Brief Answer:
Ativan will control any restlessness, agitation and panic attacks

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You have been diagnosed with OCD and panic disorder. OCD and Panic both are anxiety disoders that need treatment with medicines in high doses especially of SSRIs. Buspirone is commonly prescribed for symptomatic control of anxiety. It is known to worsen anxiety symptoms in some individuals.

Paroxetine is a SSRI and 12.5 mg doses are not very high doses for drug. This may result in some anxiety and restlessness for first few days of start of the drug. But you have already tolerated Paroxetine previously so as per my opinion you would not suffer worsening of these symptoms. Mild to moderate restlessness, agitation, panic attacks would reduce with doses of Ativan or Lorazepam. Take the doses of Paroxetine in evening time before going to bed after meals. This would help in good sleep and you will feel better with in a week of therapy. As per my opinion as the doses are in CR or controlled release form so taking the drugs in two times a day will not result in much benefit. Discuss with your doctor and take the drug doses in evening time only as Paroxetine is known to cause sedation. Secondly start with 12.5 mg per day doses only for about a week and then as per prescription increase the doses to 25 mg per day. This would reduce any increase of symptoms. Take the drugs with proper prescription only.

Thanks, hope this helps you. Please don't hesitate to ask again for more doubts.

---

Brief Answer:
Taking the ATIVAN about half hour before would provide best results

Detailed Answer:
Hello thanks for asking again

Taking the Ativan doses about half hour before taking Paxil before going to bed would control any restlessness and anxiety. This will alleviate any anxiety and panic attacks caused by Paxil.

Thanks

---