Paxil instructions

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Patient Education Monograph Paroxetine HCl Tablets (puh-ROX-eh-teen HIGH-droe-KLOR-ide)

Common Brand Name Paxil Tablet

The following product information is not intended to replace the physician's or manufacturer's instructions.

Paxil common medical uses:
Paxil is in a class of drugs called selective serotonin reuptake inhibitors. It helps to improve a person's mood by treating depression. Paxil can also help people with anxiety problems like social anxiety, obsessive compulsive disorder, panic attacks, or post-traumatic stress. Paroxetine may also be prescribed for premenstrual dysphoric disorder (PMDD).

Paxil contraindications:
Do not take this medicine if you are allergic to any ingredient in this medicine; you are currently taking or have taken a monoamine oxidase (MAO) inhibitor within the last 14 days; you are currently taking thioridazine

How to use Paxil:
How much medicine you take and how often you take it depends on many factors, including the condition being treated, your age, and weight. Take this medicine exactly as directed by your health care provider. This medicine may be taken without regard to food. Swallow the controlled-release tablets (Paxil CR) whole, without crushing or chewing. They are specially formulated to release the medication slowly in the body. Symptoms usually improve within 1 to 4 weeks. Continue taking your medicine even though you feel better. Do not stop taking this medicine without checking with your doctor. Stopping this medicine suddenly may cause certain side effects, such as dizziness, nausea, sweating, agitation; abnormal skin sensations, and abnormal dreams. Do not take more medicine than prescribed unless advised to do so by your doctor or health care provider. Do not take any other over-the-counter or prescription medicines without talking with your doctor. This includes any herbal preparations or dietary supplements.

This medicine may cause dizziness or drowsiness. Use caution while driving or performing other tasks requiring alertness, coordination, or physical dexterity. Do not take this medicine if you are currently taking or have taken an MAO inhibitor within the last 14 days. If you are uncertain whether your other medications contain an MAO inhibitor, check with your health care provider.

Paxil side effects:
Every medicine can cause side effects, but many people have no, or minor, side effects. Tell your doctor or pharmacist if any of the following occurs:

• Severe side effects: Extreme mood swings; tremors; heart problems; abnormal bleeding; chest pain; breathing problems.
• Common side effects:
  • Depression: Headache; flushing; weakness; sweating; nausea; drowsiness;dry mouth; constipation; diarrhea; decreased appetite; gas; sleepiness; dizziness;sleeplessness; tremor; nervousness; anxiety; abnormal skin sensations; decreased sex drive; yawning; blurred vision; abnormal ejaculation; urinary frequency;urination disorder.
  • Obsessive-compulsive disorder: Weakness; sweating; flushing;rash; nausea; dry mouth; constipation; diarrhea; changes in appetite; sleeplessness;drowsiness; dizziness; tremor; nervousness; decreased sex drive; abnormal dreams; difficulty concentrating; temporary loss of personal reality; muscle twitch; abnormal vision; abnormal ejaculation; female genital disorders; impotence;urinary retention; urinary disorder.
  • Panic disorder: Weakness; stomach pain;back pain; sweating; dry mouth; constipation; diarrhea; decreased appetite;sleeplessness; drowsiness; dizziness; tremor; decreased sex drive; agitation;anxiety; muscle twitch; runny nose; abnormal ejaculation; female genital disorder;impotence.
  • Social anxiety disorder: Weakness; sweating; nausea; dry mouth;constipation; diarrhea; decreased appetite; indigestion; gas; muscle pain;sleeplessness; sleepiness; dizziness; tremor; nervousness; decreased sex drive;agitation; anxiety; difficulty concentrating; sore throat; yawn; abnormal vision; abnormal ejaculation; painful menstruation; female genital disorder;impotence.
  • Generalized anxiety disorder: Weakness; headache; infection (fever, chills, sore throat); flushing; sweating; nausea; dry mouth; constipation;diarrhea; decreased appetite; vomiting; sleeplessness; drowsiness; dizziness;tremor; nervousness; decreased sex drive; inflamed sinuses; yawn; abnormal ejaculation; female genital disorder.
  • Posttraumatic stress disorder: Weakness;infection (fever, chills, sore throat); stomach pain; sweating; nausea; dry mouth; constipation; diarrhea; decreased appetite; vomiting; indigestion;sleeplessness; drowsiness; dizziness; tremor; decreased sex drive; abnormal dreams; abnormal vision; abnormal ejaculation; female genital disorder; impotence.
• Other side effects: Depression: Rash; throat disorder; indigestion; abnormal or painful muscle condition; sedated feeling; muscle weakness; confusion; taste changes;female genital disorders. Obsessive-compulsive disorder: Chills; memory loss;taste changes; urinary tract infection. Panic disorder: Chills; increased appetite; urinary frequency; urinary tract infection. Social anxiety disorder:Vomiting; muscle twitch. Posttraumatic stress disorder: Flushing; yawn.

Paxil precautions:
Do not take Paxil if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. Before using this medicine, tell your health care provider about any of the following: if you are pregnant, planning to become pregnant, or breastfeeding; if you are taking any prescription medicine, nonprescription medicine, herbal preparation, or dietary supplement; if you have a history of tremors or mania; if you have thoughts of suicide; if you have severe liver or kidney problems; if you have a history of substance or alcohol abuse; if you have a history of narrow-angle glaucoma; if you have any other medical condition. If you get suicidal thoughts, extreme agitation, or inability to sleep or sit still, call your doctor at once. If you have been taking Paxil regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or your symptoms may get worse. Ask your doctor for advice. You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can increase or decrease the effects of Paxil. Avoid alcoholic drinks. Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help. If you are going to have surgery, tell your health care professional that you are taking Paxil.

Drug Interactions:
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Do not take Paxil if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) during the last 2 weeks. Paxil has the potential to interact with a variety of medications. Do not take Paxil with any of the following medications:

• astemizole (Hismanal)
• cisapride (Propulsid)
• pimozide (Orap)
• terfenadine (Seldane)
• thioridazine (Mellaril)

Paxil may also interact with the following medications:

• antacids (interacts with Paxil CR only)
• alcohol
• amphetamine
• diet drugs (fenfluramine, phentermine, sibutramine)
• migraine headache medicines (almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan)
• cimetidine
• digoxin
• fosphenytoin
• furazolidone
• linezolid
• lithium
• medicines for psychotic disturbances
• medicines for mental depression, mania, anxiety, or difficulty sleeping
• medicines for regulating heart rhythm or blood pressure
• phenobarbital
• phenytoin
• prescription pain medications
• St. John's wort, Hypericum perforatum
• theophylline
• tramadol
• warfarin.

Tell your doctor or pharmacist about all other medicines you are taking, including nonprescription medicines, nutritional supplements, and herbal products. Also tell your doctor if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works.

Overdose:
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea, vomiting, drowsiness, severe dizziness, severe sweating, fast heartbeat, dilated pupils, change in the amount of urine, flushed face, fainting, seizures, or yellowing of the eyes or skin.

Missed dose:
If a dose is missed, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your doctor. If more than one dose is missed, contact your doctor or pharmacist.

Storage:
Store at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom.

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