Is 25mg of Paroxetine ER (extended release) for panic/anexity attacks a lot? I asked in the Mental Health section as well, but figured maybe there are some psychology folk awake as well with some insight. My doctor prescribed me 25mg of Paroxetine ER for my anxiety today, and 1mg of the generic form of Ativan for the difficult times. Do you think that is a high dosage? I was reading the FDA website and it suggested that a patient starts out on 12.5mg. I first started having bad anxiety about 4 years ago, went on regular Paxil CR at the time with the doctor supplying me with samples since it's so expensive. As time went on I was switched to the generic version of regular Paxil (no CR). About two years ago I weaned myself off it as I felt like I had the necessary tools to deal with my anxeity. For the past few months it's flared up to the point of me not wanting to leave the house (yes I know all about that phobia)- never having this before. Past weeks my anxeity has been real bad to the point of not being able to fall asleep till 4 or 5am in the morning. I know every person's brain chemistry is different, so we all will react in different ways, but I'm just curious how you have reacted. Before when I was taking the regular Paxil CR or the generic brand I never really experienced side effects. I think the biggest thing I noticed was body twitches; I did have anxiety then as well but I don't think it was caused from the meds. When I first went off it two years ago, the only effects then were random headaches and weird metalic tastes- all of that was manageable. Do you think I'll have a positive experience this time around? I just got the meds today and am very reluctant to take it- a part of me wants to try to get past this crap without meds but maybe my brain needs a "tune up and to be jump started". O and there is no score on the pill, can I still cut it in half to just get 12.5mg instead?