It is quite common to experience symptoms like morning nervousness or headaches when treating anxiety. Your morning symptoms might be due to your body processing your nighttime medication (amitriptyline and chlordiazepoxide) or a need to fine-tune your morning dose of Paxep CR 25 (paroxetine). Headaches can sometimes be a temporary side effect or related to sleep patterns. Please do not stop or alter your medication doses on your own, as sudden changes can worsen symptoms. I highly recommend consulting your doctor. They can safely adjust your dosage, change the timing, or explore other options to ensure you start your day feeling comfortable and headache-free.

To safely stop paroxetine CR, propranolol, and tofisopam, you must consult your prescribing doctor. Stopping these medications abruptly can lead to uncomfortable withdrawal symptoms, such as rebound anxiety or a rapid heart rate. Your doctor will design a gradual, step-by-step tapering schedule tailored for you, typically reducing one medication at a time over several weeks. Paroxetine and propranolol, in particular, require a very slow dose reduction to ensure your body adjusts safely. Please do not change your dosage on your own. Your physician will guide you through this process smoothly and safely.