Hello @ahannah2021, Welcome to Connect. It does sound super annoying and scary to me also and I don't have it. You mentioned that the doctor switched you to topamax after the paxil caused you to have tremors. From what I've heard paxil withdrawal symptoms can last up to a year if you suddenly stop taking the drug.

Paxil withdrawal: Symptoms timeline, and how to cope: https://www.medicalnewstoday.com/articles/paxil-withdrawal-symptoms

Have you mentioned to the doctor you are still having the tremors?