no real advice. paxil, unfortunately, can be difficult at both ends--starting (including dosage increases) and stopping (OMG...paxil discontinuation...un-fun...).

on the plus side, its effective for anxiety, OCD, ruminations, etc. I just don't take it because it made me way too apathetic and placid. a lot of people benefit from it, though.

not to pry, but...are you on other things? antidepressants can boost blood levels of a number of other psych drugs. the one that jumps to my mind is the tranquilizers/antipsychotics. when a shrink added an ssri to my ongoing 'atypical,' i was OK, then way too tranquilized. i thought it was an ssri thing. a shrink at another clinic told me he should have reduced the 'atypical,' and it was probably from increased blood levels of the tranquilizer. blah. isn't psychopharmacology fun?

hope things get better for you.