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Paxil: drug use
Paxil (paroxetine) is a selective serotonin reuptake inhibitor that was specially designed for the treatment of mental disorders caused by the imbalance of chemicals in the brain. This drug is most often used for the treatment of depression, but may also be recommended to treat other conditions - such as posttraumatic stress disorder, panic disorder, premenstrual dysphoric disorder, certain male sexual problems, bipolar disorder, obsessive-compulsive disorder, tingling in the hands and feet caused by diabetes, generalized anxiety disorder, social anxiety disorder, chronic headaches, and some other ones. Your health care provider may recommend taking Paxil along with some other medicines to make sure the effects you get are just what you expect, but make sure you do not combine it with other medications until told so by your health care provider in order to avoid interactions.
Conditions to report before using Paxil
Make sure you tell your health care provider about any of the following medical conditions you have before starting to take Paxil: epilepsy, liver disease, a history of drug abuse, kidney disease, seizures, heart disease, a history of suicidal thoughts, bipolar disorder, or a recent history of heart attack. Those may affect the success of your treatment and your dose may need to be revised.
Taking Paxil for successful treatment
Take Paxil regularly to make sure you benefit from it and report to your health care provider any symptoms that can mean your treatment is not going as planned and may need to be revised or stopped altogether. The following ones can make you do that: difficulty staying asleep, panic attacks, abnormal excitement, planning a suicide, severe restlessness, acting without thinking, extreme worry, suicidal thoughts, new or worsening depression, difficulty falling asleep, aggressive behavior, agitation, irritability, and thinking about harming yourself.
Can Paxil be taken with other drugs?
The following medications must be reported right away to your health care provider if you are taking them or are planning to take in the nearest future: theophylline, naproxen, almotriptan, amitriptyline, digoxin, fluvoxamine, tamoxifen, nabumetone, imipramine, medicine to treat psychiatric disorders, sertraline, frovatriptan, fosamprenavir, disopyramide, rizatriptan, nortriptyline, risperidone, ibuprofen, escitalopram, mexiletine, procainamide, St. John's wort, etodolac, blood thinners, piroxicam, citalopram, fluoxetine, diclofenac, flecaininde, arthritis medications, ritonavir, indomethacin, naratriptan, Tramadol, propafenone, tryptophan, quinidine, medicine for pain, zolmitriptan, desipramine, sumatriptan, linezolid, morizicine, and cimetidine. If you are taking or are planning to take any of the medications mentioned, they must be reported to your health care provider as soon as possible.
Is Paxil likely to cause side effects?
Paxil can cause side effects that can vary in intensity. The following are the possible side effects of this medicine that you will need to report straight to your health care provider as they are considered serious: chest pain, abnormal bleeding or bruising, black and tarry stools, sweating, bloody vomit, swelling, fainting, hoarseness, blood in stools, seizure, irregular heartbeat, numbness or tingling in your hands, feet, arms, or legs, vomit that looks like coffee grounds, unsteady walking, hives, sudden nausea, weakness, difficult or painful urination, dizziness, difficulty breathing or swallowing, bloating, uncontrollable shaking, hallucinations, fever, pounding heartbeat, itching, severe muscle stiffness, skin rash, vomiting, swelling, itching, or burning in the vagina, blurred vision, tiny red spots directly under the skin, sore throat, chills, or other signs of infection, sudden muscle twitching, tightness in hands and feet, confusion, and difficulty breathing, and any other ones you think are severe. At the same time you are most likely to get just a few mild side effects such as weight loss or gain, dry mouth, muscle tightness, unusual dreams, gas, vomiting, headache, nervousness, diarrhea, stomach pain, weakness, pain in the back or muscles, cough, painful or irregular menstruation, difficulty concentrating, changes in sex drive or ability, yawning, dizziness, nausea, heartburn, constipation, flushing, forgetfulness, decreased appetite, runny nose, light sensitivity, sleepiness, sweating, confusion, lump in the throat, or muscle weakness.
How to stop your treatment with Paxil
You will need to use less and less of Paxil before you stop taking it completely - to avoid such withdrawal symptoms as dizziness, unusual dreams, abnormally excited mood, nausea, numbness or tingling in the limbs, headache, mood changes, trouble staying asleep, depression, irritability, difficulty falling asleep, confusion, sweating, anxiety, and tiredness.