"paxil works great for me but it took 3 months for it to work. that&#039;s not surprising however my body has always taken a long time to get used to/accept drugs. my start up side effects were extreme fatigue, excessive yawning, derealization, depersonalization, depression and apathy(apathy and depression could&#039;ve been a result for the anxiety and not the paxil) . one day while at work it just hit me and i started feeling better happier but not 100%. i&#039;m currently at 30mg which seems to work fine. the only bad thing about being on paxil for me is the sexual side effects(it is really hard to climax! uhg) otherwise, i feel fine. in fact, i even have vivid dreams, which for me is nice, and more energy."