"after about one week i was out and active. engaging with others again and doing much better at work. i also do not have the desire to sleep all day. i have lost weight also due to increased exercise and a minimal loss of appetite. side effects are minimal, but sex is impossible. i take paxil 40mg once a day and xanax 1mg twice. i am a new person! i tried prozac, effexor, seroquel and lamictal with few benefits. paxil is by far the best medicine i have ever tried. i am nervous however when i read about the horrible side effects of missed doses and stopping paxil. "