"paxil is going to effect everyone differently. what worked great for me, may be the worst medication you&#039;ve ever tried. i&#039;ve been on paxil for 20 years and for a large majority of those years, paxil really helped me with my anxiety. i&#039;ve been back and forth between 15-30mg many times. i never had any major side effects from it (not libido, not weight gain). the thing with paxil is, there&#039;s the potential for what&#039;s called &quot;paxil poop out&quot; (yes, it&#039;s real, google it) where the paxil stops being effective. i was completely unaware of this so i was totally blindsided with debilitating anxiety and horrible panic attacks out of nowhere one day. i was really bummed because paxil had done so much good for me. it&#039;s a great med when it works."