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Precautions while Using this Medicine
Before taking Paxil,

tell your doctor and pharmacist if you are allergic to Paxil or any other drugs.
tell your doctor if you have or have ever had glaucoma; an enlarged prostate; diffic ulty urinating; seizures; an overactive thyroid gland; or liver, kidney, or heart disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become preg nant while taking Paxil, call your doctor immediately.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Paxil.
you should know that this dr ug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.

Overdosage
Overdose attempts have been reported with paroxetine; up to 850 mg alone and in combination with other agents. In cases where paroxetine was used alone, no deaths have occurred and recovery was medica lly uneventful.

Symptoms of overdosage with paroxetine include nausea, vomiting, tremor, dilated pupils, dry mouth and irritability. There are no reports of ECG abnormalities, coma or convul sions following overdosage with paroxetine alone.

Special Wanring
Gastrointestinal: - Frequent: Nausea and vomiting. Infrequent: Bruxism, buccal cavity disorders, dysphagia, eructation, gastroenteritis, gastrointestinal flu, glossitis, increased salivation, liver fu nction tests abnormal, mouth ulceration, vomiting and diarrhea, rectal hemorrhage. Rare: Aphthous stomatitis, bloody diarrhea, bulimia, colitis, duodenitis, esophagitis, fecal impaction, fecal inconti nence, gastritis, gingivitis, hematemesis, hepatitis, ileus, jaundice, melena, peptic ulcer, salivary gland enlargement, stomach ulcer, stomatitis, tongue edema, tooth caries.

Side Effects of This Medicine
If you experience any of the following symptoms, call your doctor immediately:

- jaw, neck, and back muscle spasms
- slow or difficult speech
- shuffling walk
- persistent fin e tremor or inability to sit still
- fever, chills, sore throat, or flu-like symptoms
- difficulty breathing or swallowing
- severe skin rash
- yellowing of the skin or eyes
- irregular heartbeat

What special precautions should I follow?
Breast-feedingˇXPaxil passes into the breast milk. However, the effects of this medicine in nursing babies are not known. Caution should be used if you are breastfeeding.

Why is this medication prescribed?
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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