan again.
Initially the Paxil at bedtime made it difficult to stay asleep and tired during the day but it is starting to even out after a month--seems like coming back to normal except for this nagging feeling of "go lay down" that comes over me when I have a minute when I'm not busy.

All the best to you.

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Date Joined Mar 2006
Total Posts : 1986
   Posted 10/25/2006 7:23 PM (GMT -7)   
The first time I took Paxil (12.5mg) I was so sleepy and had to start taking it at night. My last pdoc put me on Restoril to help me relax enough to sleep as needed. You could ask yours about it.
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