I was on paroxetine at 40mg a day among many other meds, and had to drop my dose to 20mg because of side-effects, primarily sexual in nature. I then added bupropion extended release at 150mg to the list, switched the SSRI to escitalopram, titrated up to 30mg (OCD), and things became much, much more tolerable. I had been on paroxetine for five years.

Z