I am seeing him again on Tuesday and my insomia is a big problem. First, ensure you don't have a new problem like hyperthyroidism. Second, I'll need to know the other drugs to help. Paxil is generally not helpful for sleep, trazadone often is. I would not use Paxil in patients with difficulty sleeping, but often use trazadone.
Side effects are drowsiness the next day, constipation and dry mouth.
These are usually dose dependent and you should try for the smallest dosage that accomplishes the sleep goal. That means I am severely sleep deprived. It is truly ruining my life. At this point, I am unsure of whether my insomnia is causing mania, or my mania is causing insomnia. I've contacted numerous sleep clinics and have either gotten no response at all, or a negative one since I have no health insurance.