You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression thinking about harming or killing yourself, or planning or trying to do so extreme worry agitation panic attacks difficulty falling asleep or staying asleep aggressive behavior irritability acting without thinking severe restlessness and frenzied abnormal excitement.
You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. You 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 illness. 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 age. Talk to your child's doctor about these risks and whether your child should take an antidepressant, Children younger than 18 years of age should not normally take paroxetine, but in some cases, a doctor may decide that paroxetine is the best medication to treat a child's condition. However, there are also risks when depression is not treated in children and teenagers. Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants ('mood elevators') such as paroxetine during clinical studies became suicidal (thinking about harming or killing oneself or planning or trying to do so).
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