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Possible food and drug interactions when taking this medication
Anticoagulants: - Paroxetine should be administered with great caution to patients receiving oral anticoagulants. Preliminary data suggest that a pharmacodynamic interaction between paroxetine and war farin may result in increased bleeding in the presence of unaltered prothrombin times.

Adverse Effects
Body as a Whole: - Frequent: Malaise, pain. Infrequent: Allergic reaction, chills, face edema, infection, moniliasis, neck pain, overdose. Rare: Abnormal laboratory value, abscess, adrenergic syndrome , cellulitis, chills and fever, cyst, hernia, intentional overdose, neck rigidity, pelvic pain, peritonitis, substernal chest pain, ulcer.

Special warnings about this medication
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.

Other medical problems
Pregnancy¡XPaxil has not been well studied in pregnant women. Paxil should only be used during pregnancy if the potential benefit outweighs the potential risk to the baby. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

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 Is It
Paxil is also prescribed for posttraumatic stress disorder--a crippling condition that sometimes develops in reaction to a disastrous or horrifying experience. Symptoms, which stubbornly refuse to aba te, include unwanted memories and dreams, intense distress when confronted with reminders of the event, a general numbing of interest and enjoyment, jumpiness, irritability, poor sleep, and loss of co ncentration.


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