The key is the dose most of us are taking here—10mg in most cases. The side effects are minimal at this dose, and in our experience they have tended to wear off in time. At first, I felt a slight reduction in my libido, but it was barely noticeable. Now, I feel like I always have. Similarly, alcohol doesn’t affect me any differently now from before I started taking the Paxil. What I have noticed is that I’m a bit calmer; specifically, I feel less anxiety in situations that typically trigger anxiety for me (e.g., a sales presentation). This is a very good thing. Also, I last longer in bed, a lot longer. Moreover, I can last while screwing as speed, which is something I had difficulty doing before. In my experience: Lots of upside, very little, or no, downside. But we are talking low doses here. Increase the dose, you may increase the side effects. You just have to try it and see. Live life as an experiment!