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What special precautions should I follow?
Allergies¡XTell your doctor if you have ever had any unusual or allergic reaction to Paxil. Also tell your health care professional if you are allergic to any other substances, such as foods, preserva ives, or dyes.

Description
Paxil (pa-ROX-uh-teen) is used to treat mental depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder (also known as social phobia), premenstr ual dysphoric disorder (PMDD), and posttraumatic stress disorder (PTSD).

Paxil belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are th ought to work by increasing the activity of the chemical serotonin in the brain.

Adverse Effects
Adverse Events Leading to Discontinuation of Treatment: - 16% (656/4126) of patients who received paroxetine in worldwide clinical trials discontinued treatment due to an adverse experience. The most common events (reported by at least 1% of subjects) associated with discontinuation included: asthenia, headache, nausea, somnolence, insomnia and abnormal ejaculation. All other events associated wit h discontinuation occurred at rates of 1% or less.

How to Use
Swallow the controlled-release tablets whole; do not split, chew, or crush them.

Continue to take Paxil even if you feel well. Do not stop taking Paxil without talking to your doctor, especia lly if you have taken large doses for a long time. Your doctor will probably want to decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt

Side Effects of This Medicine
Side effects from Paxil are common, and include:

- upset stomach
- drowsiness
- weakness or tiredness
- excitement or anxiety
- insomnia
- nightmares
- dry mout h
- changes in appetite or weight

Tell your doctor if any of these symptoms are severe or do not go away:

- constipation
- difficulty urinating
- frequent urination
- blurred vision
- changes in sex drive or ability
- excessive sweating

Cautions
Paxil should be used cautiously by people with a history of manic disorders and those with high pressure in the eyes (glaucoma).

If you have a history of seizures, make sure your doctor know s about it. Paxil should be used with caution in this situation. If you develop seizures once therapy has begun, the drug should be discontinued.

If you have a disease or condition that affe cts your metabolism or blood circulation, make sure your doctor is aware of it. Paxil should be used cautiously in this situation.

Paxil may impair your judgment, thinking, or motor skills.


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