"my doctor added 20mg latuda four weeks ago after prescribing 20mg paxil two weeks earlier for my depression and anxiety . i was nervous about it, but the results have been great. my racing anxious thoughts stopped and my suicidal ideation also went away. i seem to have better energy and am more motivated. my life is greatly improving on this combo. my anxiety has been reduced by 90% also. i take both of these meds in the evening and sleep great. the only side effect i noticed was some vivid, crazy dreams the first 3 nights on the latuda. i also have reduced libido but i suspect the paxil for that."