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Symptoms can include: trouble breathing swelling of your face, tongue, eyes, or mouth rash, itchy welts hivesor blisters, alone or with fever or joint pain If you have an allergic reaction, call your doctor or local poison control center right away. However, the dose is usually not more than 20 mg per day.

For obsessive-compulsive disorder: Adults—At first, 20 milligrams mg 10 milliliters [mL] once a day, usually taken in the morning. However, the dose is usually not more than 60 mg 30 mL per day.

For panic disorder: Adults—At first, 10 milligrams mg 5 milliliters [mL] once a day, usually taken in the morning. For posttraumatic stress disorder: Adults—At first, 20 milligrams mg 10 milliliters [mL] once a day, usually taken in the morning. However, the dose usually is not more than 40 mg 20 mL per day.

For social anxiety disorder: Adults—At first, 20 milligrams mg 10 milliliters [mL] once a day, usually taken in the morning. However, the dose usually is not more than 20 mg 10 mL per day. For oral dosage form tablets : For depression: Adults—At first, 20 milligrams mg once a day, usually taken in the morning.

However, the dose is usually not more than 50 mg per day. Older adults—At first, 10 mg once a day, usually taken in the morning. However, the dose is usually not more than 40 mg per day. For generalized anxiety disorder: Adults—At first, 20 milligrams mg once a day, usually taken in the morning. However, the dose usually is not more than 40 mg per day. For obsessive-compulsive disorder: Adults—At first, 20 milligrams mg once a day, usually taken in the morning.

However, the dose usually is not more than 60 mg per day. For panic disorder: Adults—At first, 10 milligrams mg once a day, usually taken in the morning. However, the dose is usually not more than 60 mg per day. For posttraumatic stress disorder: Adults—At first, 20 milligrams mg once a day, usually taken in the morning. However, the dose usually is not more than 50 mg per day.

For social anxiety disorder: Adults—At first, 20 milligrams mg once a day, usually taken in the morning. However, the dose is usually not more than 20 mg per day. For oral dosage form extended-release tablets : For depression: Adults—At first, 25 milligrams mg once a day, usually taken in the morning. However, the dose usually is not more than Older adults—At first, For panic disorder: Adults—At first, However, the dose usually is not more than 75 mg per day.

For premenstrual dysphoric disorder: Adults—At first, However, the dose is usually not more than 25 mg per day. Older adults and children—Use and dose must be determined by your doctor. For social anxiety disorder: Adults—At first, However, the dose is usually not more than Missed Dose If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Do not double doses. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Examples of these drugs include: Nonsteroidal anti-inflammatory drugs NSAIDs , such as ibuprofen and naproxen, as well as aspirin and warfarin.

Taking these drugs with paroxetine can increase your risk of bleeding or bruising. Triptans such as sumatriptan Lithium Serotonergic drugs, such as fentanyl, tramadol, and St. Taking these drugs with paroxetine can increase your risk of serotonin syndrome. Amphetamines, such as lisdexamfetamine and methamphetamine. Taking this drug with paroxetine can increase your risk of restlessness, trouble sleeping, and irritability.

Taking this drug with paroxetine can increase your risk of sleeping difficulty, anxiety, restlessness, and constipation. Cimetidine Antiarrhythmics, such as flecainide and propafenone Phenothiazines, such as chlorpromazine and fluphenazine Tricyclic antidepressants TCAs , such as amitriptyline, imipramine, and desipramine Quinidine. Taking this drug with paroxetine can increase your risk of tiredness, decreased appetite, sweating, dry mouth, and decreased sexual desire.

Interactions that can make drugs less effective Taking paroxetine with certain drugs may cause one or both of the drugs to not work as well. This is because the interaction between the drugs may cause a decrease in your body of paroxetine or the other drug. Examples of these drugs include: tamoxifen, a breast cancer drug digoxin protease inhibitors, such as fosamprenavir and ritonavir phenobarbital phenytoin Disclaimer: Our goal is to provide you with the most relevant and current information.

However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. Always speak with your healthcare professional about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. Paroxetine oral tablet comes with several warnings. Allergy warning This drug can cause a severe allergic reaction.

Symptoms can include: trouble breathing swelling of your face, tongue, eyes, or mouth rash, itchy welts hives , or blisters, alone or with fever or joint pain If you have an allergic reaction, call your doctor or local poison control center right away. If your symptoms are severe, call or go to the nearest emergency room.

Taking it again could be fatal cause death. Alcohol interaction You should avoid drinks that contain alcohol when taking this drug. Warnings for people with certain health conditions For people with glaucoma: Paroxetine may dilate your pupils, which may trigger a glaucoma attack.

Notify your doctor if you have glaucoma before taking this drug. For people with bipolar disorder: Caution should be used when taking this drug if you have bipolar disorder. Taking paroxetine alone may trigger a mixed or manic episode.

For people with seizures: Caution should be used when taking this drug if you have a history of seizures. If seizures occur while you take this drug, you should stop taking it and contact your doctor. For people with kidney disease: If you have kidney disease, your kidneys may not be able to get rid of this drug as well as they should. This may cause levels of the drug to build up in your body and cause more side effects. For people with liver disease: If you have liver disease, your body may not be able to process this drug as well as it should.

This may increase the levels of this drug to build up in your body and cause more side effects. Ask your doctor to tell you about the specific harm that may be done to the fetus.

Call your doctor right away if you become pregnant while taking this drug. Brisdelle, a brand-name drug containing paroxetine used to treat menopausal symptoms like hot flashes and night sweats, is contraindicated in pregnancy. Other brand names Paxil, Paxil CR, Paxeva and the generic paroxetine are not contraindicated in pregnancy. For people who are nursing: This drug passes into breast milk and may cause side effects in a child who is nursed.

Caution should be used when taking this drug while nursing.

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