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A selective serotonin reuptake inhibitor (SSRI), Paxil
is used to treat depression, panic attacks, obsessive
compulsive disorders (OCD), social anxiety disorder
(SAD) and generalized anxiety disorder. Paxil works
by restoring the balance of certain natural chemicals
in the brain. Paxil is also used to treat a severe form
of premenstrual syndrome, nerve problems associated
with diabetes, chronic headaches, or post-traumatic
stress disorder (PTSD).
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Take Paxil by mouth with or without food and as directed by your
doctor in the morning. Dosages are prescribed based on your medical
condition and response to therapy. Do not stop or start taking Paxil
without consulting your doctor. (It takes several weeks before the
full benefits of Paxil are actualized.
Adverse effects that may occur with Paxil are nausea, drowsiness,
dizziness, diarrhea, trouble sleeping, constipation, or dry mouth.
If any of the effects become bothersome, consult your doctor immediately.
Notify your doctor right away if any of these serious side effects
occur: loss of appetite, unusual or severe mental/mood changes,
increased sweating/flushing, unusual fatigue, uncontrolled movements
(tremor), decreased interest in sex blurred vision, changes in sexual
ability, painful and/or prolonged erection, change in amount of
urine, fainting, irregular heartbeat, muscle pain, trouble swallowing,
unusual swelling, seizures, easy bruising or bleeding, tingling
or numbness of the hands/feet. Allergic reactions to Paxil are unlikely;
however, seek immediate medical attention if it occurs. The adverse
events of an allergic reaction include: swelling, severe dizziness,
rash, itching, or trouble breathing. If you notice other effects
not listed above, contact your doctor or pharmacist.
Consult your physician of your complete medical history. Include
any information regarding liver problems, kidney problems, seizures,
heart problems, other mental/mood disorders (e.g., bipolar disorder),
thyroid problems, any allergies. Paxil may make you dizzy or drowsy;
use caution engaging in activities requiring alertness such as driving
or using machinery. Limit alcoholic beverages. Caution is advised
when using this product in the elderly because they may be more
sensitive to the effects of Paxil. It should be used only when clearly
needed during pregnancy. Discuss the risks and benefits with your
doctor of using Paxil during pregnancy and nursing. Consult your
doctor before breast-feeding.
Paxil taken with certain medications possibly can result in serious
or fatal, drug interactions. Avoid using MAO inhibitors (e.g., furazolidone,
isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine,
selegiline, tranylcypromine) within 2 weeks, and avoid taking thioridazine
within 5 weeks, before or after treatment with Paxil. Consult your
doctor or pharmacist for additional information. Paxil is not recommended
for use with: weight loss drugs (e.g., sibutramine, phentermine),
thioridazine, terfenadine, astemizole. Ask your doctor or pharmacist
for more details. Remember to tell your doctor of all prescription
and nonprescription medication you may use, especially: other SSRI
antidepressants (e.g., citalopram, fluoxetine), nefazodone, trazodone,
tramadol, venlafaxine, "triptan" migraine drugs (e.g.,
sumatriptan, zolmitriptan), tricyclic antidepressants (e.g., amitriptyline,
nortriptyline), cimetidine, digoxin, flecainide, propafenone, clozapine,
lithium, tryptophan, "blood thinners" (e.g., warfarin),
theophylline, herbal/natural products (e.g., melatonin, ayahuasca,
St John's wort). Consult your doctor if you take any medications
that cause drowsiness such as: medicine for sleep, sedatives, tranquilizers,
anti- anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g.,
codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine),
anti-seizure drugs (e.g., carbamazepine), muscle relaxants, certain
antihistamines (e.g., diphenhydramine). Other drugs which affect
the heart rhythm (QTc prolongation), such as: dofetilide, pimozide,
sotalol, quinidine, procainamide, sparfloxacin, "water pills"
(diuretics such as furosemide or hydrochlorothiazide). Ask your
physician or pharmacist for more details. Never start or stop any
medicine without your doctor’s or pharmacist’s approval.
If you suspect an overdose of Paxil, contact your local emergency
room immediately. The adverse effects of overdose may include the
following medical conditions irregular heartbeat, fainting, severe
dizziness or lightheadedness.
Never share Paxil with others who it is not prescribed. Laboratory
and/or medical tests may be performed to monitor your progress
If you miss a dose, use it as soon as you remember. If it is near
the time of the next dose, skip the missed dose and resume your
usual dosing schedule. Do not double the dose to catch up.
Store Paxil at room temperature away from light, heat and moisture.
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