Brief Answer:
Your problem due to anxiety and paxel withdrawal.
Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 35 year old male
• Known case of
SOCIAL ANXIETY.
• History of
Wellbutrin, Paxel, Zoloft and Lexapro use. Currently on kolonopin
• Complaints of: irritability, short temper, extreme sadness, crying spells,
restlessness, feeling of unreality (De-realization) and poor focus.
Paxel and zoloft both belong to SSRI group of medicines. These medicine affect ejaculation in 10-20% population. Stopping paxel suddenly lead to excessive anxiety, irritability and restlessness. Your current symptoms are due to combined effect of paxel withdrawal and increase anxiety.
Paxel withdrawal usually subside in 1-2 week. Same time you need some long term treatment for anxiety with the medicine with no sexual side effect. In such cases you can try
Mirtazapine, which have good anti-anxiety effect with no sexual side effect. Concurrently you can use Klonopin on demand basis for anxiety.
Intake of these medicines need
psychiatrist supervision.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,