"took this med for a month at 20mg and i was one of those who began to notice positive effects overnight. it improved my mood exponentially and since i&#039;ve never had a sex drive (from depression) i actually gained one while on paxil. sex was much more pleasurable. unfortunately i thought i could find a med that was even better, so was put on cymbalta and abilify, but have had miniscule improvements. tomorrow i&#039;m going to start back up on the paxil."