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Precautions

Do NOT use Paxil if:

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• 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

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• 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.

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Contact your physician or physician right away if some of these connect with you.

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Some medical conditions may talk with Paxil. Tell your physician or pharmacist in case you have any medical conditions, especially if any with the following sign up for you:

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• if you happen to be pregnant, intending to get pregnant, or are breast-feeding

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• when you have a good seizures, heart related illnesses, liver problems, severe kidney problems, stomach or bowel bleeding, narrow-angle glaucoma, diabetes, or metabolism problems

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Some medicines may talk with Paxil. Tell your health care provider if you take some other medicines, especially any from the following:

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• 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, for instance a reaction that may include fever, rigid muscles, hypertension changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur

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• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the risk of bleeding, including stomach bleeding, could possibly be increased

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• Diuretics (eg, furosemide, hydrochlorothiazide) since the likelihood of low blood sodium levels could possibly be increased

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• Antiarrhythmics (eg, flecainide, propafenone, quinidine), H₁ antagonists (eg, astemizole, terfenadine), or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur

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• Cyproheptadine, HIV protease inhibitors (eg, ritonavir), phenobarbital, or phenytoin because they may decrease Paxil's effectiveness

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• Aripiprazole, atomoxetine, clozapine, fluoxetine, pimozide, procyclidine, risperidone, theophylline, or tricyclic antidepressants (eg, amitriptyline) since the likelihood of their unwanted side effects could possibly be increased by Paxil

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This might not be a complete list of all interactions that will occur. Ask your medical provider if Paxil may connect to other medicines which you take. Check using your health care provider before starting, stop, or customize the dose from a medicine.

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Important safety information:

• Paxil could potentially cause drowsiness, dizziness, or blurred vision. These effects could be worse if you take it with alcohol or certain medicines. Use Paxil with caution. Do not drive or perform other possible unsafe tasks unless you understand how you react to it.

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• Do not are drinking alcoholic beverages when you take Paxil.

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• Check along with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Paxil; it may well enhance their effects. Ask your friendly phamacist in case you have questions about which medicines may cause drowsiness.

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• Several weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, make positive changes to dose, or use Paxil for over prescribed without checking using your doctor.

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• Children, teenagers, and young adults who take Paxil may be at increased risk for suicidal thoughts or actions. Closely watch all patients taking Paxil. Contact the doctor immediately if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual difference in mood or behavior occur. Contact the doctor immediately if any indications of suicidal thoughts or actions occur.

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• If your doctor informs you to halt taking Paxil, you simply must wait for many weeks prior to starting to take certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert ought to start to take your brand-new medicines after you have stopped taking Paxil.

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• Paxil may rarely spark a prolonged, painful erection. This could happen even when you are not having sexual intercourse. If this is not treated without delay, it could result in permanent sexual dysfunctions including impotence. Contact a medical expert straight away in such a circumstance.

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• Serotonin syndrome is really a possibly fatal syndrome that could be a result of Paxil. Your risk could possibly be greater if you take Paxil with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; hyperhidrosis; and nausea, vomiting, or diarrhea. Contact a medical expert simultaneously for those who have some of these symptoms.

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• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that could be brought on by Paxil. Your risk could possibly be greater if Paxil is utilized with certain other medicines called antipsychotics (eg, aripiprazole, risperidone). Symptoms may be similar to serotonin syndrome and can sometimes include fever, rigid muscles, blood pressure level changes, and mental changes. Contact your doctor immediately when you have these symptoms.

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• Use Paxil with caution inside the elderly; they may be more responsive to its effects, especially low blood sodium levels.

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