text: why does paxil reduce my depression, but generic paroxetine does not? effexor and wellbutrin both make me nauseated.  paxil works well, but for cost reasons i have tried the generic three separate times, once after going cold turkey for 7 months, sinking lower and lower into depression.  the generic has never helped.  i thought generics were the exact same formula as the proprietary brand.  true or false?  the only theory i've heard is that there are many fake drugs on the market, especially coming from china.  but why not fake the more expensive one?  so that reason doesn't fly. i do not think generic medicine is as good.  think about it, name brand meds cost hundreds of dollars and generic meds cost fifteen.  i think this is medicine that has to much or to little medicine in it.  i do not think  generics work as well either.