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Paroxetine can also help people with anxiety problems like social anxiety, obsessive compulsive disorder, panic attacks, or post-traumatic stress. Paroxetine may also be prescribed for other purposes, like premenstrual dysphoric disorder (PMDD). Generic paroxetine tablets are available. Generic extended-release tablets are not yet available.<br /> <h3><u>What should I tell my health care provider before I take this medicine?</u></h3><br /> <p><h4> They need to know if you have any of these conditions:</h4></p> • heart disease<br /> • kidney disease<br /> • liver disease<br /> • receiving electroconvulsive therapy<br /> • seizures (convulsions)<br /> • suicidal thoughts or a previous suicide attempt<br /> • an unusual or allergic reaction to paroxetine, other medicines, foods, dyes, or preservatives<br /> • pregnant or trying to get pregnant<br /> • breast-feeding<br /> <h3><u>How should I take this medicine?</u></h3><br /> Take paroxetine tablets by mouth. Follow the directions on the prescription label. If you are taking Paxil® CR™, you should not chew, crush, or cut these tablets. You may take paroxetine with or without food. Swallow the tablets with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your prescriber's advice.<br /> <br /> Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.<br /> <h3><u>What if I miss a dose?</u></h3><br /> If you miss a dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take double or extra doses.<br /> <h3><u>What drug(s) may interact with paroxetine?</u></h3><br /> Paroxetine has the potential to interact with a variety of medications, check with your healthcare professional. The following list contains some of these interactions.<br /> <br /> <p><h4> <em>Do not take paroxetine with any of the following medications:</em></h4></p> • astemizole (Hismanal®)<br /> • cisapride (Propulsid®)<br /> • pimozide (Orap®)<br /> • terfenadine (Seldane®)<br /> • thioridazine (Mellaril®)<br /> • medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)<br /> <br /> <p><h4> <em>Paroxetine may also interact with the following medications:</em></h4></p> • antacids (interacts with Paxil® CR™ only)<br /> • alcohol<br /> • amphetamine<br /> • certain diet drugs (dexfenfluramine, fenfluramine, phentermine, sibutramine)<br /> • certain migraine headache medicines (almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan)<br /> • cimetidine<br /> • dextroamphetamine<br /> • dextromethorphan<br /> • digoxin<br /> • doxercalciferol<br /> • fosphenytoin<br /> • furazolidone<br /> • linezolid<br /> • lithium<br /> • medicines for psychotic disturbances<br /> • other medicines for mental depression, mania, anxiety, or difficulty sleeping<br /> • medicines for regulating heart rhythm or blood pressure<br /> • phenobarbital<br /> • phenytoin<br /> • prescription pain medications<br /> • primidone<br /> • procarbazine<br /> • selegiline<br /> • St. John's wort, Hypericum perforatum<br /> • theophylline<br /> • tramadol<br /> • warfarin<br /> <br /> Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, and herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. 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