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Paxil is notorious for its horrible withdrawal (and it hits FAST compared to other drugs with a longer half life).
Not a doctor, but this book seemed to have sensible suggestions for tapering…maybe it could help? I got it from my library :)
How Come They're Happy and I'm Not?: The Complete Natural Program for Healing Depression for Good https://www.amazon.com/dp/1573245801/ref=cm_sw_r_cp_api_i_KRKCFVJ9J0TS4C91001P?_encoding=UTF8&psc=1
I don’t mean to alarm, but a side effect of most ssris is sexual dysfunction because the increased serotonin in your system inhibits dopamine, and the reduced amount of dopamine in your system causes sex drive to fall. So increasing dose could make it slightly worse. From my experience on sertraline (Zoloft) my libido was nonexistent for eight months, however, it began to improve when I started using supplements just before, I began titrating down from 100mg.
Everyone reacts to medication differently but I’d say your best bet is to either try Wellbutrin as lilliia says or potentially try out the supplements I used:
https://www.amazon.co.uk/Saffron-Complex-Leptricrosalides®-Quercetin-Additives/dp/B08SBR4Z3C
They both have antidepressant qualities too. I only noticed full recovery after a month and a half taking both.
Hi, I would definitely read this book: https://www.amazon.com/Antidepressant-Solution-Step-Step-Overcoming/dp/074326973X
I tried to get off of Lexapro several times without success. I think its critical to follow the tapering program recommended by this doctor and then probably checking in with your prescribing doctor, or therapist, at least once a month
I don't know any people who were on Lexapro during pregnancy, but I highly recommend reading this book to taper: https://www.amazon.com/Antidepressant-Solution-Step-Step-Overcoming/dp/074326973X
Given what I have gone through trying to get off of Lexapro I would definitely try to get off before pregnancy.
I think a lot of this is find additional things to do, that are also healthy. I really got a kick out of this book, and it did kind of change my life at the time. If you have seen the movie, don't hold it against the book.
The basis of the book is to learn to say yes to opportunities in a really fun way.
I feel like I am the same as you. Citalopram makes me feel amazing for actually like 3 days once I start taking it, it is incredible! Then the happiness goes away and my mood kind of crashes a little (not like bipolar, at least I hope not...). The gradual and stable happiness comes very slowly over time, at like week 3 I start to notice that my mood is getting consistently better. By week 6 I feel awesome. I know this because I was on it before, went off after 5 months, and am now back on it 2 years later.
I'm curious if it is working for you now that it is a month or more later though. Seriously, I wish the initial feeling would last forever, but I think it is just a rapid reduction in anxiety that your body quickly adapts to (and in my case my body overcompensates for that anxiety reduction and makes it worse 4 days later, but it slowly goes away).
If you want to increase the effectiveness, try this https://www.amazon.com/Irwin-Naturals-Sunny-Mood-Count/dp/B009RV7ORK I took this and it greatly increased the serotonin feelings. However, any change in these serotonin meds will take another 6 weeks to fully work once again, but it's easier because you should already be feeling better from whatever dose you are on.
Here is the book: https://www.amazon.com/Antidepressant-Solution-Step-Step-Overcoming/dp/074326973X
I highly recommend this book, having been through some really rough anti depressant withdrawal, to the extent of having to start taking the SSRI again, please save yourself the pain and read it