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Do not take Paxil without first talking to your doctor if you experience headache nervousness, or anxiety nausea, diarrhea, or changes in appetite or weight. Social anxiety disorder is an excessive, persistent fear and avoidance of social or performance situations. Recent studies suggest an increased risk of Paxil birth defects for pregnant women during their first trimester. Alcohol may increase drowsiness or dizziness while taking Paxil. The excessive worry and anxiety can last many years, interfering with their daily lives.