Drug Name - Paroxetine
Brand Name - Paxil
Class - Antidepressant

WARNING: While antideppressants can provide great benefits, a swall percentageof
children/teenagers taking these medications for various psychiatric conditions
have had a worsening of depression/other symptoms, including suicidal
thoughts/attempts. However, depression itself can sometimes lead to suicidal
thoughts/attepts as well, in both children and adults. Therefore, when
medications to treat depression/other psychiatric conditions (antidepressants)
are used (especially in children/teenagers0 the benefits and risks must be
discussed with the doctor. Though there are no similar study results for adults,
this warning information applies to adults taking these medications as well.
Tell the doctor immediately if you notice a worsening of depression/other
psychiatric symptoms, unusual changes in behavior (including possible suicidal
thoughts/attempts) or other mental/mood changes (such as new/worsening anxiety,
agitation, panic attacks, trouble sleeping, irritability, hostile/angry
feelings, impulsive actions, severe restlessness, very rapid speech). Watch for
these symptoms especially at a time of antidepressant dosage change, or when an
antidepressant medicine is being started.

USES: This medication is a selective serotonin reuptake inhibitor (SSRI) used to
treat depression, panic attacks, obsessive-compulsive disorder (OCD), social
anxiety disorder (social phobia), post-traumatic stress disorder (PTSD), and
generalized anxiety disorder (GAD).
Paroxetine should not be used in children less than 18 years of age. It has
not been shown to be effective for depression in children or teenagers.
SSRI's work bu helping to restore the balance of certain natural substances
in the brain (neuorotransmitters).

OTHER USES: This medication has also been used to treat a severe form of
premenstrual syndrome 9premenstrual dysphoric disorder - PMDD), sexual function
problems in men (premature ejaculation), nerve problems associated with diabetes
(diabetic neuropathy), and chronic headaches.

This medication is taken orally.

NOTE: It may take up to several weeks before the full benefit of this drug takes
effect.

Potential Side Effects:
Nausea
Vomiting
Drowsiness
Dizziness
Diarrhea
Trouble sleeping
Yawning
Constipation
Dry mouth

Potential serious side effects:
Loss of appetite
Unusual or severe mental/mood changes
Increased sweating/flushing
Unusual fatigue
Uncontrolled movements (tremor)
Decreased interest in sex
Changes in sexual ability

Unlikely, but serious side effects:
Black stools
Blurred vision
Change in amount of urine
"Coffee ground" vomit
Easy bruising/bleeding

Highly unlikely, but very serious side effects:
Fainting
Irregular heartbeat
Muscle pain
Trouble swallowing
Unusual swelling
Seizures
Tingling or numbness of the hands/feet

Males: In the very unlikely event you have a painful, prolonged erection, stop
using this drug and seek immediate medical attention or permanent problems could
occur.

Aserious allergic reaction to this drug is unlikely, but seek immediate medical
attention if it occurs. Symptoms of a serious allergic reaction include: rash,
itching, swelling, severe dizziness, trouble breathing.



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