Increasing your paroxetine CR dose from 25 mg to 37.5 mg is a standard and safe adjustment to help you manage heightened exam stress. This change aims to stabilize your mood, reduce anxiety, and improve focus by balancing brain chemicals. While your body adjusts to the new dose, you might experience temporary, mild side effects such as nausea, slight drowsiness, headache, or dry mouth. These usually fade within a few days. Do not worry; this is a common step in managing acute stress. Please continue to take it as prescribed and consult your doctor if you experience any persistent discomfort.

Premature ejaculation is a very common and highly treatable concern. Several effective options can help you. First, oral medications known as Selective Serotonin Reuptake Inhibitors (SSRIs), such as dapoxetine, paroxetine, or sertraline, are frequently prescribed to safely delay ejaculation. Second, topical anaesthetics, like lidocaine or prilocaine sprays and creams, can be applied to decrease sensitivity. Erectile dysfunction medications are also sometimes used if there is an overlapping issue. I highly recommend consulting a doctor or urologist to discuss these options and determine the safest, most effective plan for you, which may also include helpful behavioural techniques.