Guess I am lucky in a sense, I only take Paxil 25mg CR once a day. TheDr. gave me some Xanex for the bad times and I have taken it maybe twice and it didn't really do anything. I still go up and down on the Paxil mood wise, sometimes I get depressed but I don't go ask for changes to my meds I just weather the storm and everything usually evens out again.