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You should know that your mental health may change in unexpected ways when you take paroxetine or other antidepressants to treat depression or other mental illness even if you are an adult over 24 years of ageYou may also experience changes in your mental health if you are a woman taking a low dose of paroxetine to treat hot flashes and you have never had depression or another mental illnessYou may become suicidalespecially at the beginning of your treatment and any time that your dose is increased or decreasedYouyour familyor your caregiver should call your doctor right away if you experience any of the following symptomsnew or worsening depressionthinking about harming or killing yourselfor planning or trying to do soextreme worryagitationpanic attacksdifficulty falling asleep or staying asleepaggressive behaviorirritabilityacting without thinkingsevere restlessnessand frenzied abnormal excitementBe sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

Paroxetine may impair your thinking or reactionsBe careful if you drive or do anything that requires you to be alert.

Headache dizziness weakness difficulty concentrating nervousness forgetfulness confusion sleepiness or feelingdruggednausea vomiting diarrhea constipation gas stomach pain heartburn changes in ability to taste food decreased appetite weight loss or gain changes in sex drive or ability dry mouth sweating yawning sensitivity to light lump or tightness in throat pain in the backmusclesbonesor anywhere in the body tenderness or swelling of joints muscle weakness or tightness flushing sore teeth and gums unusual dreams painful or irregular menstruation.

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