I take 20mg daily because I was getting severe caregiver stress (I am RN..this is going to be a Dx very soon! Thank goodness!).
After 8 months on it...I went down to 12.5mg to see if I could get off it! I didn't suffer any side effects, but even that small of a dose change effected me at work again. I was impatient, couldn't think, quick to snap....so I went back to the 20 mg.
I have missed a few doses over the time, going to bed after a long day and forgetting to take it. I had no ill effects noted, especially nothing I had after stopping for three days (boy back on on day 4 I will tell you!). So for me, one day missed is okay...but no more! But I didn't have physicological signs like described, more emotional.
LOL, but then again I take GI meds for GERD anyway so I may have missed any bout of nausea (and yes, I take my paxil 2 hours before any GI meds..LOL!). But to put it frankly..when I stopped for three days...I was a bearcat of a person to live with!
LOL, either I leave nursing, or take paxil for life I guess..LOL! But it really does help tremendously