I hope you don't have a girlfriend or plan on getting laid a lot... something like 70% of men on it report sexual side effects. For me, it wasn't that I had trouble getting it up, I just could not get off...for real... it sucked. Paxil make many guys limp-dicked zombies... I mean, it keeps you happy, but at what price... If you are taking it merely as an anti-depressant, then you might think of getting put on Wellbutrin which very rarely has sexual side effects (in fact, it improves some people's sex drives/performance)... If you are on it more for anti-anxiety, then you might think about Buspar - it has a low occurence of sexual side effects. I mean, if thats important to you...it is to me... I got a buddy who never gets laid and used to always be pissed about it...now, he's on paxil - he still never gets laid, but he doesn't care b/c he doesn't have a sex drive anyways b/c of the Paxil! Personally, the shit isn't for me. A wellbutrin/buspar combo makes me right and keeps me fucking... I'd recommend it over Paxil or any other SSRI anytime, but everyone's dfferent.