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Pregnancy and Lactation: - Although animal studies have not shown any teratogenic or selective embryotoxic effects, the safety of paroxetine in human pregnancy has not been established. Paroxetine sho uld not be used during pregnancy unless the potential benefit to the patient outweighs the possible risk to the fetus.

How should this medicine be used?
Paxil comes as a tablet, suspension, and controlled-release (long-acting) tablet to take by mouth. It is usually taken once daily in the morning and may be taken with or without food. Follow the direc tions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Paxil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Shake the suspension well before using.

What side effects may occur?
Less common side effects may include:
- Abdominal pain, abnormal dreams, abnormal vision, agitation, altered taste sensation, blurred vision, burning or tingling sensation, drugged feeling, emoti onal instability, headache, increased appetite, infection, itching, joint pain, muscle tenderness or weakness, pounding heartbeat, rash, ringing in ears, sinus inflammation, tightness in throat, twitc hing, upset stomach, urinary disorders, vomiting, weight gain, vertigo, yawning

Adverse Effects
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.

What is this Drug
Paxil (pa-ROX-uh-teen) is used to treat mental depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder (also known as social phobia), premenstr ual dysphoric disorder (PMDD), and posttraumatic stress disorder (PTSD).

Paxil belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are th ought to work by increasing the activity of the chemical serotonin in the brain.

Cautions
The effects of Paxil during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Paxil appears in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Paxil is finished.


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