BUY PAROXETINE

Paroxetine is applied for panic attacks, anxiety disorders, obsessive-compulsive disorder (OCD), post-traumatic stress disorder, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin), improving your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease anxiety/unreasonable fears, persistent/troubling thoughts (obsessions), and unwanted urges that keep returning (compulsions). It may decrease the number and severity of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. Paroxetine belongs to the class of selective serotonin reuptake inhibitor (SSRI) used to treat depression.

HOW TO USE PAROXETINE:

Ask your doctor any questions that may interest you. It is an oral mediation. It is recommended to take paroxetine two times a day (with or without food) or as prescribed by your doctor. Taking this medication with food may decrease nausea. Time of taking this remedy (evening or morning) depends on effect of this remedy on you personally (sleepy or wakeful). The dosage depends on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may start you at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Don't change your dosage by yourself, because it may result in side effects. In order not to forget take this medication at the same time. If you are taking paroxetine for premenstrual problems, your doctor may direct you to take it every day of the month or just for the 2 weeks before your period through the first full day of your period. It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking paroxetine without first consulting your doctor. Be careful, you may become dependent on this medication. In such cases, withdrawal reactions (e.g., tiredness, sleep changes, mood swings, headache, "shock-like" feelings) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details. Report any withdrawal reactions or worsening symptoms immediately. You should see some improvement in 1 to 2 weeks. Tell your doctor if your condition does not improve or if it worsens.

PAROXETINE SIDE EFFECTS:

You may experience dizziness, trouble sleeping, loss of appetite, nausea, drowsiness, weakness, tiredness, dry mouth, sweating, yawning, or headache. Inform your doctor in the case of worsening or persisting any of the paroxetine side effects. If you experience such unusual but serious side effects as unusual or severe mental/mood changes (e.g., agitation, thoughts of suicide), shakiness (tremor), restlessness, fast/irregular heartbeat, muscle weakness/spasm, seizures, inability to keep still, decreased interest in sex, changes in sexual ability, blurred vision, numbness/tingling, bloody/black/tarry stools, vomit that looks like coffee grounds, easy bruising/bleeding, fainting, change in amount of urine inform your doctor immediately. In combinations with such medications as "triptans" used to treat migraine headaches (e.g., eletriptan, sumatriptan), tramadol, certain antidepressants including other SSRIs (e.g., fluoxetine, citalopram) and SNRIs (e.g., duloxetine, venlafaxine), lithium, tryptophan, or a certain drug to treat obesity (sibutramine) rarely this remedy may result in serotonin syndrome. If you are taking any of the mentioned above medications tell your doctor about it. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. If you notice such symptoms as hallucinations, severe nausea/vomiting/diarrhea, unusual restlessness, loss of coordination, fast heartbeat, severe dizziness, unexplained fever, twitchy muscles seek for immediate medical help. For males, in the very unlikely event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could occur. Symptoms of a serious allergic reaction include: swelling, dizziness, rash, itching, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. Don't forget that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious paroxetine side effects.

PAROXETINE PRECAUTIONS:

Tell your doctor if you have any allergic reaction. Your doctor or pharmacist must know your medical conditions, especially if you have such problems as personal or family history of bipolar/manic-depressive disorder, personal or family history of suicide attempts, seizures, stomach/intestinal ulcers, liver problems, kidney problems, low sodium in the blood, severe loss of body water (dehydration), glaucoma (narrow-angle type). This drug may make you dizzy or drowsy. Be attentive while driving, using machinery, or doing any other activity that requires alertness. Avoid alcoholic beverages. Elder people are more sensitive to the side effect of this medication. The elderly are more likely to lose too much salt (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication. This remedy is not advised during pregnancy. It may harm an unborn baby. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may infrequently develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly. Since untreated depression can be a serious condition, do not stop taking paroxetine unless directed by your doctor. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss the benefits and risks of using paroxetine during pregnancy with your doctor. This drug passes into breast milk. Consult your doctor before breast-feeding.

PAROXETINE INTERACTIONS:

Your doctor or pharmacist may already be acquainted with any possible paroxetine interactions. Do not start, stop, or change the dosage of any medicine before checking with them first. Certain medications taken with this product could result in serious (rarely fatal) paroxetine interactions. Avoid taking sibutramine or MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) for 2 weeks before, during, or after treatment with this medication. Consult your doctor or pharmacist for additional information. In combinations with such drugs as pimozide, thioridazine this medication may result in serious (possibly fatal) interaction. Tell your doctor that you are taking any of the mentioned above medications. Your doctor should know about all the medications you are taking, especially of: drugs removed from your body by certain liver enzymes (e.g., phenothiazines, procyclidine, risperidone, aripiprazole, atomoxetine, fluoxetine, tamoxifen, antiarrhythmics such as propafenone, TCA antidepressants such as desipramine, flecainide, amitriptyline), cimetidine, digoxin, theophylline, tramadol, fosamprenavir/ritonavir, metoprolol, quinidine, "water pills" (diuretics such as furosemide), drugs that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin, warfarin). Aspirin can increase the risk of bleeding when used with this medication. If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Discuss the risks and benefits with your doctor. Also tell your doctor if you take any other drugs that increase serotonin, such as meperidine, dextromethorphan, propoxyphene, bromocriptine, buspirone, lithium, phentermine, SSRIs, SNRIs, tryptophan, St. John's wort, drugs used to treat migraines such as "triptans" and dihydroergotamine, street drugs such as MDMA/"ecstasy, " amphetamine. Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: muscle relaxants, medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), narcotic pain relievers (e.g., codeine), certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), psychiatric medicines (e.g., nortriptyline, quetiapine, chlorpromazine, trazodone). Look through the labels on all your medications to find out if they contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may cause undesirable interactions when used with paroxetine, ask your pharmacist about other products to treat stomach acid.

NOTES:

Do not share paroxetine with others. Psychiatric/medical check-ups should be done periodically to monitor your progress or check for side effects. Consult your doctor for more details.