There is someone here who had a horrendous experience with paxil for different reasons but none the less will have advice for you. From my perspective, all of these medications have a 'they can do X' when it comes to weight. People also lose weight on them. Some people are weight neutral. I took prozac at a high dose and gained weight. I also was less anxious and depressed. So, sometimes that is a trade off. But it wasn't so much weight that I was having health issues like prediabetes/diabetes occur or couldn't it into any of my clothes anymore. I 'could' have. Perhaps in literature, paxiled has more of a propensity to cause the gain you saw. But that is by chance and not something any doctor would know just by prescribing the drug. It's one of the 'risks of what 'could' happen' with all SSRI's. If all of that doctors patients gained like you did, it wouldn't be a drug he'd continue to prescribe, you know? Everyone would be complaining.
That doesn't solve your issue though. I lost the weight when I went off of prozac. With a very slow, careful taper schedule, you can wean off paxiled. That taper schedule seems to be very much important for paxiled in particular as withdrawal can be brutal. I had no withdrawal when I stopped prozac. Then overhaul how you eat and exercise. Weight should come off. Slow and steady.
While I know paxiled sounds like a wrong choice for you and definitely for other people, there are other people it helps or it would not be prescribed. My son's psychiatrist states that it is the last one he uses for young people. Was this the first SSRI that he tried on you? I will tell you that my son's anxiety and depression are severe and life threatening. We will trade off something like weight gain for true efficacy. That's the risk to benefit ratio and we are looking to end the cycle of mental illness that makes him not want to live.
question, and I am not trying to be insulting. The medications appear to affect things with weight gain but our lifestyle does as well. Have you been exercising and watching what you eat at all? When I was on prozac, I'd say 'fat and happy' was fitting. I was relaxed. If you never eat because you are anxious, you begin eating when that is better. That was me. That's my son too.
Anyway, all just thoughts to discuss. I'm just giving some of my own perspective that you don't have to agree or disagree with. Just discussing. There are, thankfully, lots of choices currently for treatment. There should be something else to benefit you in your anxiety treatment that won't have the significant weight gain issue you've experienced. And not sure what you do for therapy. But that is equally important in my opinion. Let me know what you think!