I have had those strange nerve pain, jerky sensations not only coming off Paxil, but also other anti-depressants. And not only on coming off of them, but during a sleep examination in the hospital, while I was hooked up to electrodes to monitor everything, I was diagnosed with (jerky leg symdrome) among other things. I forget the proper terminology, but it can wake you up during the night, and it has to do with the medications, and the nerves of the legs. I know that some people can get this even without the medications, however, mine was definitely connected to the medications, because when I stopped taking them over a period of time, the shooting nerve pain in my legs stopped too. The doctor said that these, as well as other symptoms I was having were caused by my medications. I used to find one solution to the problem while going to bed at night; that is , I used to rub my legs with a calming aromatherapy oil such as pure lavender or chamomile and olive oil or any good oil on hand, peppermint is good for pain, and that seemed to help relax the nerves in my legs so that I could go to sleep. The medications I am on right now do not give me this side effect any longer. They are probably not as strong as the ones I was taking before, or react in a different way with my nervous system. Hope this helps someone....