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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.

What is this Drug
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.

What side effects may occur?
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

Special Wanring
Nervous System: - Frequent: CNS stimulation, concentration impaired, depression, emotional lability, vertigo. Infrequent: Akinesia, alcohol abuse, amnesia, ataxia, convulsion, depersonalization, hallu cinations, hyperkinesia, hypertonia, incoordination, lack of emotion, manic reaction, paranoid reaction, thinking abnormal. Rare: Abnormal EEG, abnormal gait, antisocial reaction, choreoathetosis, cir cumoral paresthesia, delirium, delusions, diplopia, drug dependence, dysarthria, dyskinesia, dystonia, euphoria, fasciculations, grand mal convulsion, hostility, hyperalgesia, hypokinesia, hysteria, l ibido increased, manic depressive reaction, meningitis, myelitis, neuralgia, neuropathy, nystagmus, psychosis, psychotic depression, reflexes increased, stupor, withdrawal syndrome.

Possible food and drug interactions when taking this medication
Geriatrics: - Administration of paroxetine to the elderly is associated with increased plasma levels and prolongation of the elimination half-life relative to younger adults (see Pharmacology, Pharmac okinetics). Elderly patients should be initiated and maintained at the lowest daily dose of paroxetine which is associated with clinical efficacy.

Proper Use of This Medicine
You may have to take Paxil for several weeks before you begin to feel better. Your doctor should check your progress at regular visits during this time. Also, if you are taking Paxil for depression, y ou will probably need to continue taking it for at least 6 months to help prevent the depression from returning.

If you are taking the oral suspension form of Paxil, shake the bottle well bef ore measuring each dose. Use a small measuring cup or a measuring spoon to measure each dose. The teaspoons and tablespoons that are used for serving and eating food do not measure exact amounts.


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