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Precautions

Do NOT use Paxil if:

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• you happen to be allergic to any ingredient in Paxil
• you take or took linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during 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 medical professional or doctor straight away if any of these connect with you.

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Some medical ailments may talk with Paxil. Tell a medical expert or pharmacist in case you have any medical conditions, particularly if any of the following sign up for you:

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• if you might be pregnant, likely to get pregnant, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, or another substances
• if you or possibly a loved one features a reputation bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse

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• for those who have a reputation seizures, heart related illnesses, liver problems, severe kidney problems, stomach or bowel bleeding, narrow-angle glaucoma, diabetes, or metabolism problems

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• if you happen to be dehydrated, have low blood sodium levels, or drink alcohol
• if you will be having electroconvulsive therapy (ECT).

Some medicines may talk with Paxil. Tell your medical provider if you are taking some other 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 unwanted effects, for instance a reaction that will 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) as the risk of bleeding, including stomach bleeding, could be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the likelihood of low blood sodium levels could be increased

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

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

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

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• Digoxin or tamoxifen because their effectiveness may be decreased by Paxil.

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This may not be a complete listing of all interactions that may occur. Ask your doctor if Paxil may interact with other medicines which you take. Check with your physician prior to starting, stop, or affect the dose from a medicine.

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Important safety information:

• Paxil might cause drowsiness, dizziness, or blurred vision. These effects might be worse if you go on it with alcohol or certain medicines. Use Paxil with caution. Do not drive or perform other possible unsafe tasks until you know how you reply to it.

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• Do not are drinking alcohol when you are taking Paxil.
• Check together with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Paxil; it may well add to their effects. Ask your pharmacist when you have queries about which medicines could potentially cause drowsiness.

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• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, improve your dose, or use Paxil more than prescribed without checking along with your doctor.

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• Children, teenagers, and young adults taking Paxil may be at increased risk for suicidal thoughts or actions. Closely watch all patients taking Paxil. Contact your physician immediately if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alternation in mood or behavior occur. Contact your physician straight away if any warning signs of suicidal thoughts or actions occur.

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• If a medical expert tells you to prevent taking Paxil, you simply must await many weeks before beginning to adopt certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert when you ought to start to look at your medicines after you have stopped taking Paxil.

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• Paxil may rarely create a prolonged, painful erection. This could happen even when you are not having sexual intercourse. If this is not treated immediately, it could possibly cause permanent sexual dysfunctions such as impotence. Contact a medical expert right away if this happens.
• Serotonin syndrome is often a possibly fatal syndrome which can be due to Paxil. Your risk could possibly be greater if you take Paxil with certain other medicines (eg, "triptans," MAOIs). Symptoms can include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating in excess; and nausea, vomiting, or diarrhea. Contact your physician at once if you have any of these symptoms.

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• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that may be a result of Paxil. Your risk may be greater if Paxil can be used with certain other medicines called antipsychotics (eg, aripiprazole, risperidone). Symptoms may be similar to serotonin syndrome and might include fever, rigid muscles, blood pressure levels changes, and mental changes. Contact your medical professional at the same time for those who have these symptoms.

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

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• Caution is recommended when using Paxil in children; they could be more sensitive to its effects, especially increased probability of suicidal thoughts and actions.

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• Paxil may cause weight changes. Children and teenagers might require regular weight and growth checks while they take Paxil.
• Pregnancy and breast-feeding: Paxil could potentially cause harm to the fetus. If you conceive, speak to your doctor. You will need to discuss the huge benefits and risks of using Paxil while you might be pregnant. Paxil is found in breast milk. If you might be or will likely be breast-feeding as you use Paxil, check along with your doctor. Discuss any possible risks in your baby.

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