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What is the most important information I should know about Paxil?
• Do not stop taking Paxil without first talking to your doctor losing weight after paxil. It maytake 4 weeks or more for you to start feeling better and unpleasant side effectsmay be experienced if you stop taking Paxil suddenly losing weight after paxil.


What is Paxil?
• Paxil is in a class of drugs called selective serotonin reuptake inhibitors losing weight after paxil. Paxil affects chemicals in the brain that may become unbalanced and cause depression,panic or anxiety, or obsessive or compulsive symptoms losing weight after paxil.
• Paxil is used to treat depression, obsessive-compulsive disorder, panicdisorder, generalized anxiety disorder, social anxiety disorder (social phobia),and posttraumatic stress disorder (PTSD) losing weight after paxil.
• Paxil may also be used for purposes other than those listed in this medicationguide losing weight after paxil.


What should I discuss with my healthcare provider before taking Paxil?
• 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 losing weight after paxil. Serious, and sometimes fatal, reactions have occurredwhen these medicines have been used together losing weight after paxil. Also, do not take Paxil if youare taking thioridazine (Mellaril) losing weight after paxil. Dangerous, even fatal irregular heartbeatsmay occur if these medicines are taken together losing weight after paxil. You must wait 5 weeks afterstopping Paxil before taking thioridazine (Mellaril) losing weight after paxil.
• Before taking Paxil, tell your doctor if you have
· liver disease,
· kidney disease,
· seizures or epilepsy, or
· a manic disorder or suicidal thoughts losing weight after paxil.
• You may not be able to take Paxil, or you may need a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove losing weight after paxil.
• Paxil is in the FDA pregnancy category C losing weight after paxil. This means that it is not knownwhether it will be harmful to an unborn baby losing weight after paxil. Do not take Paxil without firsttalking to your doctor if you are pregnant or could become pregnant during treatment losing weight after paxil.
• Paxil passes into breast milk and may affect a nursing baby losing weight after paxil. Do not takePaxil without first talking to your doctor if you are breast-feeding a baby losing weight after paxil.


How should I take Paxil?
• Take Paxil exactly as directed by your doctor losing weight after paxil. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou losing weight after paxil.
• Take each dose with water losing weight after paxil.
• Swallow the controlled-release tablets (Paxil CR) whole, without crushingor chewing losing weight after paxil. They are specially formulated to release the medication slowly inthe body losing weight after paxil.
• Shake the suspension well before measuring a dose losing weight after paxil. To ensure that youget the correct dose, measure the suspension with a dose-measuring cup or spoon,not with a regular table spoon losing weight after paxil. If you do not have a dose-measuring device,ask your pharmacist for one losing weight after paxil.
• Paxil may be taken with or without food losing weight after paxil.
• Try to take Paxil at the same time each day losing weight after paxil.
• Do not stop taking Paxil without first talking to your doctor losing weight after paxil. It maytake 4 weeks or more for you to start feeling better and unpleasant side effectsmay be experienced if you stop taking Paxil suddenly losing weight after paxil.
• Store Paxil at room temperature away from moisture and heat losing weight after paxil.


What happens if I miss a dose?
• Take the missed dose as soon as you remember losing weight after paxil. However, if it is almosttime for the next regularly scheduled dose, skip the missed dose and take thenext one as directed losing weight after paxil. Do not take a double dose of this medication unless otherwisedirected by your doctor losing weight after paxil.


What happens if I overdose?
• Seek emergency medical attention losing weight after paxil.
• Symptoms of a Paxil overdose include nausea, vomiting, tremor, seizures,agitation, drowsiness, hyperactivity, and enlarged pupils losing weight after paxil.


What should I avoid while taking Paxil?
• Use caution when driving, operating machinery, or performing other hazardousactivities losing weight after paxil. Paxil may cause dizziness or drowsiness losing weight after paxil. If you experience dizzinessor drowsiness, avoid these activities losing weight after paxil.
• Use alcohol cautiously losing weight after paxil. Alcohol may increase drowsiness or dizzinesswhile taking Paxil losing weight after paxil.


What are the possible side effects of Paxil?
• If you experience any of the following serious side effects, stop takingPaxil 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 losing weight after paxil.
• Less serious side effects may be more likely to occur losing weight after paxil. Continue to takePaxil 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 losing weight after paxil.
• Side effects other than those listed here may also occur losing weight after paxil. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome losing weight after paxil.


What other drugs will affect Paxil?
• 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 losing weight after paxil. Serious, and sometimes fatal, reactions have occurredwhen these medicines have been used together losing weight after paxil. Also, do not take Paxil if youare taking thioridazine (Mellaril) losing weight after paxil. Dangerous, even fatal irregular heartbeatsmay occur if these medicines are taken together losing weight after paxil. You must wait 5 weeks afterstopping Paxil before taking thioridazine (Mellaril) losing weight after paxil.
• Before taking Paxil, tell your doctor if you are taking any of the followingmedicines:
· 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) losing weight after paxil.
• You may not be able to take Paxil, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above losing weight after paxil.
• Drugs other than those listed here may also interact with Paxil losing weight after paxil. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products losing weight after paxil.


Where can I get more information?
• Your pharmacist has additional information about Paxil written for healthprofessionals that you may read losing weight after paxil.


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