Paroxetine
"I was excited to try this medicine.  Having 5 hot flashes a night that wake me up. Haven't had any R.E.M. Sleep for a while.  Not sleeping is affecting my exercise and work routine. The only time I don't get hot flashes is when I'm riding my mountain bike.  Biking doesn't pay the bills.  Took my dose before bed, in about 15 min my head felt different like a rush of something then clarity I guess that was the serotonin release.   I thought oh boy I'm gonna sleep.  But not the case.  Unfortunately I must have opposite effects.  I didn't sleep more than 2 hours all night. Had a clear head full of thoughts about stuff I need to do. Still had hot flashes 4 during the night and more in the morning.  And then the nausea in the morning also."