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Paxil (Paroxetine)

Also known as: Pexap, Pexep, Teprox, Aropax, Pexeva, Seroxat 
Paxil (Paroxetine) is a newer class of antidepressant medication known as Selective Serotonin Reuptake Inhibitors (SSRIs).
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Prescribing Information for Paxil (Paroxetine):

What is Paxil?

Paxil is related to the group of antidepressants called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). It restores the balance of the natural substance in the brain (serotonin) which helps to cure problems connected with mood.

Paxil is commonly prescribed for treatment of depression, obsessive-compulsive disorder, anxiety disorders, post-traumatic stress disorder, and premenstrual dysphoric disorder.

Paxil can be also prescribed for other purposes.

What is important to know about Paxil?

Taking antidepressants like Paxil for the first time can cause suicidal thoughts especially among people under 24. You will need to be examined by your doctor regularly for the first 12 weeks of treatment or more.

Call your healthcare provider immediately if you experience any new or aggravating symptoms like: changes of mood or behavior, panics, anxiety, insomnia, irritability, impulsiveness, hostility, aggression, agitation, if you feel mentally or physically hyperactive, more depressed or restless or if you have thoughts of self-injury or suicide. Paxil may affect newborn babies whose mothers use Paxil while they are pregnant. It may provoke heart problems or severe problems with lungs which can even be deathful in them. However, if you suddenly stop using antidepressant while you are pregnant, your depression may occur again. Inform your doctor if you are going to become pregnant or if you become pregnant during your treatment and do not stop using Paxil without your doctor’s advice.

Avoid combining Paxil with pimozide (Orap), thioridazine (Mellaril), or a monoamine oxidase inhibitor (MAOI) like phenelzine (Nardil), isocarboxazid (Marplan), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate), rasagiline (Azilect).

How should Paxil be used?

Follow the prescriptions of your doctor carefully. Do not change your dose and do not use Paxil for a longer period than prescribed. Your doctor may adjust your dose to make certain you get the most benefit from treatment.

It is recommended to use Paxil at the same time every day. Follow the instructions which come with the medication.

Swallow the sustained-action capsule whole without chewing, breaking or crushing it to prevent releasing of too much medicine at once. Shake the bottle with liquid form of the medicine well before measuring a dose. Do not use a table spoon to measure the dose of liquid form of amoxicillin. If you do not have a special dose-measuring cup or spoon, ask your healthcare provider where you can get it.

You may need to take Paxil up to 4 weeks before you feel better. To get the most benefit, continue taking the medicine as prescribed. Inform your doctor if your condition does not improve within more than 4 weeks.

You may experience undesirable effects like agitation, dizziness, numbness or tingling, ringing in your ears, confusion, or behavior changes when you stop taking Paxil. Inform your doctor if you are going to stop taking Paxil.

Keep Paxil at room temperature protected from heat and moisture.

What side effects can Paxil cause?

Seek emergency medical attention if you experience an allergic reaction to Paxil (trouble breathing; hives; swelling of your face, lips, tongue, or throat). Call your doctor promptly if you experience any of the following adverse reaction, especially new or aggravating.

Call your healthcare provider immediately if you develop any of the following serious conditions:
  • high fever, very stiff (rigid) muscles, overactive reflexes, fast or uneven heartbeats, tremors, sweating;
  • diarrhea, nausea, vomiting, loss of appetite, loss of coordination, feeling unsteady;
  • concentrating problems, headache, hallucinations, fainting, memory problems, weakness, confusion, shallow breathing or breathing that stops, seizure; or
  • easy bruising or bleeding (for example a nosebleed).
Paxil may also cause less serious side effects:
  • weight changes;
  • yawning, dry mouth, or ringing in your ears;
  • drowsiness, dizziness;
  • nervousness;
  • mild nausea, constipation;
  • sleep problems (insomnia); or
  • decreased sex drive, impotence, or difficulty having an orgasm.

Paxil may also cause other side effects. Call your doctor if you need medical advice about them.

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