Dear Vickers, I am sorry you are having anxiety about the pill, I can relate as you know. THe biggest risk is smoking I do know so I do not think you have to worry, I smoke but I do not take the pill, I am trying to quit its so hard with all this panic and depression. I went to my MD tonight I am going to post about it, anyway he gave me a script for Zoloft if the CR does not work, I am not crazy about Zoloft either but at least it helped the depression somewhat if not the anxiety, I would rather have one than two if I had to choose. I did NOT take the Paxil today, I skipped it, I know thats not smart but I could not be in bed all day with that horrible dizziness, I have a bad headache but that could be from not eating or crying, My primary Doc is concerned, I told him I wish I had a broken leg or arm and he could fix it. Its been rough lately Vickers, I have had to really fight and I feel weary, the side effects have been bad and I could somehow live with them if only the medicine would of worked, I think that is what scares me the most is THE MEDICINE IS NOT WORKING FOR YOU!!! That thought keeps going round and round in my mind. Please post me and let me know how the pill is going, you do NOT smoke so that takes away all the risk. Hope to hear from you soon. God bless, Debbie.