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How should this medicine be used?
Take this medicine only as directed by your doctor to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doct or ordered.

Paxil may be taken with or without food or on a full or empty stomach. However, if your doctor tells you to take the medicine a certain way, take it exactly as directed.

What side effects may occur?
More common side effects may include:
- Abnormal ejaculation, abnormal orgasm, constipation, decreased appetite, decreased sex drive, diarrhea, dizziness, drowsiness, dry mouth, gas, impotence, m ale and female genital disorders, nausea, nervousness, sleeplessness, sweating, tremor, weakness, vertigo

Special Wanring
Nervous System: - Frequent: CNS stimulation, concentration impaired, depression, emotional lability, vertigo. Infrequent: Akinesia, alcohol abuse, amnesia, ataxia, convulsion, depersonalization, hallu cinations, hyperkinesia, hypertonia, incoordination, lack of emotion, manic reaction, paranoid reaction, thinking abnormal. Rare: Abnormal EEG, abnormal gait, antisocial reaction, choreoathetosis, cir cumoral paresthesia, delirium, delusions, diplopia, drug dependence, dysarthria, dyskinesia, dystonia, euphoria, fasciculations, grand mal convulsion, hostility, hyperalgesia, hypokinesia, hysteria, l ibido increased, manic depressive reaction, meningitis, myelitis, neuralgia, neuropathy, nystagmus, psychosis, psychotic depression, reflexes increased, stupor, withdrawal syndrome.

Drug Interactions
Suicide: - The possibility of a suicide attempt is inherent in depression and may persist until remission occurs. Therefore, high risk patients should be closely supervised throughout therapy and cons ideration should be given to the possible need for hospitalization. In order to minimize the opportunity for overdosage, prescriptions for paroxetine should be written for the smallest quantity of dru g consistent with good patient management.

Precautions while Using this Medicine
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.

Symptoms of overdose
No specific antidote is known. Treatment should consist of those general measures employed in the management of overdose with any antidepressant.

The stomach should be emptied either by the induction of emesis, lavage or both. Following evacuation, 20 to 30 g of activated charcoal may be administered every 4 to 6 hours during the first 24 hours after ingestion. Supportive care with frequ ent monitoring of vital signs and careful observation is indicated.


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