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Precautions

Do NOT use Paxil if:

• you are allergic to your ingredient in Paxil
• you consider or have taken linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days
• you consider a fenfluramine derivative (eg, dexfenfluramine), nefazodone, pimozide, a serotonin norepinephrine reuptake inhibitor (SNRI) (eg, venlafaxine), another SSRI (eg, fluoxetine), sibutramine, thioridazine, or tryptophan.

Contact your medical professional or doctor without delay if all of these connect with you.

Some health concerns may communicate with Paxil. Tell your physician or pharmacist in case you have any health concerns, in particular when any with the following sign up for you:

• if you're pregnant, about to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• if you or a relative carries a good reputation for bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a reputation seizures, heart related illnesses, liver problems, severe kidney problems, stomach or bowel bleeding, narrow-angle glaucoma, diabetes, or metabolism problems
• if you happen to be dehydrated, have low blood sodium levels, or consume alcohol
• if you may be having electroconvulsive therapy (ECT).

Some medicines may interact with Paxil. Tell your medical provider if you are taking another medicines, especially any from the following:

• Anorexiants (eg, phentermine), cimetidine, fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, venlafaxine), another SSRI (eg, fluoxetine), St. John's wort, tramadol, trazodone, or tryptophan because severe negative effects, like a reaction which could include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) as the likelihood of bleeding, including stomach bleeding, could be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the risk of low blood sodium levels could possibly be increased
• Antiarrhythmics (eg, flecainide, propafenone, quinidine), H₁ antagonists (eg, astemizole, terfenadine), or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart disease, including irregular heartbeat, may occur
• Cyproheptadine, HIV protease inhibitors (eg, ritonavir), phenobarbital, or phenytoin since they may decrease Paxil's effectiveness
• Aripiprazole, atomoxetine, clozapine, fluoxetine, pimozide, procyclidine, risperidone, theophylline, or tricyclic antidepressants (eg, amitriptyline) for the reason that chance of their negative effects might be increased by Paxil
• Digoxin or tamoxifen his or her effectiveness could be decreased by Paxil.

This will not be a total list of all interactions which could occur. Ask your doctor if Paxil may connect to other medicines that you simply take. Check with your physician before you begin, stop, or alter the dose from a medicine.

Important safety information:

• Paxil could cause drowsiness, dizziness, or blurred vision. These effects could possibly be worse if you get it with alcohol or certain medicines. Use Paxil with caution. Do not drive or perform other possible unsafe tasks unless you know how you respond to it.
• Do not are drinking alcohol when you consider Paxil.
• Check along with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Paxil; it could enhance their effects. Ask your pharmacist if you have queries about which medicines could cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take over the recommended dose, improve your dose, or use Paxil for over prescribed without checking using your doctor.
• Children, teenagers, and young adults having Paxil may be at increased risk for suicidal thoughts or actions. Closely watch all patients taking Paxil. Contact a doctor at the same time if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual alteration of mood or behavior occur. Contact a doctor without delay if any signs and symptoms of suicidal thoughts or actions occur.
• If your physician lets you know to avoid taking Paxil, you will have to wait for a few months before you begin to consider certain other medicines (eg, MAOIs, nefazodone). Ask your medical professional when you start to consider your medicines after you have stopped taking Paxil.
• Paxil may rarely cause a prolonged, painful erection. This could happen even when you're not making love. If this is not treated straight away, it might result in permanent sexual problems including impotence. Contact your physician without delay take place.
• Serotonin syndrome is really a possibly fatal syndrome which can be caused by Paxil. Your risk could be greater for Paxil with certain other medicines (eg, "triptans," MAOIs). Symptoms might include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor simultaneously if you have these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome that may be caused by Paxil. Your risk might be greater if Paxil is used with certain other medicines called antipsychotics (eg, aripiprazole, risperidone). Symptoms could possibly be comparable to serotonin syndrome and can include fever, rigid muscles, hypertension changes, and mental changes. Contact your physician at the same time when you have any of these symptoms.
• Use Paxil with caution inside elderly; they could possibly be more understanding of its effects, especially low blood sodium levels.
• Caution is advised when you use Paxil in kids; they could possibly be more understanding of its effects, especially increased likelihood of suicidal thoughts and actions.
• Paxil could potentially cause weight changes. Children and teenagers might require regular weight and growth checks since they take Paxil.
• Pregnancy and breast-feeding: Paxil could potentially cause trouble for the fetus. If you become pregnant, contact your doctor. You will need to discuss the advantages and perils of using Paxil while you are pregnant. Paxil is located in breast milk. If you happen to be or will probably be breast-feeding while you use Paxil, check together with your doctor. Discuss any possible risks to your baby.