20mgs worked wonders for me. I came off because of the horror stories I read. It took me exactly two days to wean myself off of Paxil. It was no big deal, just a few electric shock type feelings throughout the day for about 3 days. If you are having doubts or are scared of coming off, try to switch to Wellbutrin, There is much more room to increase dosage as needed with no sides to speak of. I didn't read all the posts fully to this thread, but I noticed xanax was mentioned. It is common to be prescribed xanxa for a few weeks as you wait for your SSRI to kick in. Kicking xanax is also not as bad as people say. I say this if you are using it for specific panic attacks, and not to get high. If you are using it to get high, than expect some type of panic disorder when your supply runs out. Not a good drug to get addicted to.