PAROXETINE (pa ROX e teen) is used to treat hot flashes due to menopause.
Take this medicine by mouth once daily at bedtime. Follow the directions on the prescription label. This medicine can be taken with or without food. Take your medicine at regular intervals. Do not take your medicine more often than directed.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black, tarry stools
changes in vision
elevated mood, decreased need for sleep, racing thoughts, impulsive behavior
fast, irregular heartbeat
feeling faint or lightheaded, falls
feeling agitated, angry, or irritable
hallucination, loss of contact with reality
loss of balance or coordination
loss of memory
restlessness, pacing, inability to keep still
suicidal thoughts or other mood changes
unusual bleeding or bruising
unusually weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in appetite or weight
change in sex drive or performance
Do not take this medicine with any of the following medications:
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
methylene blue (injected into a vein)
This medicine may also interact with the following medications:
aspirin and aspirin-like medicines
certain medicines for depression, anxiety, or psychotic disturbances
certain medicines for irregular heart beat like propafenone, flecainide, encainide, and quinidine
certain medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
medicines for sleep
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
supplements like St. John's wort, kava kava, valerian
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
bipolar disorder or a family history of bipolar disorder
low levels of sodium in the blood
suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
take MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
take medicines that treat or prevent blood clots
an unusual or allergic reaction to paroxetine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. Visit your doctor or health care professional for regular checks on your progress.
Patients and their families should watch out for new or worsening thoughts of suicide or depression. Also watch out for sudden changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Your mouth may get dry. Chewing sugarless gum, sucking hard candy and drinking plenty of water will help. Contact your doctor if the problem does not go away or is severe.
Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information. Do not become pregnant while taking this medicine.