"i have been on paxil for about 6 years now and it has really helped lower my anxiety and elevate my mood. when i first started taking it, i noticed i felt calmer and in a better mood within the first 2 days on 10 mg per day. after a couple of months on paxil, i felt a lot better, but was starting to build up tolerance so my doctor had me increase the dosage to 40 mg/day. the side effects were mostly sexual (decreased sex drive and harder to reach orgasm). i also have experienced weight gain, increased appetite and sleeping more while on paxil. i highly recommend this drug but make sure not to stop cold turkey because the withdrawal symptoms can be severe with paxil."