MY forty year old daughter is on 20mg.of paxil.She went down to 10mg.for a few months.The dosage is back to 20mg. but she is suffering with severe anxiety and depression.Have had her at the emerge a couple of times thinking she is taking a heart attack.with good reports. Still not enough. Please help.We have no family doctor.
! You daughter needs a higher dosage if Pail as her anxiety is still uncontrolled. The symptoms of severe anxiety in which there can be Chat Doctor.  All this indicates that her anxiety disorder is increasing. The dosage of Pail should be increased to 40 mg. Along with it, she can take Mizoram 0.5 mg whenever she has sever anxiety attack for some time (on SOS basis). If her sleep is also deficient, then she should take something like - clonazepam 1-2 mg at night for some days, than taper it and stop. Pail should continue for may be a year or so even after she gets 100% better. Hope the reply is useful