Paxil and Effexor can be pretty tough meds -- have you tried therapy? How badly do you function? If you still function okay, then try therapy and exercise and whatever before going on the mediation carousel, especially Paxil and Effexor, but if you do need to go there, then talk to a psychiatrist, figure out if he or she actually cares at all or knows anything at all, and choose something in concert with him or her. That's the best you can do, because different people react differently to medication.
have you tried paxil or effexor?