A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants ('mood elevators') such as paroxetine during clinical studies became suicidal (thinking about harming or killing oneself or planning or trying to do so). Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, there are also risks when depression is not treated in children and teenagers. Talk to your child's doctor about these risks and whether your child should take an antidepressant, Children younger than 18 years of age should not normally take paroxetine, but in some cases, a doctor may decide that paroxetine is the best medication to treat a child's condition. You should know that your mental health may change in unexpected ways when you take paroxetine or other antidepressants to treat depression or other mental illness even if you are an adult over 24 years of age. You may also experience changes in your mental health if you are a woman taking a low dose of paroxetine to treat hot flashes and you have never had depression or another mental illness. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. Adults (including the elderly) The minimum effective dose should be employed. This dose should not exceed 6.5 mg/kg/day (calculated from ideal body weight and not actual body weight) and will be either 200 mg or 400 mg per day. The minimum effective dose should be employed and should not exceed 6.5 mg/kg/day based on ideal body weight. The 200 mg tablet is therefore not suitable for use in children with an ideal body weight of less than 31kg. 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The safety and efficacy of bupropion for smoking cessation is not established in children or adolescents. Children 6 years and older with a major depressive episode or attention-deficit hyperactivity disorder ADHD have been studied in clinical trials of bupropion, but data regarding pediatric safety are limited. Hello Kayjbk and thanks for posting, I'm afraid I can't give you an answer but do ask your own medical team or breast care nurse. I am sorry because I think it is always easier to gear yourself up to cope with something unpleasant if you know how long it will last. I am not sure if these flushes have returned from a time when you weren't taking tamoxifen or if you were having them just after you started it and then they settled down. Sometimes women finish taking tamoxfen when they are coming up to the menopause which can itself be a cause of hot flushes. But aside from this, hot flushes also seem to be a problem for some women stopping tamoxifen. In this situation it isn't easy to forecast how long they will go on for. I'm afraid there doesn't seem to be very much data about it that I can find so do ask your team as they should be able to tell you how other women in their care have fared. Jun 6, 2010 AM sjp616 wrote: Hi Alessandra, I took Tamoxifen for 5 years and just stopped, yesterday was my first day without it. I've also been wondering about withdrawal symptoms. I asked my Oncologist and he said there aren't any. However, I've read that some women experienced an increase in hot flashes and weight gain, yikes!! I was diagnosed with stage II breast cancer in 2004. My chemo started in November, Tamoxifen started in March 2005. Mine was also Estrogen positive which my doctor had told me is the one that tends to "behave", as he put it. 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