"surprisingly this is the only ssri i have been able to tolerate at low doses with beneficial responses and minimal side effects.

taking 20 mg and it&#039;s doing well at 1 year to minimize depression and panic attacks, though i tried going to 30 and became insomniac, down to 20 again, no problem.  no sexual side effects at this low dose. 

no major weight gain, though i am a bit concerned about diabetes, a1c is climbing despite (or as a result of) my efforts - not sure if the paxil is behind that too."