Augusta, KY
A 19-year-old female asked:
I have been taking paxil (paroxetine) for around a week now. the only side effect i have experienced is insomnia like restlessness throughout my body. normal?
3 doctor answers • 6 doctors weighed in

Dr. Robert Woodsanswered
Psychiatry 32 years experience
Rare Side Effect: Glaxosmithklein, the maker of Paxil (generic paroxetine), reports akathesia (internal restlessness) as a rare side effect. Incidence of insomnia is 13%. Most side effects resolve in 7 to 10 days. Insomnia can often be eliminated by changing the timing of the dose. One should always contact their md to report any persistent side effects and never make any changes without talking to their physician.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago

Dr. Alan Cohenanswered
41 years experience
Paxil (paroxetine): Yes, very common side effect of this class of antidepressants called ssris. I usually recommend reducing the dosage, adjusting gradually as tolerated, if tolerable. I also rx a low dose of a benzodiazepine , minor tranquilizer, such as ativan, (lorazepam) on a temporary basis, to relieve the agitation. Beta blockers have also helped for this side effect. It does generally go away over time.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
2 comments

Dr. Alan Cohen commented
undefined 41 years experience
Provided original answer
I recommend always consulting your treating physician in these matters. Online advice can never replace direct 1:1 medical care."
Jan 1, 2013

Dr. Alan Cohen commented
undefined 41 years experience
Provided original answer
Contrary to the PDR,, I see much higher incidence rates of this side effect. I don't use the PDR for this Information.
Jan 1, 2013

Dr. Alan Alianswered
Psychiatry 34 years experience
Paxil (paroxetine): Dr. Cohen response is viable, but please talk to your prescribing doctor first.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
Last updated May 7, 2016
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