Epidemiological examinations have proven that children born to the women who had first exposure of trimester paroxetine had an additional risk of cardiovascular deformities, mainly atrial and ventricular septal defects. Therefore, the patient must inform the physician if she is pregnant or a breast feeder. Paxil must be used carefully in patients with a history of mania and seizures. If the patients, who consume this medicine, face any side effects like akathisia, hyponatremia, seizures, and abnormal bleeding, the consumption should immediately be stopped; must consult the physician immediately.