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Awhile back, I brought up the subject of internal shakiness or nervousness, which my mother Joyce (68/9 months) experiences, usually when she tries to get off Paxil. She is now in the process of coming off Permax (she's coninvced it contributes to this internal nervousness, though I suspect it's the lack of Paxil that magnifies the internal shakes) and she has been off Paxil for a few weeks now. Her Sinemet dose remains the same (25/100 4.5x/day). She is being bothered a lot by the internal shakiness (and rapid heart beat and difficulty breathing). What I've noticed is that her voice is becoming very shaky. And I'm beginning to think that it's part of what she calls the inner shakiness/nervousness. I had noticed that occasional shakiness before -- but not like it is now. Does anyone else have this symptom? Thanks in advance. Debbie White [log in to unmask]