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Precautions

Do NOT use Paxil if:

• you're allergic to your ingredient in Paxil
• you are taking or have taken linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days
• you take 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 physician or doctor without delay if some of these affect you.

Some health concerns may interact with Paxil. Tell your doctor or pharmacist for those who have any health concerns, in particular when any with the following apply to you:

• if you are pregnant, intending to get pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you or a member of the family has a good reputation for bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• in case you have a history of seizures, cardiovascular disease, liver problems, severe kidney problems, stomach or bowel bleeding, narrow-angle glaucoma, diabetes, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or drink alcohol
• if you will be having electroconvulsive therapy (ECT).

Some medicines may connect to Paxil. Tell your health care provider if you are taking any other medicines, especially any of 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 unwanted effects, like a reaction that could include fever, rigid muscles, hypertension changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the probability of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) as the likelihood of low blood sodium levels may be increased
• Antiarrhythmics (eg, flecainide, propafenone, quinidine), H₁ antagonists (eg, astemizole, terfenadine), or phenothiazines (eg, chlorpromazine, thioridazine) because severe cardiovascular 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 probability of their unwanted effects could be increased by Paxil
• Digoxin or tamoxifen his or her effectiveness may be decreased by Paxil.

This will not be a whole list of all interactions that may occur. Ask your health care provider if Paxil may talk with other medicines which you take. Check along with your physician before starting, stop, or change the dose from a medicine.

Important safety information:

• Paxil could potentially cause drowsiness, dizziness, or blurred vision. These effects could be worse if you go with alcohol or certain medicines. Use Paxil with caution. Do not drive or perform other possible unsafe tasks until you discover how you reply to it.
• Do not drink alcohol whilst you consider Paxil.
• Check together with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Paxil; it might add to their effects. Ask your pharmacist for those who have questions on which medicines may cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, make positive changes to dose, or use Paxil more than prescribed without checking using your doctor.
• Children, teenagers, and teenagers taking Paxil could possibly be at increased risk for suicidal thoughts or actions. Closely watch all patients taking Paxil. Contact the doctor simultaneously if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic disorder; or any unusual change in mood or behavior occur. Contact your physician straight away if any warning signs of suicidal thoughts or actions occur.
• If your physician lets you know to stop taking Paxil, you simply must watch for several weeks prior to starting to look at certain other medicines (eg, MAOIs, nefazodone). Ask your physician when you ought to start to consider your brand-new medicines after you've got stopped taking Paxil.
• Paxil may rarely cause a prolonged, painful erection. This could happen even when you happen to be not having sex. If this is not treated straight away, it may result in permanent sexual dysfunctions for example impotence. Contact a medical expert right away take place.
• Serotonin syndrome is a possibly fatal syndrome that can be brought on by Paxil. Your risk could be greater invest the Paxil with certain other medicines (eg, "triptans," MAOIs). Symptoms can sometimes include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor immediately when you have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that may be caused by Paxil. Your risk could be greater if Paxil is utilized with certain other medicines called antipsychotics (eg, aripiprazole, risperidone). Symptoms may be just like serotonin syndrome and might include fever, rigid muscles, hypertension changes, and mental changes. Contact your physician simultaneously in case you have any of these symptoms.
• Use Paxil with caution inside the elderly; they may be more sensitive to its effects, especially low blood sodium levels.
• Caution is recommended when working with Paxil in children; they might be more responsive to its effects, especially increased risk of suicidal thoughts and actions.
• Paxil could cause weight changes. Children and teenagers might require regular weight and growth checks when they take Paxil.
• Pregnancy and breast-feeding: Paxil might cause problems for the fetus. If you conceive, speak to your doctor. You will need to discuss the advantages and risks of using Paxil while you're pregnant. Paxil is located in breast milk. If you are or will be breast-feeding whilst you use Paxil, check along with your doctor. Discuss any possible risks for a baby.