Paxil

( Paroxetine Hcl )

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Paroxetine Hcl

Drug Info for paroxetine hcl

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 suspension 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 (GAD; 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 capsules (Brisdelle) are used to treat hot flashes (sudden feelings of warmth, especially in the face, neck, and chest) in women who are experiencing menopause (stage of life when menstrual periods become less frequent and stop and women may experience other symptoms and body changes). Paroxetine is in a class of medications called selective serotonin-reuptake inhibitors (SSRIs). It treats depression and other mental illnesses by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. There is not enough information available at this time to know how paroxetine works to treat hot flashes.

  • Brisdelle
  • Paxil
  • Paxil CR
  • Pexeva
  • Capsule
  • Liquid
  • Tablet
  • Long Acting Tablet

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

Oral liquid, Tablet, Extended-release Tablet: These are usually taken in the morning.

Brisdelle® capsule: Take at bedtime.

This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Oral liquid: Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. Shake the bottle well just before you measure each dose.

Tablet or Extended-release Tablet: Swallow whole. Do not crush, break, or chew it. Do not use an extended-release tablet that is cracked or chipped.

You may need to take this medicine for a month or longer before you feel better. If you feel that the medicine is not working well, do not take more than your normal dose. Call your doctor for instructions.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to paroxetine, or if you are pregnant.

It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.

Tell your doctor if you are breastfeeding, or if you have kidney disease, liver disease, glaucoma, or a history of epilepsy or seizures.

For some children, teenagers, and young adults, this medicine may increase mental or emotional problems. This may lead to thoughts of suicide and violence. Talk with your doctor right away if you have any thoughts or behavior changes that concern you. Tell your doctor if you or anyone in your family has a history of bipolar disorder or suicide attempts.

This medicine may cause the following problems:Serotonin syndrome (may be life-threatening when used with certain other medicines)Increased risk of bleeding problemsIncreased risk of broken bonesSexual problems

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.

This medicine may decrease the amount of sperm men make and affect their ability to have children. If you plan to have children, talk with your doctor before using this medicine.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

Do not use paroxetine and an MAO inhibitor (including isocarboxazid, linezolid, methylene blue, phenelzine, selegiline, tranylcypromine) within 14 days of each other. Do not use this medicine if you are using pimozide or thioridazine.

Some medicines can affect how paroxetine works. Tell your doctor if you are using any of the following:Amitriptyline, atomoxetine, cimetidine, dextromethorphan, digoxin, fentanyl, fosamprenavir/ritonavir, meperidine, methadone, metoprolol, nebivolol, phenobarbital, phenytoin, procyclidine, risperidone, St John's wort, tamoxifen, theophylline, tolterodine, tramadolAmphetaminesBlood thinner (including clopidogrel, heparin, warfarin)Diuretic (water pill)Medicine for heart rhythm problems (including encainide, flecainide, propafenone, quinidine)NSAID pain or arthritis medicine (including aspirin, celecoxib, diclofenac, ibuprofen, naproxen)Other medicine for depression or anxiety (including buspirone, desipramine, fluoxetine, imipramine, lithium, nortriptyline, venlafaxine)Phenothiazine medicine (including chlorpromazine, perphenazine, prochlorperazine, promethazine)Triptan medicine for migraine headachesTryptophan supplements

Do not drink alcohol while you are using this medicine.

This medicine may cause the following problems:Serotonin syndrome (may be life-threatening when used with certain other medicines)Low sodium levels in the bloodHigher risk of bleeding problemsHigher risk of broken bones

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Confusion, weakness, muscle twitching
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, nausea, vomiting, diarrhea, seeing or hearing things that are not there
  • Bone pain, tenderness, swelling, or bruising
  • Changes in behavior, thoughts of hurting yourself or others
  • Eye pain, vision changes, seeing halos around lights
  • Unusual bleeding or bruising
  • Loss in sexual ability, desire, drive, or performance, delayed or inability to have an orgasm, inability to have or keep an erection
  • Trouble keeping still, feeling restless and agitated, racing thoughts, excessive energy, trouble sleeping
  • Dry mouth
  • Tiredness
  • Blurred vision, headache, dizziness, drowsiness, sleepiness
  • Tiredness
  • Constipation, upset stomach, loss of appetite, weight loss