I was on generic paxil and it ended up making me incredibly suicidal (I had been depressed before, but never suicidal). I never took brand name Paxil, but do know that there are warnings that Paxil does cause many to become have suicidal tendancies, but for the most part it is dependent on a variety of variables, one being age. I had always thought that there was no difference between brand and generic meRAB, but with personal experiences. I now see that is not the case. It may be a plecebo effect, but even if it's all in one's head, it is still affecting a person so I say monitor things closely and adjust with your doc as needed. Good luck with everything.