PAXIL

• 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.

• Paroxetine is in a class of drugs called selective serotonin reuptake inhibitors. Paroxetine affects chemicals in the brain that may become unbalanced and cause depression, panic or anxiety, or obsessive or compulsive symptoms.
• Paroxetine is used to treat depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder (social phobia), posttraumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).
• Paroxetine may also be used for purposes other than those listed in this medication guide.

• 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.
• You may not be able to take paroxetine, or you may need a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Paroxetine is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take paroxetine without first talking to your doctor if you are pregnant or could become pregnant during treatment.
• Paroxetine passes into breast milk and may affect a nursing baby. Do not take paroxetine without first talking to your doctor if you are breast-feeding a baby.

• Take paroxetine exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• 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.
• Shake the suspension well before measuring a dose. To ensure that you get the correct dose, measure the suspension with a dose-measuring cup or spoon, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
• 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.
• Store paroxetine at room temperature away from moisture and heat.

• 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.

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a paroxetine overdose include nausea, vomiting, tremor, seizures, agitation, drowsiness, hyperactivity, and enlarged pupils.

• Use caution when driving, operating machinery, or performing other hazardous activities. Paroxetine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
• Use alcohol cautiously. Alcohol may increase drowsiness or dizziness while taking paroxetine.

• If you experience any of the following serious side effects, stop taking paroxetine and contact your doctor immediately or seek emergency medical treatment:
  • 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,
  • sleepiness or insomnia, or
  • decreased sex drive, impotence, or difficulty having an orgasm.
• 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.

• 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 are taking any of the following medicines:
• a benzodiazepine such as diazepam (Valium), alprazolam (Xanax), chlordiazepoxide (Librium), clorazepate (Tranxene), temazepam (Restoril), triazolam (Halcion), and others,
• a tricyclic antidepressant such as amitriptyline (Elavil), imipramine (Tofranil), doxepin (Sinequan), nortriptyline (Pamelor), and others,
• a phenothiazine such as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine), and others,
• almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig),
• carbamazepine (Tegretol) or phenytoin (Dilantin),
• lithium (Lithobid, Eskalith, others),
• theophylline (Theobid, Theolair, Theochron, Elixophyllin, and others),
• warfarin (Coumadin),
• digoxin (Lanoxin), or
• cimetidine (Tagamet, Tagamet HB).
• You may not be able to take paroxetine, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.


• 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 vitamins, minerals, and herbal products.

• Your pharmacist has additional information about paroxetine written for health professionals that you may read.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.