I am on Paxil CR 25mg. I started on paxil 20mg about 3 yrs ago and had affects of sex life but, only lasted about 3 months. It was not strong enough after that many yrs and now on Paxil CR and has had no affects. I also take Kolonipin for panic attacks in the car. I have panic attacks in the car for fear of the big D in car and not being able to get anywhere fast enough. I get a slight headache but, that is it. I also am supposed to take pamene forte but, it causes my chest to feel very heavy and tired so I don't usually take that. Kolonopin melts in your mouth and takes affect quickly. Beth