Alternatives to paxil medical guidelines: "Depression, panic attacks, obsessive compulsive disorders, social anxiety disorder is an excessive, persistent fear and avoidance of social or performance situations. Studies suggest an increased risk of Paxil birth defects for pregnant women during their first trimester. With panic disorder experience repeated episodes of intense fear. Paroxetine can cause side effects that may impair your thinking or reactions. It convenient to take Paxil for as long as your doctor advises. With panic disorder develop an intense fear of having another attack. Presently, serotonin-enhancing drugs are the therapeutic regimens for those who are suspect of having a depressed state or mood disorder."