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How should this medicine be used?
Paxil is taken once a day, with or without food, usually in the morning. Inform your doctor if you are taking or plan to take any prescription or over-the-counter drugs, since they may interact unfavo rably with Paxil.

Shake the oral suspension well before using.

What is this medicine
Paxil relieves a variety of emotional problems. It can be prescribed for serious, continuing depression that interferes with your ability to function. Symptoms of this type of depression often include changes in appetite and sleep patterns, a persistent low mood, loss of interest in people and activities, decreased sex drive, feelings of guilt or worthlessness, suicidal thoughts, difficulty concen trating, and slowed thinking.

What side effects may occur?
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

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.

Possible food and drug interactions when taking this medication
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.

What special precautions should I follow?
The presence of other medical problems may affect the use of Paxil. Make sure you tell your doctor if you have any other medical problems, especially:
- Brain disease or damage or
- Mental r etardation or
- Epilepsy or seizures (history of)¡XThe risk of seizures may be increased.
- Glaucoma, narrow angle¡XPatients with this condition should use Paxil with caution.
- Heart d ease or
- Heart attack, recent¡XUse must be determined by your doctor.
- Kidney disease, severe, or
- Liver disease, severe¡XHigher blood levels of Paxil may occur, increasing the chanc of side effects
- Mania (history of)¡XThe condition may be activated


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