still adjusting to new dosages of paxil and Lamictal

I am still adjusting to my new dosages of Paxil and Lamictal. I wake up every morning very nervous and shaky. it feels like a physical reaction, not the anxiety itself. it is lightly better this morning but I am still not able to get to work early in the morning. Any suggestions of what I can take to calm my body down. i do all the breathing, walking, etc. and it is helpful when I have anxiety. i tried Xanax and it did nothing which confirms to me that it is a physical reaction and not the anxiety itself. By late afternoon, after a long bike ride or 1 1/2 hrs. of mowing the lawn, I feel pretty good, much less shaky and nervous. My energy is coming back after a long illness. This shakiness and dosage adjustment is the last hurdle, I hope. It has only been 5 days since I made the switch, less Paxil and more Lamictal.

It is slightly better this morning. I can actually think about work projects.

I take them at night and in the morning. The 5 p.m. dose doesn't have as big an effect as the a.m. dose. Your cortisol theory might play into that.

No dizziness just feeling like I drank 3 pots of coffee. My Acupuncturist agrees with the cortisol theory. She told me to take L-Theanine in the evening and first thing in the morning and see what that does.

I had a weird virus last fall that left me with a low-grade fever all winter, vertigo,problems with my eyesight, digestive issues, GERD and finally the anxiety. i felt nauseous all the time. I think I am finally over everything except the anxiety. I am still on meds for the GERD.

One of my biggest challenges from my "medical mystery tour" where all the doctors couldn't figure out my illness, is the incredible medical bills that I now have. i have a huge deductible because up until two yrs. ago I was a very healthy person. Now I owe thousands of dollars. I am trying not to stress out about this and pay everyone a little bit each month forever. Once I get this year's tax return, I may be able to cry poor at my hospital and not have to pay the rest of their bill. We shall see.

You will love this. I was audited by the IRS because my medical expenses were too high. I had surgery that year and was paying it off each month. I had all the paperwork but the IRS did not reimburse me for my accountant's $350 fee. I hope my track record will cover me for this year so I don't get audited again.

wouldn't that be nice. and not charge a fee.

Thank you for the advice. My docs just say tough it out and struggle through. This morning I took L-Theanine. It is supposed to help adjust my cortisol levels. I take the same dosage of lamictal and paxil at night and in the morning. i have no shakiness or nervousness at night after I take it but those symptoms are terrible in the early morning. This morning is still bad but a little less so. I am going to research how much L-Theanine I can take.