Reported Reactions

Drugs › Serotonin reuptake inhibitor

Generic name

Paroxetine hydrochloride: adverse event reports filed with FDA

8,935 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin reuptake inhibitor. Also reported as Paroxetine Hcl, Paroxetine Hcl Tablets, Paroxetine Hcl Extended Release.

8,935
reports as suspect product
0% of all reports · about 397 a year
268
reports, 12 months to June 2026
232 in the 12 months before
84.2%
marked serious by the reporter
83.7% across the class
14%
record death among outcomes, as reported
1,255 reports · not verified by FDA

Between January 2004 and June 2026, 8,935 adverse event reports received by FDA list paroxetine hydrochloride, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (8,852) are left out of every figure here.

In the 12 months to June 2026, 268 reports listed it, up 16% from 232 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 397 reports a year and 0% of the 20,646,523 reports in the database, and 3.3% of the reports for the serotonin reuptake inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are suicidal ideation (10.5%), anxiety (10.3%) and drug ineffective (10.3%). A report can list several reactions, so shares add to more than 100%; 1,516 different terms appear across these reports. Suicidal ideation is recorded in 10.5% of these reports, a larger share than in the median serotonin reuptake inhibitor drug (3.8%).

84.2% of the reports are marked serious by the reporter (83.7% across the class); 14% record death among the outcomes and 34.6% record hospitalisation, as reported. 33.5% of the reports came from consumers, and the largest patient age group is 18 to 44 (25.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

03365Jul 2021: 28Aug 2021: 21Sep 2021: 47Oct 2021: 44Nov 2021: 54Dec 2021: 502022Jan 2022: 17Feb 2022: 32Mar 2022: 37Apr 2022: 27May 2022: 37Jun 2022: 31Jul 2022: 36Aug 2022: 24Sep 2022: 31Oct 2022: 21Nov 2022: 28Dec 2022: 392023Jan 2023: 40Feb 2023: 25Mar 2023: 23Apr 2023: 26May 2023: 27Jun 2023: 36Jul 2023: 26Aug 2023: 33Sep 2023: 21Oct 2023: 15Nov 2023: 19Dec 2023: 232024Jan 2024: 27Feb 2024: 27Mar 2024: 16Apr 2024: 16May 2024: 65Jun 2024: 26Jul 2024: 24Aug 2024: 11Sep 2024: 19Oct 2024: 30Nov 2024: 22Dec 2024: 142025Jan 2025: 17Feb 2025: 17Mar 2025: 16Apr 2025: 24May 2025: 12Jun 2025: 26Jul 2025: 21Aug 2025: 16Sep 2025: 14Oct 2025: 32Nov 2025: 31Dec 2025: 142026Jan 2026: 30Feb 2026: 17Mar 2026: 18Apr 2026: 31May 2026: 20Jun 2026: 24

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

04448882004: 33120042005: 5512006: 8402007: 56420072008: 8882009: 5722010: 57420102011: 6682012: 4012013: 9820132014: 3212015: 1922016: 30020162017: 1702018: 1782019: 26920192020: 2882021: 3792022: 36020222023: 3142024: 2972025: 24020252026: 140

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Paroxetine hydrochloride reports recording the termmedian drug in serotonin reuptake inhibitor

  1. Suicidal ideationthoughts of suicide10.5%938
  2. Anxietyanxiety10.3%924
  3. Drug ineffectivethe medicine did not work as expected10.3%918
  4. Drug withdrawal syndromesymptoms on stopping a medicine10%895
  5. Dizzinesslight-headedness or unsteadiness8.7%773
  6. Depressionlow mood8.6%767
  7. Nauseafeeling sick8.3%739
  8. Fatiguetiredness6.9%618
  9. Confusional stateconfusion6.8%612
  10. Tremorshaking6.8%605
  11. Drug interactionan interaction between medicines6.7%603
  12. Paraesthesiatingling or pins and needles6.6%594
  13. Agitationrestlessness6.6%593
  14. Headachehead pain6.4%574
  15. Hyperhidrosisexcessive sweating6.1%543
  16. Insomniadifficulty sleeping6%535
  17. Completed suicidedeath by suicide5.3%478
  18. Drug exposure during pregnancythe medicine was taken during pregnancy5.3%472
  19. Aggressionaggressive behaviour5.2%462
  20. Toxicity to various agentspoisoning or toxic effect of one or more substances4.8%425
  21. Vomitingbeing sick4.7%423
  22. Memory impairmentmemory problems4.7%420
  23. Disturbance in attentiondifficulty concentrating4.6%410
  24. Somnolencedrowsiness4.5%405
  25. Diarrhoealoose or frequent stools4.5%399
  26. Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor4.4%396
  27. Suicide attempta suicide attempt4.3%382
  28. Panic attacka panic attack4.2%377
  29. Weight increasedweight gain4.1%366
  30. Nightmarenightmares4%355

Top 30 of 1,516 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 21 drugs in the serotonin reuptake inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death14%1,255
Life-threatening7.3%649
Hospitalisation (initial or prolonged)34.6%3,088
Disability4.3%388
Congenital anomaly7.3%654
Other serious47.3%4,224
Not serious15.8%1,409

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 273,115 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 21.3%118
2 to 110.3%30
12 to 171.2%108
18 to 4425.6%2,287
45 to 6421.5%1,924
65 to 747.9%709
75 and over8.3%742
Age not given33.8%3,017

Patient sex

Female58.8%5,251
Male33.4%2,984
Not given7.8%700

Who reported

Physician25.5%2,282
Pharmacist8.6%767
Other health professional21.1%1,885
Lawyer2.2%194
Consumer or non-health professional33.5%2,994
Not given9.1%813

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 33.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression2,37626.6%
Anxiety4605.1%
Major depression1141.3%
Panic disorder1011.1%
Obsessive-compulsive disorder670.7%
Anxiety disorder650.7%

The indication field is filled in by the reporter and is often blank; shares are of all 8,935 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Paroxetine hydrochloride reports
Diazepam4174.7%
Quetiapine fumarate3904.4%
Alprazolam3534%
Quetiapine3534%
Mirtazapine3173.5%
Paxil2883.2%
Acetaminophen2572.9%
Lorazepam2532.8%
Olanzapine2362.6%
Clonazepam2232.5%

Other products listed in reports where Paroxetine hydrochloride is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureParoxetine hydrochlorideSerotonin reuptake inhibitorAll reports
Reports as suspect product8,935273,11520,646,523
Share of that pool—3.3%0%
Reports, latest 12 months268—1,332,454
Marked serious84.2%83.7%57.4%
Death recorded among outcomes, per 1,000 reports14015991
Hospitalisation recorded, per 1,000 reports346321213
Consumer-filed share33.5%30.8%45.8%
Top term, share of reportsSuicidal ideation 10.5%median 3.8%0.4%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the serotonin reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Sertralinegeneric44,8143,71493%
Citalopramgeneric30,4141,16995.2%
Fluoxetinegeneric28,3191,73493%
Paxilbrand24,1935657%
Escitalopramgeneric24,1761,83992.5%
Zoloftbrand21,31129565.5%
Paroxetinegeneric16,2041,17093%
Prozacbrand11,54727669.5%
Sertraline hydrochloridegeneric11,0771,08085.2%
Citalopram hydrobromidegeneric10,67523496.4%
Lexaprobrand9,42431864.4%
Sertraline hclgeneric7,592067.7%
Fluoxetine hydrochloridegeneric6,20964891.9%
Escitalopram oxalategeneric5,06339992.8%
Trazodone hydrochloridegeneric4,21336482.2%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Paroxetine hydrochloride reports

How many adverse event reports has FDA received for Paroxetine hydrochloride?

8,935 reports list Paroxetine hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 268 of them arrived in the latest 12 months. Another 8,852 list it only as a concomitant medication.

What reactions are recorded in Paroxetine hydrochloride reports?

suicidal ideation (10.5%), anxiety (10.3%), drug ineffective (10.3%), drug withdrawal syndrome (10%) and dizziness (8.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Paroxetine hydrochloride was responsible.

How serious are the reports?

84.2% are marked serious by the reporter. Among the outcomes recorded, 14% of reports include death and 34.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (33.5%), physician (25.5%) and other health professional (21.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Paroxetine hydrochloride rising?

268 reports in the 12 months to June 2026, up 16% from 232 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Paroxetine hydrochloride was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Paroxetine hydrochloride?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Paroxetine hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (8,852) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.