I was on paxil for 8 years and went off for 9 months. I need it again. I did so good on paxil thought I didn't need it. Anyway its been 1month at 10mg plus 3 weeks at 20mg. I am tired during day but the worst deal is my stomach is upset all the time. I cant leave the house because it is so bad. I burp, am naciated and feel like I cant eat. As I remember they started me on 40mg the first time 10 yrs ago. Any thoughts? Should I go up in dose or be patient?