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What special precautions should I follow?
Older adults¡XIn studies that have included elderly people, Paxil did not cause different side effects or problems in older people than it did in younger adults. However, Paxil may be removed from the body more slowly in elderly people. An older adult may need a lower dose than a younger adult.

Overdose
No specific antidote is known. Treatment should consist of those general measures employed in the management of overdose with any antidepressant.

The stomach should be emptied either by the induction of emesis, lavage or both. Following evacuation, 20 to 30 g of activated charcoal may be administered every 4 to 6 hours during the first 24 hours after ingestion. Supportive care with frequ ent monitoring of vital signs and careful observation is indicated.

Possible Side Effect
More common side effects may include:
- Abnormal ejaculation, abnormal orgasm, constipation, decreased appetite, decreased sex drive, diarrhea, dizziness, drowsiness, dry mouth, gas, impotence, m ale and female genital disorders, nausea, nervousness, sleeplessness, sweating, tremor, weakness, vertigo

Cautions
Before taking Paxil,

tell your doctor and pharmacist if you are allergic to Paxil or any other drugs.
tell your doctor if you have or have ever had glaucoma; an enlarged prostate; diffic ulty urinating; seizures; an overactive thyroid gland; or liver, kidney, or heart disease.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become preg nant while taking Paxil, call your doctor immediately.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Paxil.
you should know that this dr ug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.

Special Wanring
Gastrointestinal: - Frequent: Nausea and vomiting. Infrequent: Bruxism, buccal cavity disorders, dysphagia, eructation, gastroenteritis, gastrointestinal flu, glossitis, increased salivation, liver fu nction tests abnormal, mouth ulceration, vomiting and diarrhea, rectal hemorrhage. Rare: Aphthous stomatitis, bloody diarrhea, bulimia, colitis, duodenitis, esophagitis, fecal impaction, fecal inconti nence, gastritis, gingivitis, hematemesis, hepatitis, ileus, jaundice, melena, peptic ulcer, salivary gland enlargement, stomach ulcer, stomatitis, tongue edema, tooth caries.

What is this medicine
Paxil (pa-ROX-uh-teen) is used to treat mental depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, social anxiety disorder (also known as social phobia), premenstr ual dysphoric disorder (PMDD), and posttraumatic stress disorder (PTSD).

Paxil belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are th ought to work by increasing the activity of the chemical serotonin in the brain.


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