I like to keep a well maintained system, and ever so often I include the pagefile in my defrag routine. Instead of doing the “move the file, defrag, then move the file back” drill, I found a third party defragger that does it for you.
Smart Defrag 2 is a FREE tool that provides extremely fast defragmentation to your hard drives. It has an “install it and forget it” feature, and has an automatic mode that keeps your hard disk running at its top speed. Course Batman, would never leave it running 100% of the time, and frankly, neither did I.