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Description
Paxil can be used in the treatment of social anxiety disorder (also known as social phobia), a condition marked by shyness or stage fright so intense that it interferes with an individual's work and s ocial life.

Paxil is also used to treat obsessive-compulsive disorder (OCD), a disease marked by unwanted, but stubbornly persistent thoughts, or unreasonable rituals you feel compelled to r epeat.

Special Wanring
Commonly Observed: - The most commonly observed adverse experiences associated with the use of paroxetine and not seen at an equivalent incidence among placebo treated patients were: Nausea, somnolenc e, sweating, tremor, asthenia, dizziness, dry mouth, insomnia and male sexual dysfunction (primarily ejaculatory delay).

What special precautions should I follow?
Paxil should be used cautiously by people with a history of manic disorders and those with high pressure in the eyes (glaucoma).

If you have a history of seizures, make sure your doctor know s about it. Paxil should be used with caution in this situation. If you develop seizures once therapy has begun, the drug should be discontinued.

If you have a disease or condition that affe cts your metabolism or blood circulation, make sure your doctor is aware of it. Paxil should be used cautiously in this situation.

Paxil may impair your judgment, thinking, or motor skills.

Overdose
No specific antidote is known. Treatment should consist of those general measures employed in the management of overdose with any antidepressant.

The stomach should be emptied either by the induction of emesis, lavage or both. Following evacuation, 20 to 30 g of activated charcoal may be administered every 4 to 6 hours during the first 24 hours after ingestion. Supportive care with frequ ent monitoring of vital signs and careful observation is indicated.

What side effects can this medication cause?
More common side effects may include:
- Abnormal ejaculation, abnormal orgasm, constipation, decreased appetite, decreased sex drive, diarrhea, dizziness, drowsiness, dry mouth, gas, impotence, m ale and female genital disorders, nausea, nervousness, sleeplessness, sweating, tremor, weakness, vertigo

Drug Interactions
Occupational Hazards: - Although paroxetine did not cause sedation or interfere with psychomotor performance in placebo-controlled studies in normal subjects, patients should be advised to avoid drivi ng a car or operating hazardous machinery until they are reasonably certain that paroxetine does not affect them adversely.


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