Paxil is often prescribed for depression and anxiety disorders (I took it a couple years back for about 5 months because of severe panic attacks and depression). So if he is on it for depression, that's quite common.

I got myself off Paxil because I felt the effectiveness had dropped for me after the first couple of months, and because I wanted to learn to deal with my anxiety and depression naturally (i.e., diet/exercise, therapy, etc.). I too, had ZERO sex drive (and I was a newlywed) and had put on about 15 pounds (which boggled my doctor at the time who told me, "Most people lose weight while on Paxil").

If he gets off Paxil, do it slooooowly. I tried to quit by taking half pills instead of whole ones, and I was heaving by the second day. I had to reduce my intake by quarter pills (went down a quarter every two weeks) until I was off them completely. I have tried St. John's Wort a couple of times and I believe it helped me (though the changes were subtle, not like they were when I first went on Paxil).

Perhaps it would be good for him to try a different medication, but whatever happens, best of luck to both of you!

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