csprecker; Don't worry to much at this point this does happen you did not say what dose your taking but sometimes it can be as simple as a dose increase, And if that is not able to be done they have many medications in the same family as Paxil and they are all just enough different that when one kind of seems like it is not working as well one of the others well work that are in the same class. such as Zoloft, Prozac, to name a few and the list and types just could go on forever. that are in a slightly different class but work very similar to the Paroxetine. You should get in to see your doctor and let them figure out which way to go or sometimes some people also do good on having something added to what your taking now to help it work better.
In the mean time you should think if anything is different that may have stopped the medication from working as well did you start anything new like a natural medication or vitamin, Or change you diet very much all of this can also have an effect on the medication that has been working pretty well for you for 10 years. Main thing is don't worry this can be fixed you worry to much it's like fighting the change if the doctor decides what you may need. Best of luck. And try and get into your doctor as soon as you can.and continue to take the Paxil until you see the doctor.
csprecker; TO me I am thinking the easiest swap would be the switching to the Prozac generic It is closer to the Paxil but enough difference that it could kick in faster for you without much notice of withdrawals. Where the other one is fairly new not the drug it is a timed release of a different brand of Wellbutrin xl but it is 450mg and until they started out with this one most people only took it in 150mg or 300mg tablet I really fell you would respond faster to the Prozac. IF problems in aa swap then try the other but until recently most never took the Wellbutrin aka Buspurion in that high of dose.
I have been on them in the past I'm on venlafaxine now
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