A replacement medicine for paxil

Patient: I have been taking paxil for around a year, it worked okay at first but now that my dr. changed the dosage from 20 to 40 mgs. I get sleep yet im sleepy all day and get aggravated easier, alot easier. I see my dr. tomorrw and i would love to know a different medicine that would make me feel alive instead of a very yawny sleepy, MEANIE

Doctor: