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Regular Member

Date Joined Oct 2008
Total Posts : 185
   Posted 11/11/2008 12:37 AM (GMT -6)   
So i've been diagnosed with an anxiety disorder.. and have been given zyban to help when things get too bad. I'm also going to be increasing my dosage of Paroxotine (Paxil)... when the pharmacy opens back up on wednesday after the long weekend. Has anybody ever taken zyban? Is there anything I need to know? And are there any sideffects that you can experienced when raising your dosage of Paxil?
My new doctor is great... but I always forget to ask these kind of questions.
I've also discovered that the hospital sets off my anxiety... the noise of the fans... random ringing that I'm the only that seems to hear.. the phones, the people... the lights (really bright and leering...)... even the nurse noticed it because my heart rate was up to 100 when he took my pulse when it's normally around 70.
Anybody experience anything similiar to this? It kinda scares me a bit to think just too much sound can make me react that way.
Diagnosed with Fibro - October 2008
Gabapentin 300mg/Paroxetine 20mg/Armitriptyline 40mg to help me sleep 
Zyban... when things get real bad.

Regular Member

Date Joined Jun 2008
Total Posts : 293
   Posted 11/11/2008 5:52 AM (GMT -6)   
The occurrence of side effects do go up as the Paxil dosage is increased. However, for anxiety disorder there's only three adverse events that show a relation between dosage and occurrence: asthenia, constipation, and abnormal ejaculation. For depression, the list is longer see link below, probably doesn't apply though, anxiety disorder is sort of a cycle of anxiety-panic-phobia-depression.

I'm not fond of anything to do with hospitals anymore, they cause me to panic. My problem is a fear of being hospitalized. Make seeing a doctor a pain in the butt. I definitely have what is called "White Coat" hypertension, even scrubs sets me off.

From my favor site for drug info:

Zyban (see also Wellbutrin same stuff but marketed for depression)

Best wishes,
You must do the things you think you cannot do. -- Eleanor Roosevelt

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 11/11/2008 10:10 AM (GMT -6)   


Hello there, I think you have whate coat syndrome.  You associate the hospital or clinic office with stress and that drives your anxiety up.

My BP is usually 110/70.  At the psychiatrist yesterday it was 140/98. I was just feeling so anxious I want to jump up and run out.  I do not worry about that one whack-o reading as I know what caused.

Make sense.

Take care



Kitt, Co-Moderator: Anxiety/Panic & Depression
& GERD  Forums
*~* *~*
Not a mental health professional of any kind
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
Clickable Link: Anxiety-Panic Resources

Forum Moderator

Date Joined Oct 2008
Total Posts : 7348
   Posted 11/11/2008 2:20 PM (GMT -6)   
Hi Corrie

I have not been on any of the meds you are on so cant advice on that. I do find that my pulse rate can go up very quick when i get anxious and dont like going to hospitals.

I hope your new meds work for you.

Take care

Regular Member

Date Joined Oct 2008
Total Posts : 185
   Posted 11/11/2008 2:47 PM (GMT -6)   
:) Thanks for the posts.

I have a hard time understanding my anxiety... It seems triggered by anything... sounds, lights.. people. Supposidly Cognitive behavior training (I might be wrong on the term) can help - my doctor suggested I see a councillor. I don't see how it can hurt - although I'm not fond of the idea.

Thank you all so much

- Corrie
Diagnosed with Fibro - October 2008
Gabapentin 300mg/Paroxetine 20mg/Armitriptyline 40mg to help me sleep 
Zyban... when things get real bad.

Veteran Member

Date Joined Nov 2006
Total Posts : 1052
   Posted 11/11/2008 3:15 PM (GMT -6)   

  Hi Corrie_1

  I never have had the white coat syndrone but my blood rate dose go up abit when the doc was talking about my up coming opp next week, I guess it from having to go too the ER so many times and living in a small town You seem to get to know a lot of ppl and they have joked with me saying that are going to name the new ER wing at the hospital after me lol ( they probable should as I been there soooo many times as Lyn and Kitt can tell you lol)

  But I have pushed myself so hard just to get over this crud as I allways felt like I was all ways being whatched so I said the heck with it and let myself go and shaved of all my hair this past summer and when't skin headed just to see how ppl acted about me thet would look but when you look back at them they would allways turn there heads away giving me the feeling of more power over them ( not that I would recammend this this to anyone) but I loved the look I got, just putting me in so what of a spot light and watching ppl turn away and just knowing in the long run I won as I did not back down from the looks I got as they did by looking away lol

  And it's nice to meet all of you


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  Happiness is sitting around a warm campfire with no worries or cares as day turns to night.
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  Anxiety/Panic, CFS, CNS damage, MCS, Diabetes type 2, RLS, DDD, CP, Fibro, and still a limbo lander of other things and gettin tested all to time by neruo

Veteran Member

Date Joined Oct 2008
Total Posts : 1683
   Posted 11/11/2008 4:04 PM (GMT -6)   
as an ex-nurse, i find alot of people become anxious in a hospital setting- they associate it with death, major illness, uncertainty, confusion, hurt etc. as an A/P and Fibro sufferer i find noise and light tend to agitate me. ive also been a patient: ive had 9 surgeries and am unusually comfortable in hospital, its like a second home! rolleyes
i think plenty of people dont enjoy being in a hospital and that the anxiety you experience is quite typical of many others.

'He heals the broken hearted and binds up their wounds.' (Psalm 147:3)
Chronic Fatigue, Fibromyalgia, TMJ disorder, Endometriosis, Polycystic Ovaries, Chronic ear/nose/throat infections, Panic Disorder, Reactive Arthritis, Agoraphobia, Migraines, GERD, Anaemia, Sinusitis, Chronically perforated eardrums, Pinched Nerves, IBS, Tachycardia, Allergies, Insomnia, Trichotilomania, Glandular Fever, Bursitis, Encapsulitis, Seasonal Mood  Disorder, Mild OCD.
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Multiple surgeries- I bear the scars of my poor physical health.
Age:28. First diagnosed at 14. Proud Aussie. XX.

Regular Member

Date Joined Oct 2008
Total Posts : 185
   Posted 11/11/2008 9:38 PM (GMT -6)   
Thanks :) It's nice to have some reassurance that It's not just me... it's a difficult thing to discuss anxiety and hospitals to somebody who doesn't spend much time around them :)
Diagnosed with Fibro - October 2008
Gabapentin 300mg/Paroxetine 20mg/Armitriptyline 40mg to help me sleep 
Zyban... when things get real bad.

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