Paxil and bedtime

I am taking a few meds and im having trouble distinguishing which side effect goes with what lol ..i.e. paxil for anxiety panic attacks and depression topamax and HYDROCHLOROTHIAZIDE for borderline blood pressure ,well i have experienced tingling in the hands and the feet ..lack of appt,i wouldn't say my desire for sex is gone but im experiencing vaginal dryness itching and numbness like a tingling feeling as well as problems climaxing sorry tmi lol ... thought it was a yeast infection but its kinda different? any girls ever exp that before while on paxil ? would love any feedback on tihs been on paxil now 2 and half weeks take it in the morning because it was keeping me wide awake at night insomnia lol doctor told me to take it at bedtime i tried for a week and i was wired so the pharmacist told me to take it in the morn said it causes insomnia also when i first started taking it made me feel really jittery for the first few hrs then i would get a real mellow feeling lol so i guess i was getting my high then my low i dunno but now it has even out and i feel great oh ya btw the other day i was watching a sad movie and i wanted to cry felt the need to cry but the tears wouldn't come out lol i was laughing i said damn paxil hahahhaha but hey rather be non emotional than emotional wreck lol ...so far so good exept for the vaginal thing its driving me crazy any suggestions that may have worked for you ? thanks .....

I have been on Paxil (20 mg/day, taken in the morning) for 18 days now, and I am feeling way better than I was before starting it. Before, I was weepy, depressed, prone to panic attacks, quick to anger, and wondering why I was alive.

Now, I am thinking much more clearly. I do not feel depressed. I have not experienced any panic whatsoever, even during times when I usually had panic episodes before. I feel moments of normal happiness, which I had gone a very long time without experiencing.

I have experienced a slight sensation of detachment since starting the Paxil, but it's not awful. In fact, it is probably best for me, anyway. My emotional instability was pretty bad before--crying at the drop of a hat, freaking out at my poor husband for something minor--and the Paxil has put me back on an even keel again.

The only "bad" (note the quotes) side effects I have noted are night sweats (actually, increased sweating overall), insomnia (particularly bad the first week of taking Paxil), and teeth grinding in my sleep.

My doctor prescribed me a short course of low-dosage Xanax for just the first few weeks, so I pop two 0.25 mg pills before bedtime. This has helped the insomnia, and I am no longer grinding my teeth during the night. The longer I stay on the Paxil, the lesser I notice or experience the bad side effects.

Overall, for me at least, the good outweighs the bad with Paxil. I feel like myself again!