If you have been taking paroxetine for two years and are still experiencing persistent exhaustion, fatigue, and a lack of motivation, it may be worth discussing your concerns with your prescribing healthcare provider. They can help determine the best course of action based on your specific situation.
There are several reasons why you might still be experiencing these symptoms:
Dosage: The dosage of paroxetine may need to be adjusted to better suit your needs. Sometimes, a higher or lower dose can make a difference in how a person responds to medication.
Effectiveness: Paroxetine might not be the most suitable SSRI for you. Different SSRIs work differently for different people, and some individuals may respond better to one SSRI compared to others.
Comorbidity: You mentioned having panic disorder. Sometimes, other conditions, such as depression or anxiety, can co-occur with panic disorder and contribute to ongoing symptoms.
Side Effects: Some people may experience certain side effects with paroxetine that can impact energy levels and motivation.
Other factors: It's important to consider lifestyle factors such as sleep quality, diet, exercise, and stress levels, as they can influence how you feel.
When considering a change in medication, it's crucial to involve your healthcare provider in the decision-making process. They will be able to assess your specific situation, take into account your medical history, and recommend the most appropriate course of action. Changing medication should be done under their guidance to ensure a smooth transition and avoid potential adverse effects.
Additionally, it's essential to communicate openly with your healthcare provider about your symptoms, any potential side effects you've experienced, and any changes you've noticed over time. They can help you understand the options available and work with you to find the best solution for managing your panic disorder and related symptoms effectively.