I just recently began taking Paxil for major depression because I am still nursing my options are limited. My symptoms aren't too bad. I have hot flashes all the time, and I'm sooo tired. It's hard to get anything done because I have NO energy at all. 5 yrs ago I took Lexapro for anxiety (I had extreme anxiety!!!!) and it worked great w/o any side effects. I would recommend it to anyone. Unfortunately nursing moms can't take it. I'm not so sure I want to continue w/Paxil. I've heard so many bad reviews about it.