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Drug side effects

paroxetine Side Effects

The reactions most often reported to the FDA for paroxetine (also sold as Paxil), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

32,666
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 1995 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of paroxetine come from 32,666 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 32,666 reports to the FDA Adverse Event Reporting System (FAERS) for paroxetine (Paxil): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

32,666

Reports Mentioning Death

4,275

13.1% of reports — not proof the medicine caused the death

Hospitalizations

12,918

39.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INTERACTION
1,825
FATIGUE
1,821
NAUSEA
1,738
TOXICITY TO VARIOUS AGENTS
1,579
ANXIETY
1,476
DIARRHOEA
1,453
HEADACHE
1,446
DIZZINESS
1,363
FALL
1,293
DRUG ABUSE
1,256
CONFUSIONAL STATE
1,229
VOMITING
1,189
SOMNOLENCE
1,158
DYSPNOEA
1,155
DEPRESSION
1,126
ASTHENIA
1,092
INSOMNIA
1,092
PAIN
998

Who Reports Side Effects

Gender Distribution

Female 19,170 (65%)
Male 10,466 (35%)
Unknown 83

Age Distribution

0-17 730 (3%)
18-44 6,097 (25%)
45-64 8,712 (36%)
65-74 4,425 (18%)
75+ 4,429 (18%)

Reporting Trend by Year

1995 2025

Reactions in Death Reports

Top reactions reported in 4,275 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
COMPLETED SUICIDE 944
DEATH 911
TOXICITY TO VARIOUS AGENTS 839
DRUG ABUSE 345
CARDIO-RESPIRATORY ARREST 225
CARDIAC ARREST 201
OVERDOSE 176
DRUG INTERACTION 162
DYSPNOEA 126
FALL 123
INTENTIONAL OVERDOSE 109
RESPIRATORY ARREST 107
ACUTE KIDNEY INJURY 106
CONFUSIONAL STATE 105
PNEUMONIA 102
HYPOTENSION 101
RENAL FAILURE 99
ASTHENIA 98

Reactions in Hospitalization Reports

Top reactions in 12,918 reports where hospitalization was an outcome.

Reaction Reports
DRUG INTERACTION 1,045
FALL 820
CONFUSIONAL STATE 751
TOXICITY TO VARIOUS AGENTS 700
SOMNOLENCE 647
SEROTONIN SYNDROME 620
DYSPNOEA 593
VOMITING 590
DRUG ABUSE 572
FATIGUE 571
NAUSEA 570
DIARRHOEA 525
ASTHENIA 522
ANXIETY 489
PNEUMONIA 477
HYPONATRAEMIA 476
SUICIDE ATTEMPT 469
HEADACHE 452

Compare paroxetine vs acamprosate →

What the FAERS Data Reveals About paroxetine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 32,666 voluntary reports linked to paroxetine and its brand equivalents (Paxil), spanning 1995 through 2025. Of those, 4,275 (13.1%) listed death as an outcome and 12,918 (39.5%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 65% were female and 35% male; age distribution skews toward 45-64, with 8,712 reports in that bracket. The single most reported reaction is drug interaction with 1,825 submissions, followed by fatigue and nausea.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.