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Those experiencing lethargy at the beginning of treatment can also take paxil with positive results because paxil does not impair psychomotor function.

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Acid or sour stomach belching decreased appetite decreased sexual ability or desire heartburn pain or tenderness around the eyes and cheekbones passing gas problems with urinating runny or stuffy nose sexual problemsespecially ejaculatory disturbances sleepiness or unusual drowsiness stomach discomfort or upset trouble sleeping.

Applies to paroxetineoral capsuleoral suspensionoral tabletoral tablet extended release.

Rare0.01to 0.1Angioedemaerythema multiformeerythema nodosumexfoliative dermatitisfungal dermatitishirsutismmaculopapular rashpustular rashseborrheaskin discolorationskin hypertrophyskin ulcersweating decreasedvesiculobullous rash.

Rare0.01to 0.1Abortionbreast atrophybreast enlargementendometrial disorderepididymitisfemale lactationfibrocystic breastkidney calculuskidney painleukorrheamastitismetrorrhagianephritisoliguriapelvic painsalpingitisurethritisurinary abnormalityurinary castsuterine spasmurolithvaginal hemorrhage.

Potentially life-threatening serotonin syndrome has been reported with SSRIs and SNRIs as monotherapybut particularly with concomitant use of other serotonergic drugs and drugs that impair the metabolism of serotoninSigns and symptoms associated with serotonin syndrome or neuroleptic malignant syndrome included agitationconfusiondiaphoresisdiarrheafeverhypertensionrigidityand tachycardiaand were in some cases associated with concomitant use of serotonergic drugsRef]

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