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When should I call my doctor if I am taking Paxil?

If you are taking the antidepressant Paxil (paroxetine), you should call your doctor for the following reasons:
  • You are considering stopping the drug. Abruptly quitting Paxil may cause a worsening of depression or anxiety, or a variety of withdrawal symptoms. Your doctor may taper your dose slowly to prevent these problems. Do not stop taking Paxil until you talk to your doctor.
  • You have found out you are pregnant. Paxil may harm a developing fetus. You and your doctor should weigh Paxil's potential benefits against its possible risks to your developing fetus.
  • You are considering taking a new medication or supplement. Paxil can interact with certain drugs and supplements, increasing the risk of side effects or other problems. Do not start any new medication or supplement while you are taking Paxil without checking with your doctor first.
  • You have been diagnosed with a new medical condition. Paxil may not be safe to take if you have certain health disorders, including problems with your liver, heart or kidneys, bleeding problems, glaucoma or seizure disorders.
You should also call your doctor if you are experiencing side effects, especially any of the following:
  • changes in mood or behavior, such as acting impulsively, aggressively, or violently; new or worse depression or anxiety; symptoms of mania (restlessness, agitation, fast talking, racing thoughts); suicidal thoughts or behavior
  • symptoms of serotonin syndrome (a condition in which the brain has too much of the chemical neurotransmitter serotonin), including hallucinations, agitation, racing heartbeat, high or low blood pressure, sweating or fever, vomiting or diarrhea, coordination problems, muscle stiffness or twitching
  • signs of allergic reaction, including trouble breathing, hives or skin rash, fever, joint pain, swelling of the face, tongue, eyes or mouth
  • abnormal bleeding, especially if you also take blood thinners or non-steroidal anti-inflammatory drugs, such as ibuprofen or aspirin
  • seizures or convulsions
  • symptoms of low levels of sodium in the blood (more common in elderly people who take Paxil), including headache, weakness or feeling unsteady, confusion, trouble concentrating, memory problems
  • trouble urinating or changes in frequency of urination
  • numbness, tingling, or burning pain in your hands, arms, feet or legs
  • eye pain, changes in vision or swelling or redness in the eye

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.