I believe any doctor will tell you if you have depression, OTC uppers are not the solution. I used to take ephedrine and got addicted, also to caffeine at a different point in my life. These are addictive substances (besides the aspirin) and you can build a tolerance for ephedrine. Paxil didn't work for me either, but there are hundreds of other antidepressants out there to try, in different families of drugs than Paxil.