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Precautions

Do NOT use Paxil if:

• you are 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 within 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 doctor or physician right away if some of these apply to you.

Some health concerns may communicate with Paxil. Tell your doctor or pharmacist if you have any health conditions, in particular when any in the following affect you:

• if you're pregnant, about to become pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, and other substances
• if you or even a loved one features a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a good seizures, cardiovascular disease, liver problems, severe kidney problems, stomach or bowel bleeding, narrow-angle glaucoma, diabetes, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will end up having electroconvulsive therapy (ECT).

Some medicines may interact with Paxil. Tell your health care provider if you are taking another medicines, especially any with 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, say for example 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) for the reason that chance of bleeding, including stomach bleeding, could be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) because the chance of low blood sodium levels could 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) since the probability of their unwanted side effects may be increased by Paxil
• Digoxin or tamoxifen as their effectiveness could be decreased by Paxil.

This might not be a whole report on all interactions that could occur. Ask your doctor if Paxil may talk with other medicines which you take. Check with your health care provider before starting, stop, or affect the dose of any medicine.

Important safety information:

• Paxil may cause drowsiness, dizziness, or blurred vision. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Paxil with caution. Do not drive or perform other possible unsafe tasks and soon you know how you answer it.
• Do not consume alcohol whilst you consider Paxil.
• Check together with your doctor before you use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Paxil; it may increase their effects. Ask the pharmacist for those who have queries about which medicines could potentially cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, make positive changes to dose, or use Paxil for over prescribed without checking along with your doctor.
• Children, teenagers, and adults who take Paxil could possibly be at increased risk for suicidal thoughts or actions. Closely watch all patients having Paxil. Contact the doctor immediately if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alternation in mood or behavior occur. Contact your physician immediately if any signs and symptoms of suicidal thoughts or actions occur.
• If your medical professional informs you to avoid taking Paxil, you will have to loose time waiting for several weeks before you begin to look at certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert ought to start to look at a new medicines after you've stopped taking Paxil.
• Paxil may rarely create a prolonged, painful erection. This could happen even when you are not making love. If this is not treated straight away, it might cause permanent sexual problems including impotence. Contact your medical professional right away take place.
• Serotonin syndrome is a possibly fatal syndrome that can be due to Paxil. Your risk might be greater with Paxil with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact a medical expert simultaneously in case you have some of these symptoms.
• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that could be caused by Paxil. Your risk could possibly be greater if Paxil is employed with certain other medicines called antipsychotics (eg, aripiprazole, risperidone). Symptoms could possibly be just like serotonin syndrome and might include fever, rigid muscles, hypertension changes, and mental changes. Contact your physician immediately when you have some of these symptoms.
• Use Paxil with caution inside the elderly; they might be more sensitive to its effects, especially low blood sodium levels.
• Caution is advised when using Paxil in children; they could possibly be more sensitive to its effects, especially increased likelihood of suicidal thoughts and actions.
• Paxil might cause weight changes. Children and teenagers may require regular weight and growth checks since they take Paxil.
• Pregnancy and breast-feeding: Paxil could cause harm to the fetus. If you get pregnant, get hold of your doctor. You will need to discuss the huge benefits and perils associated with using Paxil while you're pregnant. Paxil is situated in breast milk. If you happen to be or will be breast-feeding as you use Paxil, check together with your doctor. Discuss any possible risks for your baby.