Hate to be challenging but I've taken Pexeva (a form of Paxil) and it made me manic. I was on 20mg and I started yelling, screaming, hollering at everyone. Then I went to my doctor and started yelling, screaming, hollering at her too. Then after a bit of that I cried about what I had done. Then my pdoc suggested I go to the ER and possibly get admitted to the hospital because I was too out of control. I complied and she called police and they sent an ambulance and I was taken to the ER.