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Paxil information

What is Paxil?

Paxil is a brand name for the active drug Paroxetine. It is a type of antidepressant in a group called selective serotonin reuptake inhibitors (SSRIs). These types of antidepressants work by acting on the way the nervous system reabsorbs naturally-occurring serotonin in the body. Serotonin is a neurotransmitter which is responsible for creating a feeling of well being. It is naturally released into the brain and then reabsorbed quickly afterwards. Taking Paxil will inhibit the re-absorption process thus making more serotonin available in the brain. This property makes Paxil suitable for treating depression, anxiety, obsessive compulsive disorder, post-traumatic stress disorder as well as some other mood disorders. Paxil may also be prescribed for treating premenstrual dysphoric disorder or other reasons which are not discussed here.

How to take Paxil

Your doctor will prescribe Paxil to you based on your condition and how you respond to treatment. Dosage amounts are between 10mg and 60mg per day and usually administered once daily. Always take Paxil at evenly-spaced intervals of time at the same time every day. It is important that you swallow Paxil whole without chewing it or breaking it in any way. If you have trouble swallowing this medicine, talk to your doctor about how to take Paxil safely. Benefits of Paxil are typically seen within 14 days of initiating treatment though it may take longer before full benefits are felt. Let your doctor know if your symptoms do not get better or if they worsen. Never suddenly stop taking Paxil without first consulting your doctor because it could cause a sudden deterioration of your condition.

Paxil Side Effects

While taking Paxil, the following side effects are common (occurring in more than 10% of patients) but typically not serious: feeling nauseous, sleepiness, dizzy spells, insomnia, change in appetite, feeling weak, constipation, increased perspiration, or headaches. These side effects usually go away after the first couple weeks of treatment with Paxil. Let your doctor know if these effects are very bothersome or long lasting. Paxil commonly causes changes to libido and, in men, sexual abilities and ejaculation. Talk to your doctor about the risk of these side effects. If you have any of these serious side effects while taking Paxil, immediately contact your doctor: blood in stools or vomit (may be dark colored), tremors, unexplained or extreme mood change, feeling restless, blurry eyesight, getting bruised or bleeding with ease, loss of consciousness, increased/erratic pulse, muscular spasms, changes to urination, or a tingly feeling. Though rare, taking Paxil may lead to a serious condition in which the body has too much serotonin (serotonin syndrome). This condition is more likely if you use other drugs which can increase serotonin levels. Immediately get medical attention if you have any of these side effects: become delusional, become uncoordinated, extreme lightheadedness, unusual fever, extreme diarrhea/nausea, or muscle twitching. Males using Paxil may experience a serious erectile problem called priapism which is characterized by a prolonged (lasting over 4 hours) or painful erection. Immediately seek medical attention if you have these symptoms because permanent damage could occur and surgery may be necessary. It is rare for patients to have a serious allergy to Paxil but get medical help at once if you have signs of a reaction such as: hives, rashes, inflammation to oral/facial areas, or troubles with how you breathe.

Warning about Paxil and other Antidepressants

Even though antidepressant drugs such as Paxil are prescribed for treating depression, recent studies have shown that they actually may worsen depression in some patients. This is more likely to occur in patients who are under 25 years old. If your condition worsens or you experience symptoms of a new mood disorder while taking Paxil, immediately notify your health care provider.

Precautions while taking Paxil

It is common for Paxil to cause side effects which may affect your attentiveness. This can make it dangerous to perform tasks such as driving a car or operating heavy machinery. Until you are certain that Paxil has not impaired your attentiveness, avoid all activities which could be dangerous with this impairment.

Who Should Not Take Paxil?

Patients who have certain health problems may not be able to safely take Paxil or may require special dosing instructions or need to be monitored for adverse effects. Be certain your doctor knows your updated medical history, particularly of the following: allergies, psychiatric disorders, eye problems, convulsions, gastrointestinal problems, impaired kidneys, mineral imbalances, liver disease, or a personal or family history of suicide. Caution should be used when giving this medicine to children or the elderly. Taking Paxil during pregnancy could cause serious harm to a fetus, especially if the medicine is taken in the last trimester. Do not take Paxil while pregnant unless your doctor has determined it is absolutely necessary. Paxil can be passed to a nursing infant through breast milk and cause harm. Do not take Paxil while breastfeeding.

Interactions with Paxil

Do not take monoamine oxidase (MAO) inhibitors within two weeks before or after taking Paxil. A fatal interaction with Paxil could occur. Make sure your doctor knows of all drugs (including illicit drugs) you take before you begin treatment, especially of the following: psychiatric medicines, MDMA, blood thinners, heart medicine, pain killers, cimetidine, St. John's wort, migraine medicines, amphetamines, and drugs causing drowsiness.

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