Hi worrier4.
The paxil has really done wonders for me. Once I started taking it, I began to feel like the old me...Pre-panic. The only side effects I had were: about 20 lbs. Weight gain, and lack of sex drive. The lack of sex drive went away after about 2 or 3 months, but i'm still holding-on to the weight.
I started out at 40mg/day, then a few years later went to 30mg/day. I then tried to drop to 20mg/day, and that wasn't enough for me (keep in mind, i'm 6' 4" tall and weigh around 240). I really had a bad anxiety "episode" on the 20mg, so we went back to the 40mg and that's where i've been since. I began having pretty severe anxiety over the easter weekend, and am now worried that the paxil isn't going to work for me anymore.
I have had peaks and valleys while taking the paxil, but never as low as I was before I started taking it. Eating seems to really affect my anxiety (i am hypoglycemic). As a matter of fact, I have made a vow to myself not to eat any refined sugar for the next month - we'll see how I feel in a few weeks.
I have bsically decided that I will probably need to take medicine for my anxiety for the rest of my life...And i'm ok with that. It's better than the alternative!
Let me know if you want me to eloborate on anything.