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It may also be used to treat anxiety disorders, obsessive compulsive disorder, panic attacks, post traumatic stress, and premenstrual dysphoric disorder (PMDD). This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.</p> <h2>What should I tell my health care providers before I take this medicine?</h2> <p>They need to know if you have any of these conditions:</p> <ul> <li>bipolar disorder or a family history of bipolar disorder </li> <li>heart disease </li> <li>kidney or liver disease </li> <li>receiving electroconvulsive therapy </li> <li>seizures (convulsions) </li> <li>suicidal thoughts or a previous suicide attempt </li> <li>an unusual or allergic reaction to paroxetine, other medicines, foods, dyes, or preservatives </li> <li>pregnant or trying to get pregnant </li> <li>breast-feeding</li> </ul> <h2>How should I use this medicine?</h2> <p>Take this medicine by mouth with a glass of water. 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Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> <p>Do not take this medicine with any of the following:</p> <ul> <li>antacids </li> <li>certain diet drugs like dexfenfluramine, fenfluramine, phentermine </li> <li>MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate </li> <li>medicines similar to paroxetine like fluoxetine, sertraline, citalopram </li> <li>phenothiazines like thioridazine </li> <li>pimozide </li> <li>procarbazine </li> <li>St. John's wort </li> <li>tryptophan </li> </ul> <p>This medicine may also interact with the following:</p> <ul> <li>aspirin and aspirin-like drugs </li> <li>cimetidine </li> <li>digoxin </li> <li>fosamprenavir </li> <li>linezolid </li> <li>medicines for depression, anxiety, or psychotic disturbances </li> <li>medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan </li> <li>medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin </li> <li>NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen </li> <li>phenobarbital </li> <li>phenytoin </li> <li>procyclidine </li> <li>ritonavir </li> <li>theophylline</li> </ul> <p>This list may not describe all possible interactions. 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Continue to take your medicine even if you do not immediately feel better. It can take several weeks before you feel the full effect of this medicine.</p> <p>Patients and their families should watch out for depression or thoughts of suicide that get worse. Also watch out for sudden or severe 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 antidepressant treatment or after a change in dose, call your health care professional.</p> <p>If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or your symptoms may get worse. Ask your doctor or health care professional for advice.</p> <p>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. 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