Medically reviewed by Drugs.com. Last updated on Dec 4, 2020.
- Drugs like this one have raised the chance of suicidal thoughts or actions in children and young adults. The risk may be greater in people who have had these thoughts or actions in the past. All people who take Paxil (paroxetine tablets) need to be watched closely. Call the doctor right away if signs like low mood (depression), nervousness, restlessness, grouchiness, panic attacks, or changes in mood or actions are new or worse. Call the doctor right away if any thoughts or actions of suicide occur.
- This medicine is not approved for use in children. Talk with the doctor.
Uses of Paxil:
- It is used to treat low mood (depression).
- It is used to treat obsessive-compulsive problems.
- It is used to treat panic attacks.
- It is used to treat anxiety.
- It is used to treat post-traumatic stress.
- It may be given to you for other reasons. Talk with the doctor.
What do I need to tell my doctor BEFORE I take Paxil?
- If you have an allergy to paroxetine or any other part of Paxil (paroxetine tablets).
- If you are allergic to Paxil (paroxetine tablets); any part of Paxil (paroxetine tablets); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
- If you are taking any of these drugs: Linezolid, methylene blue, pimozide, or thioridazine.
- If you have taken certain drugs for depression or Parkinson's disease in the last 14 days. This includes isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. Very high blood pressure may happen.
This is not a list of all drugs or health problems that interact with Paxil (paroxetine tablets).
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Paxil (paroxetine tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Paxil?
- Tell all of your health care providers that you take Paxil (paroxetine tablets). This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert until you see how Paxil (paroxetine tablets) affects you.
- Do not stop taking Paxil (paroxetine tablets) all of a sudden without calling your doctor. You may have a greater risk of side effects. If you need to stop Paxil (paroxetine tablets), you will want to slowly stop it as ordered by your doctor.
- Avoid drinking alcohol while taking Paxil (paroxetine tablets).
- Talk with your doctor before you use other drugs and natural products that slow your actions.
- It may take several weeks to see the full effects.
- This medicine may raise the chance of a broken bone. Talk with the doctor.
- This medicine may raise the chance of bleeding. Sometimes, bleeding can be life-threatening. Talk with the doctor.
- Some people may have a higher chance of eye problems with Paxil (paroxetine tablets). Your doctor may want you to have an eye exam to see if you have a higher chance of these eye problems. Call your doctor right away if you have eye pain, change in eyesight, or swelling or redness in or around the eye.
- A severe and sometimes deadly problem called serotonin syndrome may happen. The risk may be greater if you also take certain other drugs. Call your doctor right away if you have agitation; change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; flushing; muscle twitching or stiffness; seizures; shivering or shaking; sweating a lot; severe diarrhea, upset stomach, or throwing up; or very bad headache.
- This medicine can cause low sodium levels. Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death.
- If you are 65 or older, use Paxil (paroxetine tablets) with care. You could have more side effects.
- This medicine may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.
- This medicine may affect sperm in men. This may affect being able to father a child. Talk with the doctor.
- This medicine may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking Paxil (paroxetine tablets), call your doctor right away.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
How is this medicine (Paxil) best taken?
Use Paxil (paroxetine tablets) as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Keep taking Paxil (paroxetine tablets) as you have been told by your doctor or other health care provider, even if you feel well.
- Take with or without food.
- Swallow whole. Do not chew, break, or crush.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of low sodium levels like headache, trouble focusing, memory problems, feeling confused, weakness, seizures, or change in balance.
- Signs of bleeding like throwing up or coughing up blood; vomit that looks like coffee grounds; blood in the urine; black, red, or tarry stools; bleeding from the gums; abnormal vaginal bleeding; bruises without a cause or that get bigger; or bleeding you cannot stop.
- Feeling confused.
- Change in balance.
- Agitation, twitching, sweating, or muscle stiffness.
- A heartbeat that does not feel normal.
- Hallucinations (seeing or hearing things that are not there).
- Very bad dizziness or passing out.
- Bone pain.
- A big weight loss.
- A burning, numbness, or tingling feeling that is not normal.
- Sex problems like lowered interest in sex or ejaculation problems.
- Erection that lasts more than 4 hours.
What are some other side effects of Paxil?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
- Feeling dizzy, sleepy, tired, or weak.
- Feeling nervous and excitable.
- Constipation, diarrhea, stomach pain, upset stomach, throwing up, or feeling less hungry.
- Dry mouth.
- Trouble sleeping.
- Back pain.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Paxil?
- Store at room temperature protected from light. Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time Paxil (paroxetine tablets) is refilled. If you have any questions about Paxil (paroxetine tablets), please talk with the doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
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More about Paxil (paroxetine)
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- During Pregnancy or Breastfeeding
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- Drug class: selective serotonin reuptake inhibitors
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