I have had a sudden onset of anxiety/depression which is temporarily being treated with Xanax. I am 54 and my FSH level shows that I may be rapidly entering menopause. I was prescribed Effexor but, after 4 days, the side effects are too much for me. I feel worse than I ever have in my life. I am considering switching to Paxil which I've taken in the past with success. Should I also consider HRT? Would it help the depression and anxiety? Can I take HRT along with Paxil?