Reported Reactions

Drugs › Serotonin reuptake inhibitor

Brand name · Paroxetine hydrochloride

Paxil: adverse event reports filed with FDA

24,193 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin reuptake inhibitor. Also reported as Paxil Cr, Paxil /00500401/, Paxil /00830802/.

24,193
reports as suspect product
0.1% of all reports · about 1,076 a year
56
reports, 12 months to June 2026
88 in the 12 months before
57%
marked serious by the reporter
83.7% across the class
4.4%
record death among outcomes, as reported
1,061 reports · not verified by FDA

Between January 2004 and June 2026, 24,193 adverse event reports received by FDA list the brand name Paxil (paroxetine hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (24,434) are left out of every figure here.

In the 12 months to June 2026, 56 reports listed it, down 36% from 88 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 1,076 reports a year and 0.1% of the 20,646,523 reports in the database, and 8.9% 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.

Reporters most often recorded drug withdrawal syndrome (16.4%), drug exposure during pregnancy (13.1%) and drug ineffective (9.3%). A report can list several reactions, so shares add to more than 100%; 1,924 different terms appear across these reports. Drug withdrawal syndrome is recorded in 16.4% of these reports, a larger share than in the median serotonin reuptake inhibitor drug (0.8%).

57% of the reports are marked serious by the reporter (83.7% across the class); 4.4% record death among the outcomes and 17.7% record hospitalisation, as reported. 61.8% of the reports came from consumers, and the largest patient age group is 18 to 44 (15.7%). 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

0918Jul 2021: 11Aug 2021: 18Sep 2021: 16Oct 2021: 9Nov 2021: 16Dec 2021: 132022Jan 2022: 5Feb 2022: 3Mar 2022: 3Apr 2022: 4May 2022: 4Jun 2022: 16Jul 2022: 3Aug 2022: 13Sep 2022: 7Oct 2022: 13Nov 2022: 12Dec 2022: 62023Jan 2023: 9Feb 2023: 3Mar 2023: 5Apr 2023: 6May 2023: 5Jun 2023: 4Jul 2023: 8Aug 2023: 11Sep 2023: 2Oct 2023: 7Nov 2023: 3Dec 2023: 42024Jan 2024: 2Feb 2024: 4Mar 2024: 4Apr 2024: 6May 2024: 15Jun 2024: 1Jul 2024: 6Aug 2024: 7Sep 2024: 5Oct 2024: 4Nov 2024: 6Dec 2024: 42025Jan 2025: 13Feb 2025: 10Mar 2025: 7Apr 2025: 9May 2025: 7Jun 2025: 10Jul 2025: 8Aug 2025: 4Sep 2025: 3Oct 2025: 7Nov 2025: 4Dec 2025: 32026Jan 2026: 7Feb 2026: 5Mar 2026: 2Apr 2026: 5May 2026: 5Jun 2026: 3

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

02,1174,2332004: 2,73820042005: 4,2332006: 3,2082007: 1,92820072008: 1,7692009: 1,3202010: 1,17720102011: 1,4572012: 1,1322013: 52420132014: 3202015: 1,5482016: 1,15020162017: 3832018: 2952019: 31820192020: 1952021: 1662022: 8920222023: 672024: 642025: 8520252026: 27

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Paxil reports recording the termmedian drug in serotonin reuptake inhibitor

  1. Drug withdrawal syndromesymptoms on stopping a medicine16.4%3,976
  2. Drug exposure during pregnancythe medicine was taken during pregnancy13.1%3,161
  3. Drug ineffectivethe medicine did not work as expected9.3%2,243
  4. Dizzinesslight-headedness or unsteadiness8.8%2,122
  5. Foetal exposure during pregnancythe unborn baby was exposed to the medicine8.8%2,121
  6. Anxietyanxiety8.1%1,962
  7. Nauseafeeling sick7.3%1,766
  8. Suicidal ideationthoughts of suicide6.2%1,505
  9. Headachehead pain5.8%1,393
  10. Depressionlow mood5.7%1,380
  11. Insomniadifficulty sleeping5.4%1,317
  12. Paraesthesiatingling or pins and needles5.2%1,260
  13. Fatiguetiredness4.7%1,148
  14. Congenital anomalya condition present at birth4.7%1,142
  15. Tremorshaking4.7%1,130
  16. Weight increasedweight gain4.6%1,124
  17. Agitationrestlessness3.9%943
  18. Hyperhidrosisexcessive sweating3.9%938
  19. Aggressionaggressive behaviour3.8%930
  20. Feeling abnormalfeeling odd or not right3.8%928
  21. Vomitingbeing sick3.1%750
  22. Confusional stateconfusion3.1%741
  23. Patent ductus arteriosus3%727
  24. Diarrhoealoose or frequent stools3%714
  25. Disturbance in attentiondifficulty concentrating2.9%710
  26. Somnolencedrowsiness2.8%686
  27. Irritabilityirritability2.8%677

Top 30 of 1,924 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

Death4.4%1,061
Life-threatening3%721
Hospitalisation (initial or prolonged)17.7%4,280
Disability2.5%614
Congenital anomaly19.1%4,629
Other serious30.3%7,328
Not serious43%10,413

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 22.5%597
2 to 110.7%168
12 to 171.6%376
18 to 4415.7%3,787
45 to 6412.8%3,085
65 to 743.4%828
75 and over3.3%810
Age not given60.1%14,542

Patient sex

Female56.3%13,613
Male33.1%8,010
Not given10.6%2,570

Who reported

Physician11.6%2,818
Pharmacist3.9%948
Other health professional8.7%2,101
Lawyer11.3%2,733
Consumer or non-health professional61.8%14,948
Not given2.7%645

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 64.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression6,31926.1%
Anxiety1,5576.4%
Panic disorder5952.5%
Ill-defined disorder4101.7%
Obsessive-compulsive disorder2631.1%
Anxiety disorder2050.8%

The indication field is filled in by the reporter and is often blank; shares are of all 24,193 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Paxil reports
Bupropion hydrochloride5792.4%
Zoloft5462.3%
Xanax5282.2%
Prozac4181.7%
Seroquel3691.5%
Klonopin3311.4%
Aspirin2821.2%
Paroxetine hydrochloride2661.1%
Synthroid2631.1%
Paroxetine2621.1%

Other products listed in reports where Paxil 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

MeasurePaxilSerotonin reuptake inhibitorAll reports
Reports as suspect product24,193273,11520,646,523
Share of that pool—8.9%0.1%
Reports, latest 12 months56—1,332,454
Marked serious57%83.7%57.4%
Death recorded among outcomes, per 1,000 reports4415991
Hospitalisation recorded, per 1,000 reports177321213
Consumer-filed share61.8%30.8%45.8%
Top term, share of reportsDrug withdrawal syndrome 16.4%median 0.8%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%
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%
Paroxetine hydrochloridegeneric8,93526884.2%
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 Paxil reports

How many adverse event reports has FDA received for Paxil?

24,193 reports list Paxil as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 56 of them arrived in the latest 12 months. Another 24,434 list it only as a concomitant medication.

What reactions are recorded in Paxil reports?

drug withdrawal syndrome (16.4%), drug exposure during pregnancy (13.1%), drug ineffective (9.3%), dizziness (8.8%) and foetal exposure during pregnancy (8.8%). 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 Paxil was responsible.

How serious are the reports?

57% are marked serious by the reporter. Among the outcomes recorded, 4.4% of reports include death and 17.7% 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 (61.8%), physician (11.6%) and lawyer (11.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Paxil rising?

56 reports in the 12 months to June 2026, down 36% from 88 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 Paxil 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 Paxil?

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 Paxil as a suspect or interacting product; reports listing it only as a concomitant medication (24,434) 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.