Hi kones21,
I don't know if a decrease in Paxil from 40 to 30mgs would make any difference but I am sorry to see that you're suffering again from anxiety and depression.
We all deal with various unwanted side effects and sometimes we fiddle around with our medication doses ourselves to see if we can "improve things". In the early days, I messed around with doses and came un-stuck a couple of times. And twice, I thought I was "better" and didn't need to take my medication anymore. That's a cliff I don't want to step off again.
The only way you'll know for sure about the Paxil is to see your doctor, explain what you've done with your dose and why you did it. Your doctor may prescribe something similar to Paxil that agrees with you better.
I really hope you are feeling better soon.
Kelpie
Joined: 06-09-2009