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
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
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
- Suicidal ideationthoughts of suicide10.5%938
- Anxietyanxiety10.3%924
- Drug ineffectivethe medicine did not work as expected10.3%918
- Drug withdrawal syndromesymptoms on stopping a medicine10%895
- Dizzinesslight-headedness or unsteadiness8.7%773
- Depressionlow mood8.6%767
- Nauseafeeling sick8.3%739
- Fatiguetiredness6.9%618
- Confusional stateconfusion6.8%612
- Tremorshaking6.8%605
- Drug interactionan interaction between medicines6.7%603
- Paraesthesiatingling or pins and needles6.6%594
- Agitationrestlessness6.6%593
- Headachehead pain6.4%574
- Hyperhidrosisexcessive sweating6.1%543
- Insomniadifficulty sleeping6%535
- Completed suicidedeath by suicide5.3%478
- Drug exposure during pregnancythe medicine was taken during pregnancy5.3%472
- Aggressionaggressive behaviour5.2%462
- Toxicity to various agentspoisoning or toxic effect of one or more substances4.8%425
- Vomitingbeing sick4.7%423
- Memory impairmentmemory problems4.7%420
- Disturbance in attentiondifficulty concentrating4.6%410
- Somnolencedrowsiness4.5%405
- Diarrhoealoose or frequent stools4.5%399
- Serotonin syndrometoo much serotonin activity, with agitation, fever and tremor4.4%396
- Suicide attempta suicide attempt4.3%382
- Panic attacka panic attack4.2%377
- Weight increasedweight gain4.1%366
- 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
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
Patient sex
Who reported
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) | Reports | Share |
|---|---|---|
| Depression | 2,376 | 26.6% |
| Anxiety | 460 | 5.1% |
| Major depression | 114 | 1.3% |
| Panic disorder | 101 | 1.1% |
| Obsessive-compulsive disorder | 67 | 0.7% |
| Anxiety disorder | 65 | 0.7% |
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) | Reports | Share of Paroxetine hydrochloride reports |
|---|---|---|
| Diazepam | 417 | 4.7% |
| Quetiapine fumarate | 390 | 4.4% |
| Alprazolam | 353 | 4% |
| Quetiapine | 353 | 4% |
| Mirtazapine | 317 | 3.5% |
| Paxil | 288 | 3.2% |
| Acetaminophen | 257 | 2.9% |
| Lorazepam | 253 | 2.8% |
| Olanzapine | 236 | 2.6% |
| Clonazepam | 223 | 2.5% |
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
| Measure | Paroxetine hydrochloride | Serotonin reuptake inhibitor | All reports |
|---|---|---|---|
| Reports as suspect product | 8,935 | 273,115 | 20,646,523 |
| Share of that pool | — | 3.3% | 0% |
| Reports, latest 12 months | 268 | — | 1,332,454 |
| Marked serious | 84.2% | 83.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 140 | 159 | 91 |
| Hospitalisation recorded, per 1,000 reports | 346 | 321 | 213 |
| Consumer-filed share | 33.5% | 30.8% | 45.8% |
| Top term, share of reports | Suicidal 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Sertraline | generic | 44,814 | 3,714 | 93% |
| Citalopram | generic | 30,414 | 1,169 | 95.2% |
| Fluoxetine | generic | 28,319 | 1,734 | 93% |
| Paxil | brand | 24,193 | 56 | 57% |
| Escitalopram | generic | 24,176 | 1,839 | 92.5% |
| Zoloft | brand | 21,311 | 295 | 65.5% |
| Paroxetine | generic | 16,204 | 1,170 | 93% |
| Prozac | brand | 11,547 | 276 | 69.5% |
| Sertraline hydrochloride | generic | 11,077 | 1,080 | 85.2% |
| Citalopram hydrobromide | generic | 10,675 | 234 | 96.4% |
| Lexapro | brand | 9,424 | 318 | 64.4% |
| Sertraline hcl | generic | 7,592 | 0 | 67.7% |
| Fluoxetine hydrochloride | generic | 6,209 | 648 | 91.9% |
| Escitalopram oxalate | generic | 5,063 | 399 | 92.8% |
| Trazodone hydrochloride | generic | 4,213 | 364 | 82.2% |
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.