I am currently taking 150mg of effexor and my doctor wants me to switch to paxil but only take 20 mg to start.I am wanting to start a family and the doctor said paxil is the only anti-depressant that is safe during pregnancy. I am doing great on my effexor and I am sensitive when it comes to switching from one to another.What is safe and I do not want to feel crappy emotionally in the meantime cause my anxiety attacks are pretty intense. Is paxil a stronger medication than effexor? is that why my dose is extremely lower in paxil? Sorry for the questions but I need some answers pleeeeaaaase!!!