Buy Paroxetine
(Generic Paxil)
Paroxetine (Generic Paxil) is used for depression and/or social anxiety
disorders. Your doctor may have prescribed Paroxetine to treat other conditions
as well.
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Buy Paroxetine
GENERIC NAME: Paroxetine
BRAND NAME: Paxil
IMPORTANT WARNING:
A small number of children, teenagers, and young adults (up to 24 years of
age) who took antidepressants ('mood elevators') such as Paroxetine during
clinical studies became suicidal (thinking about harming or killing oneself
or planning or trying to do so). Children, teenagers, and young adults who
take antidepressants to treat depression or other mental illnesses may be
more likely to become suicidal than children, teenagers, and young adults
who do not take antidepressants to treat these conditions. However, experts
are not sure about how great this risk is and how much it should be considered
in deciding whether a child or teenager should take an antidepressant. Children
younger than 18 years of age should not normally take Paroxetine, but in some
cases, a doctor may decide that Paroxetine is the best medication to treat
a child's condition.
You should know that your mental health may change in unexpected ways when
you take Paroxetine or other antidepressants even if you are an adult over
age 24. You may become suicidal, especially at the beginning of your treatment
and any time that your dose is increased or decreased. You, your family, or
your caregiver should call your doctor right away if you experience any of
the following symptoms: new or worsening depression; thinking about harming
or killing yourself, or planning or trying to do so; extreme worry; agitation;
panic attacks; difficulty falling asleep or staying asleep; aggressive behavior;
irritability; acting without thinking; severe restlessness; and frenzied abnormal
excitement. Be sure that your family or caregiver knows which symptoms may
be serious so they can call the doctor when you are unable to seek treatment
on your own.
Your healthcare provider will want to see you often while you are taking
Paroxetine, especially at the beginning of your treatment. Be sure to keep
all appointments for office visits with your doctor.
The doctor or pharmacist will give you the manufacturer's patient information
sheet (Medication Guide) when you begin treatment with Paroxetine. Read the
information carefully and ask your doctor or pharmacist if you have any questions.
You also can obtain the Medication Guide from the FDA website: http://www.fda.gov/cder/drug/antidepressants/antidepressants_MG_2007.pdf.
No matter what your age, before you take an antidepressant, you, your parent,
or your caregiver should talk to your doctor about the risks and benefits
of treating your condition with an antidepressant or with other treatments.
You should also talk about the risks and benefits of not treating your condition.
You should know that having depression or another mental illness greatly increases
the risk that you will become suicidal. This risk is higher if you or anyone
in your family has or has ever had bipolar disorder (mood that changes from
depressed to abnormally excited) or mania (frenzied, abnormally excited mood)
or has thought about or attempted suicide. Talk to your doctor about your
condition, symptoms, and personal and family medical history. You and your
doctor will decide what type of treatment is right for you.
Why is Paroxetine prescribed?
Paroxetine tablets, suspension (liquid), and extended-release (long-acting)
tablets are used to treat depression, panic disorder (sudden, unexpected attacks
of extreme fear and worry about these attacks), and social anxiety disorder
(extreme fear of interacting with others or performing in front of others
that interferes with normal life). Paroxetine tablets and oral solution are
also used to treat obsessive compulsive disorder (bothersome thoughts that
won't go away and the need to perform certain actions over and over), generalized
anxiety disorder (excessive worrying that is difficult to control), and posttraumatic
stress disorder (disturbing psychological symptoms that develop after a frightening
experience). Paroxetine extended-release tablets are also used to treat premenstrual
dysphoric disorder (PMDD, physical and psychological symptoms that occur before
the onset of the menstrual period each month). Paroxetine is in a class of
medications called selective serotonin reuptake inhibitors (SSRIs). It works
by increasing the amount of serotonin, a natural substance in the brain that
helps maintain mental balance.
How should Paroxetine be used?
Paroxetine comes as a tablet, a suspension (liquid), and a controlled-release
(long-acting) tablet to take by mouth. It is usually taken once daily in the
morning or evening, with or without food. You may want to take Paroxetine
with food to stop it from upsetting your stomach. Take Paroxetine at around
the same time every day. Follow the directions on your prescription label
carefully, and ask your doctor or pharmacist to explain any part you do not
understand. Take Paroxetine exactly as directed. Do not take more or less
of it or take it more often than prescribed by your doctor.
Shake the liquid well before each use to mix the medication evenly.
Swallow the extended-release and Pexeva® brand tablets whole; do not
split, chew, or crush them.
Your doctor may start you on a low dose of Paroxetine and gradually increase
your dose, not more than once a week.
Paroxetine controls your condition but does not cure it. It may take several
weeks or longer before you feel the full benefit of Paroxetine. Continue to
take Paroxetine even if you feel well. Do not stop taking Paroxetine without
talking to your doctor. Your doctor will probably decrease your dose gradually.
If you suddenly stop taking Paroxetine, you may experience withdrawal symptoms
such as depression; mood changes; frenzied or abnormally excited mood; irritability;
anxiety; confusion; dizziness; headache; tiredness; numbness or tingling in
the arms, legs, hands, or feet; unusual dreams; difficulty falling asleep
or staying asleep; nausea; or sweating. Tell your doctor if you experience
any of these symptoms when your dose of Paroxetine is decreased.
Other uses for Paroxetine
Paroxetine is also sometimes used to treat chronic headaches, tingling in
the hands and feet caused by diabetes, and certain male sexual problems. Paroxetine
is also used with other medications to treat bipolar disorder (mood that changes
from depressed to abnormally excited ). Talk to your doctor about the possible
risks of using this drug for your condition.
Paroxetine may be prescribed for other uses; ask your doctor or pharmacist
for more information.
What special precautions should I follow?
Before taking Paroxetine,
tell your doctor and pharmacist if you are allergic to Paroxetine or any
other medications.
tell your doctor if you are taking monoamine oxidase (MAO) inhibitors, including
isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam,
Zelapar), and tranylcypromine (Parnate), or have stopped taking them within
the past 2 weeks, or if you are taking thioridazine or pimozide (Orap). Your
doctor will probably tell you not to take Paroxetine. If you stop taking Paroxetine,
you should wait at least 2 weeks before you start to take an MAO inhibitor.
tell your doctor and pharmacist what other prescription and nonprescription
medications, and vitamins you are taking or plan to take. Be sure to mention
any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin);
antidepressants (mood elevators) such as amitriptyline (Elavil), amoxapine
(Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin,
Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline
(Vivactil), and trimipramine (Surmontil); antihistamines; aspirin and other
nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil,
Motrin), and naproxen (Aleve, Naprosyn); atomoxetine (Straterra), atazanavir
(Reyataz); bromocriptine (Parlodel); bupropion (Wellbutrin); buspirone (Buspar);
celecoxib (Celebrex); chlorpromazine (Thorazine); cimetidine (Tagamet); clopidogrel
(Plavix); codeine (found in many cough and pain medications); dexamethasone
(Decadron); dextromethorphan (found in many cough medications); diazepam (Valium);
dicloxacillin (Dynapen); digoxin (Lanoxin); dipyridamole (Persantine); diuretics
('water pills'); haloperidol (Haldol); isoniazid (INH, Nydrazid); lithium
(Eskalith, Lithobid); medications for irregular heartbeat such as amiodarone
(Cordarone, Pacerone), encainide (Enkaid), flecainide (Tambocor), mexiletine
(Mexitil), moricizine (Ethmozine): propafenone (Rythmol), and quinidine (Quinidex);
medications for mental illness and nausea; medications for migraine headaches
such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan
(Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), and zolmitriptan (Zomig);medications
for seizures such as phenobarbital and phenytoin (Dilantin); meperidine (Demerol);
methadone (Dolophine); metoclopramide (Reglan); metoprolol (Lopressor, Toprol
XL); ondansetron (Zofran); other selective serotonin reuptake inhibitors such
as citalopram (Celexa), fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox);
and sertraline (Zoloft); procyclidine (Kemadrin); propoxyphene (Darvon); propranolol
(Inderal); ranitidine (Zantac); rifampin (Rifadin, Rimactane); risperidone
(Risperdal); ritonavir (Norvir); sibutramine (Meridia); tamoxifen (Nolvadex);
terbinafine (Lamisil); theophylline (Theobid, Theo-Dur); ticlopidine (Ticlid);
timolol (Blocadren); tramadol (Ultram); trazodone (Desyrel); and venlafaxine
(Effexor). Your doctor may need to change the doses of your medications or
monitor you carefully for side effects.
tell your doctor what herbal products and nutritional supplements you are
taking, especially St. John's wort and tryptophan.
tell your doctor if you use or have ever used street drugs or have overused
prescription medications, if you have recently had a heart attack, and if
you have or have ever had glaucoma (an eye disease); seizures; bleeding from
your stomach or esophagus (tube that connects the mouth and stomach) or liver,
kidney, or heart disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.
If you become pregnant while taking Paroxetine, call your doctor.
you should know that Paroxetine may make you drowsy and affect your judgment
and thinking. Do not drive a car or operate machinery until you know how Paroxetine
affects you.
ask your doctor about the safe use of alcoholic beverages while you are taking
Paroxetine.
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost
time for the next dose, skip the missed dose and continue your regular dosing
schedule. Do not take a double dose to make up for a missed one.
What side effects can Paroxetine cause?
Paroxetine may cause side effects. Tell your doctor if any of these symptoms
are severe or do not go away:
headache
dizziness
weakness
difficulty concentrating
nervousness
forgetfulness
confusion
sleepiness or feeling "drugged"
nausea
vomiting
diarrhea
constipation
gas
stomach pain
heartburn
changes in ability to taste food
decreased appetite
weight loss or gain
changes in sex drive or ability
dry mouth
sweating
yawning
sensitivity to light
runny nose
cough
lump or tightness in throat
pain in the back, muscles, joints, or anywhere in the body
muscle weakness or tightness
flushing
problems with teeth
unusual dreams
painful or irregular menstruation
Some side effects can be serious. If you experience any of the following
symptoms or those listed in the IMPORTANT WARNING section, call your doctor
immediately:
blurred vision
rapid, pounding, or irregular heartbeat
chest pain
seizure
abnormal bleeding or bruising
sore throat, fever, chills, and other signs of infection
uncontrollable shaking of a part of the body
sudden muscle twitching or jerking that you cannot control
numbness or tingling in your hands, feet, arms, or legs
difficult, frequent, or painful urination
swelling, itching, burning, or infection in the vagina
painful erection that lasts for hours
sudden upset stomach, vomiting, weakness, cramping, bloating, swelling, tightness
in hands and feet, dizziness, headache and/or confusion
hives
skin rash
itching
swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or
lower legs
hoarseness
difficulty breathing or swallowing
black and tarry stools
red blood in stools
bloody vomit
vomiting material that looks like coffee grounds
Paroxetine may cause other side effects. Call your doctor if you have any
unusual problems while taking Paroxetine.
If you experience a serious side effect, you or your doctor may send a report
to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting
program online [at http://www.fda.gov/MedWatch/index.html] or by phone [1-800-332-1088].
What storage conditions are needed for Paroxetine?
Keep Paroxetine in the container it came in, tightly closed, and out of reach
of children. Store Paroxetine at room temperature and away from excess heat
and moisture (not in the bathroom). Throw away any medication that is outdated
or no longer needed. Talk to your pharmacist about the proper disposal of
your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222.
If the victim has collapsed or is not breathing, call local emergency services
at 911.
Symptoms of overdose may include:
drowsiness
coma
upset stomach
uncontrollable shaking of a part of the body
fast, pounding, irregular, or slow heartbeat
confusion
vomiting
dizziness
seizures
fainting
blurred vision
extreme tiredness
unusual bruising or bleeding
lack of energy
loss of appetite
pain in the upper right part of the stomach
flu-like symptoms
yellowing of the skin and eyes
aggressive behavior
muscle pain, stiffness or weakness
sudden muscle twitching or jerking that you cannot control
dark red or brown urine
difficulty urinating
diarrhea
frenzied, abnormally excited mood
sweating
fever
difficulty walking
What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions
you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription
and nonprescription (over-the-counter) medicines you are taking, as well as
any products such as vitamins, minerals, or other dietary supplements. You
should bring this list with you each time you visit a doctor or if you are
admitted to a hospital. It is also important information to carry with you
in case of emergencies.
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