Paxil

Item	Count		Retail	Price	Order
Paxil 10 mg	30	tablets	$178.80	$149.00
Paxil 10 mg	90	tablets	$513.60	$428.00
Paxil 20 mg	30	tablets	$192.00	$160.00
Paxil 20 mg	60	tablets	$306.00	$255.00
Paxil 20 mg	90	tablets	$418.80	$349.00
Paxil 30 mg	30	tablets	$190.80	$159.00
Paxil 30 mg	60	tablets	$372.00	$310.00
Paxil 30 mg	90	tablets	$486.00	$405.00
Paxil 40 mg	30	tablets	$202.80	$169.00
Paxil 40 mg	90	tablets	$477.60	$398.00

Tablets
Chemical Name: PAROXETINE (pa-ROX-e-teen)

Common uses
This medicine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, panic, attacks, obsessive compulsive disorder (OCD), social anxiety disorder (social phobia) and generalized anxiety disorders (GAD). SSRI's work by helping to restore the balance of certain natural substances in the brain (neurotransmitters). Paroxetine may also be used to treat a variety of other conditions as determined by your doctor including, severe premenstrual syndrome (premenstrual dysphoric disorder), sexual problems in men (premature ejaculation), nerve problems associated with diabetes (diabetic neuropathy), chronic headaches, or post-traumatic stress disorder (PTSD).

Before using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking fenfluramine, dexfenfluramine, astemizole, terfenadine, sibutramine, tramadol, or monoamine oxidase inhibitors (MAOIs). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking clozapine, cyproheptadine, lithium, selegiline, or tricyclic antidepressants. Other drugs besides paroxetine which may affect the heart rhythm (QTc prolongation in the EKG) include dofetilide, pimozide, quinidine, sotalol, procainamide, and sparfloxacin among others. QTc prolongation can infrequently result in serious, rarely fatal, irregular heartbeats. Consult your doctor or pharmacist for details. Ask for instructions about whether you need to stop any other QTc-prolonging drugs you may be using in order to minimize the risk of this effect. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. STORE THIS MEDICINE at room temperature, away from heat and light. CONTINUE TO TAKE THIS MEDICINE even if you feel better. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE and you are taking it in the morning, take it during the afternoon if you remember. If you do not remember until the next morning, skip the missed dose and go back to your regular dosing schedule. IF YOU MISS A DOSE and you are taking 1 dose daily at bedtime and do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
AT LEAST 1 TO 2 WEEKS, and sometimes up to 4 weeks, may pass before this medicine reaches its full effect. THIS MEDICINE IS NOT RECOMMENDED for use in children or adolescents under 18 years of age. IT IS IMPORTANT THAT ALL PATIENTS, including those under 18, consult with their doctor before stopping this medicine. DO NOT SUDDENLY STOP TAKING THIS MEDICINE without checking with your doctor. THIS MEDICINE MAY CAUSE drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. DO NOT DRINK ALCOHOL while you are taking this medicine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include nervousness, trouble sleeping, headache, drowsiness, fatigue, nausea, vomiting, diarrhea, loss of appetite, dry mouth, sweating, dizziness, lightheadedness, muscle spasms, or changes in sexual function. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include nausea, vomiting, drowsiness, fast heartbeat, and dilated pupils.

Additional information
Do Not Share THIS MEDICINE with others for whom it was not prescribed. Do Not Use THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. If using THIS MEDICINE for an extended period of time, obtain refills before your supply runs out.

PAXIL

Introduction

Paxil (paroxetine HCl) is an agent in a newer class of antidepressant medication known as selective serotonin reuptake inhibitors (SSRIs).

Depression and anxiety disorders might be caused by a chemical imbalance in the brain. One of these chemicals is serotonin, which helps send electrical signals from one nerve cell to another. In the process, serotonin is released from one nerve cell (the sender) and travels to the next (the receiver), where it is either absorbed or returns back to the original sender cell.

When a person suffers from depression or anxiety disorders, there could be a problem with the serotonin balance and its effect on cell-to-cell communication.

Paxil blocks serotonin from being reabsorbed back into the sender nerve cell. This process increases the amount of serotonin available to be absorbed by the receiver cell and can help message transmission return to normal.

When should I take take Paxil ?

Paxil may be taken once a day -- either in the morning or the evening -- with or without food. Talk to your doctor or pharmacist about what they think is the best time of day for you. You might find it most convenient to take Paxil with breakfast or dinner, but you may take it anytime.

How long should I take Paxil ?

Depression and anxiety disorders are chronic (ongoing) conditions and your length of Paxil therapy is based on your needs and your doctor's recommendation. It is important to keep taking Paxil so long as your doctor advises you to do so -- even if you are feeling better.

Can I take Paxil with other medications?

In most cases, you can take Paxil with other medications. However, medicines known as monoamine oxidase inhibitors (MAOIs) or thioridazine should not be taken while you are taking Paxil . So, be sure to tell your healthcare provider about any prescription and over-the-counter medications that you are taking.

Does Paxil cause side effects?

As with any prescription medication, Paxil may cause side effects, which are usually mild to moderate and may fade or disappear completely over time. A common side effect of Paxil is nausea, which may be lessened by taking it with food. Other side effects of Paxil may include diarrhea, constipation, decreased appetite, sleepiness, dizziness, yawning, sweating, abnormal vision, and sexual side effects. If you should experience any side effects from Paxil , be sure to report them to your healthcare provider as soon as possible and follow his/her advice.

What do I need to know about stopping Paxil

Don't stop taking Paxil before talking to your doctor since symptoms may result from stopping the medication or from your original condition. Some patients experience the following symptoms on stopping Paxil (particularly when abrupt): dizziness, sensory disturbances (including electric shock sensations), abnormal dreams, agitation, anxiety, nausea and sweating.

Is Paxil addictive?

No. Paxil is not a controlled substance. Paxil belongs to a class of medications called SSRIs, which have not been shown to be associated with addiction.

How much Paxil will I need to take?

The amount of Paxil a patient needs varies with each individual and the condition being treated. The usual starting dose is 10 mg to 20 mg of Paxil. Your doctor can raise the Paxil dose gradually if increases are needed. For people over the age of 65, people with kidney problems and people with compromised liver conditions, the recommended starting dose is 10 mg a day of Paxil.

Follow through on your treatment :

It is very important to follow your doctor's instructions about your treatment. Do not discontinue taking Paxil unless your doctor says it's all right. Even if you might be feeling better, you may need to continue taking Paxil to avoid having your symptoms return.

Is Paxil right for me?

Paxil is a safe and effective medication that has successfully helped people treat their depression and anxiety disorders. In fact, it is one of the most popular treatments currently available for depression and anxiety disorders. Remember, only your doctor can determine if Paxil is right for you.

Other Uses

Paxil has also been used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder- PMDD), sexual function problems in men (premature ejaculation), nerve problems associated with diabetes (diabetic neuropathy), chronic headaches, or post-traumatic stress disorder (PTSD).

Side Effects of Paxil

Nausea, drowsiness, dizziness, diarrhea, trouble sleeping, constipation, or dry mouth may occur with Paxil. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur with Paxil: loss of appetite, unusual or severe mental/mood changes, increased sweating/flushing, unusual fatigue, uncontrolled movements (tremor), decreased interest in sex. Tell your doctor immediately if any of these unlikely but serious side effects occur: blurred vision, changes in sexual ability, painful and/or prolonged erection, change in amount of urine. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: fainting, irregular heartbeat, muscle pain, trouble swallowing, unusual swelling, seizures, easy bruising or bleeding, tingling or numbness of the hands/feet. An allergic reaction to Paxil is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions with Paxil

Tell your doctor your medical history, especially of: liver problems, kidney problems, seizures, heart problems, other mental/mood disorders (e.g., bipolar disorder), thyroid problems, any allergies. Paxil may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages when taking Paxil. Caution is advised when using Paxil in the elderly because they may be more sensitive to the effects of the drug. Paxil should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Paxil passes into breast milk. Because of the potential risk to the infant, breast-feeding while using Paxil is not recommended. Consult your doctor before breast-feeding.

Drug Interactions with Paxil

Certain medications taken with Paxil could result in serious, even fatal, drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks, and avoid taking thioridazine within 5 weeks, before or after treatment with Paxil. Consult your doctor or pharmacist for additional information. Paxil is not recommended for use with: weight loss drugs (e.g., sibutramine, phentermine), thioridazine, terfenadine, astemizole. Ask your doctor or pharmacist for more details. Tell your doctor of all prescription and nonprescription medication you may use, especially: other SSRI antidepressants (e.g., citalopram, fluoxetine), nefazodone, trazodone, tramadol, venlafaxine, "triptan" migraine drugs (e.g., sumatriptan, zolmitriptan), tricyclic antidepressants (e.g., amitriptyline, nortriptyline), cimetidine, digoxin, flecainide, propafenone, clozapine, lithium, tryptophan, "blood thinners" (e.g., warfarin), theophylline, herbal/natural products (e.g., melatonin, ayahuasca, St John's wort). Tell your doctor if you take any drugs that cause drowsiness such as: medicine for sleep, sedatives, tranquilizers, anti- anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, certain antihistamines (e.g., diphenhydramine). Report other drugs which affect the heart rhythm (QTc prolongation), such as: dofetilide, pimozide, sotalol, quinidine, procainamide, sparfloxacin, "water pills" (diuretics such as furosemide or hydrochlorothiazide). Ask your doctor or pharmacist for more details. Do not start or stop Paxil without doctor or pharmacist approval.

Paxil Overdose

If overdose with Paxil is suspected, contact your local poison control center or emergency room immediately. Symptoms of Paxil overdose may include: irregular heartbeat, fainting, severe dizziness or lightheadedness.

Notes

Do Not Share Paxil with others. Laboratory and/or medical tests may be performed to monitor your progress.

Missed Paxil Dose

If you miss a dose of Paxil, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the Paxil dose to catch up.

Storage of Paxil

Store Paxil at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from light and moisture.

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