Brand Name: Paxil

Generic Name: Paroxetine

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Brand Name: Paxil

Most Common Medical Uses
Paroxetine is most commonly used to treat depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder (social phobia), and posttraumatic stress disorder (PTSD). Paroxetine may also be used for purposes other than those listed here.

How to Take This Medication
Take paroxetine exactly as directed by your doctor. Take each dose with water. Swallow the controlled-release tablets (Paxil CR) whole, without crushing or chewing. They are specially formulated to release the medication slowly in the body. Paroxetine may be taken with or without food. Try to take paroxetine at the same time each day. Do not stop taking paroxetine without first talking to your doctor. It may take 4 weeks or more for you to start feeling better and unpleasant side effects may be experienced if you stop taking paroxetine suddenly.

Possible Side Effects
Stop taking paroxetine and contact your doctor immediately or seek emergency medical treatment if you experience any of the following:an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); an irregular heartbeat or pulse;low blood pressure (dizziness, weakness); high blood pressure (severe headache, blurred vision); unusual bleeding or bruising; or fever or chills. Less serious side effects may be more likely to occur. Continue to take paroxetine and talk to your doctor if you experience headache; tremor, nervousness, or anxiety; nausea, diarrhea, dry mouth, or changes in appetite or weight. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Precautions
Do not take paroxetine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. Serious, and sometimes fatal, reactions have occurred when these medicines have been used together. Also, do not take paroxetine if you are taking thioridazine (Mellaril). Dangerous, even fatal irregular heartbeats may occur if these medicines are taken together. You must wait 5 weeks after stopping paroxetine before taking thioridazine (Mellaril). Before taking paroxetine, tell your doctor if you have liver disease, kidney disease, seizures or epilepsy, or a manic disorder or suicidal thoughts. Do not take paroxetine without first talking to your doctor if you are pregnant, could become pregnant during treatment or breast-feeding a baby.

Drug Interactions
Do not take paroxetine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. Serious, and sometimes fatal, reactions have occurred when these medicines have been used together. Also, do not take paroxetine if you are taking thioridazine (Mellaril). Dangerous, even fatal irregular heartbeats may occur if these medicines are taken together. You must wait 5 weeks after stopping paroxetine before taking thioridazine (Mellaril). Many prescription as well as over the counter medication can have serious adverse affects if taken with paroxetine. Drugs other than those listed here may also interact with paroxetine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Missed Dose
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

Storage
Store at room temperature away from moisture and heat. Keep this and all medications out of the reach of children.

Notes
Do not stop taking paroxetine without first talking to your doctor. It may take 4 weeks or more for you to start feeling better and unpleasant side effects may be experienced if you stop taking paroxetine suddenly. Do not share this medication with others.