Paxil_CR
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Paxil (paroxetine HCI) is a newer class of antidepressant medication known as selective serotonin reuptake inhibitors (SSRIs). Disorders like social anxiety and depression may be caused by an imbalance of chemical messengers in the brain. One of these chemical messengers is serotonin. Serotonin helps send electrical signals from one nerve cell to another. In the process, serotonin is released from one nerve cell (the sender) and travels to the next (the receiver), where it is either absorbed or returns back to the original sender cell. When a person suffers from one of these diseases, there may be a problem with the balance of the serotonin system that affects the cell to cell communication.

Information:

Tablets
Chemical Name: PAROXETINE (pa-ROX-e-teen)

Common uses
This medicine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, panic, attacks, obsessive compulsive disorder (OCD), social anxiety disorder (social phobia) and generalized anxiety disorders (GAD). SSRI's work by helping to restore the balance of certain natural substances in the brain (neurotransmitters). Paroxetine may also be used to treat a variety of other conditions as determined by your doctor including, severe premenstrual syndrome (premenstrual dysphoric disorder), sexual problems in men (premature ejaculation), nerve problems associated with diabetes (diabetic neuropathy), chronic headaches, or post-traumatic stress disorder (PTSD).

Before using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking fenfluramine, dexfenfluramine, astemizole, terfenadine, sibutramine, tramadol, or monoamine oxidase inhibitors (MAOIs). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking clozapine, cyproheptadine, lithium, selegiline, or tricyclic antidepressants. Other drugs besides paroxetine which may affect the heart rhythm (QTc prolongation in the EKG) include dofetilide, pimozide, quinidine, sotalol, procainamide, and sparfloxacin among others. QTc prolongation can infrequently result in serious, rarely fatal, irregular heartbeats. Consult your doctor or pharmacist for details. Ask for instructions about whether you need to stop any other QTc-prolonging drugs you may be using in order to minimize the risk of this effect. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. STORE THIS MEDICINE at room temperature, away from heat and light. CONTINUE TO TAKE THIS MEDICINE even if you feel better. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE and you are taking it in the morning, take it during the afternoon if you remember. If you do not remember until the next morning, skip the missed dose and go back to your regular dosing schedule. IF YOU MISS A DOSE and you are taking 1 dose daily at bedtime and do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
AT LEAST 1 TO 2 WEEKS, and sometimes up to 4 weeks, may pass before this medicine reaches its full effect. THIS MEDICINE IS NOT RECOMMENDED for use in children or adolescents under 18 years of age. IT IS IMPORTANT THAT ALL PATIENTS, including those under 18, consult with their doctor before stopping this medicine. DO NOT SUDDENLY STOP TAKING THIS MEDICINE without checking with your doctor. THIS MEDICINE MAY CAUSE drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. DO NOT DRINK ALCOHOL while you are taking this medicine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include nervousness, trouble sleeping, headache, drowsiness, fatigue, nausea, vomiting, diarrhea, loss of appetite, dry mouth, sweating, dizziness, lightheadedness, muscle spasms, or changes in sexual function. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea, vomiting, drowsiness, fast heartbeat, and dilated pupils.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out