Hi Moui – I can’t say that I had pain as sharp as you, but I started getting pretty intense occipital headaches after I had been on Paxil the second time for about a year. I had never had pain there before, and I intuited that it was caused by the Paxil and that it meant I had to get off. I think you’re right to interpret the increased pain as a sign that you should go down. I’m glad you’re almost off.