"i started taking paxil about 7 or 8 years ago for anxiety.  i had been in the hospital for an arrythmia at age 24 and it totally freaked me out.  after that, every illness i had i was sure it was my heart and i started to panic and check my pulse frequently. i ended up in the er about twice a month thinking i was dying. my pcp finally suggested paxil.  since then i have had zero panic/anxiety attacks.  i have had problems occasionally with ejaculatory dysfunction, but not often enough for me to be that upset.  besides, the trade-off is feeling better and living normally. it has been great for me and i hope you have a similar experience."