I was prescribed 20mg of Paxil to help with my generalized anxiety and panic disorder. Ive been on it for around 4 weeks. However my anxiety has in fact gotten worse over the past weeks that I have been taking the Paxil. I have another appointment with my psychiatrist in march, yet I am still holding out hope that the medication begins to work. Is it normal for Paxil to cause an increase of anxiety before it begins to work? How much longer must I wait. It has been a little more than 4 weeks. When should I notice its effects. Thank you for any information.