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Paxil (Paroxetine)

Women's Health » Anti Depressants » Paxil (Paroxetine)

Paxil (Paroxetine) is a newer class of antidepressant medication known as Selective Serotonin Reuptake Inhibitors (SSRIs).

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About Paxil (Paroxetine):

Product Type: Anti Depressants

Brand name: Paxil Generic name: Paroxetine What is the most important information I should know about Paxil? • You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are a child or young adult. Talk with your doctor about this risk. While you are taking Paxil you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. • Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/ or physical hyperactivity) thoughts of suicide or hurting yourself. • Do not use this medication if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control and tell your doctor if you become pregnant during treatment. • Do not take Paxil together with pimozide (Orap) thioridazine (Mellaril) or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Paxil. You must wait 5 weeks after stopping Paxil before you can take thioridazine (Mellaril). What is Paxil? • Paxil is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Paxil affects chemicals in the brain that may become unbalanced and cause depression panic anxiety or obsessive-compulsive symptoms. • Paxil is used to treat depression obsessive-compulsive disorder panic disorder anxiety disorders post-traumatic stress disorder (PTSD) and premenstrual dysphoric disorder (PMDD). • Paxil may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Paxil? • You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are a child or young adult. Talk with your doctor about this risk. While you are taking Paxil you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. • Do not use Paxil if you are using any of the following drugs: pimozide (Orap); thioridazine (Mellaril); or an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) or selegiline (Eldepryl Emsam). • Serious and sometimes fatal reactions can occur when these medicines are taken with Paxil. You must wait at least 14 days after stopping an MAO inhibitor before you can take Paxil. You must wait 5 weeks after stopping Paxil before you can take thioridazine (Mellaril). • Before taking Paxil tell your doctor if you have: liver or kidney disease; seizures or epilepsy; bipolar disorder (manic depression); or a history of drug abuse or suicidal thoughts. • If you have any of these conditions you may not be able to use Paxil or you may need a dosage adjustment or special tests during treatment. • FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use Paxil if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. • Paxil can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take Paxil? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication. • Try to take the medicine at the same time each day. • Do not crush chew or break a controlled-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. • Shake the liquid form of Paxil well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. • It may take 4 weeks or more for you to start feeling better. Do not stop using Paxil without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. • Store Paxil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Paxil overdose may include nausea vomiting tremor sweating decreased urination blurred vision rapid heartbeat confusion aggression fainting seizures and coma. What should I avoid while taking Paxil? • Do not take Paxil together with pimozide (Orap) thioridazine (Mellaril) isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate). • Avoid drinking alcohol which can increase some of the side effects of Paxil. • Avoid using other medicines that make you sleepy (such as cold medicine other pain medication muscle relaxants). They can add to sleepiness caused by Paxil. • Paxil can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. What are the possible side effects of Paxil? • Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face lips tongue or throat. • Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/ or physical hyperactivity) thoughts of suicide or hurting yourself. • Call your doctor at once if you have any of these serious side effects: seizure (convulsions); tremors shivering muscle stiffness or twitching; problems with balance or coordination; or agitation confusion sweating fast heartbeat. • Other less serious side effects are more likely to occur such as: feeling nervous restless or unable to sit still; drowsiness dizziness weakness; sleep problems (insomnia); nausea constipation loss of appetite; weight changes; decreased sex drive impotence or difficulty having an orgasm; or dry mouth yawning or ringing in your ears. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Paxil? • Talk to your doctor before taking any medicine for pain arthritis fever or swelling. This includes aspirin ibuprofen (Advil Motrin) naproxen (Aleve Naprosyn) diclofenac (Voltaren) indomethacin piroxicam (Feldene) nabumetone (Relafen) etodolac (Lodine) and others. Taking any of these drugs with Paxil may cause you to bruise or bleed easily. • Before taking Paxil tell your doctor if you are using any of the following medicines: tryptophan (also called L-tryptophan); risperidone (Risperdal); tramadol (Ultram); St. John's wort; cimetidine (Tagamet); lithium (Lithobid Eskalith); atomoxetine (Strattera); a blood thinner such as warfarin (Coumadin); any other antidepressants such as amitriptyline (Elavil) citalopram (Celexa) escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) imipramine (Tofranil) nortriptyline (Pamelor) or sertraline (Zoloft); a phenothiazine such as prochlorperazine (Compazine) chlorpromazine (Thorazine) fluphenazine (Prolixin) mesoridazine (Serentil) perphenazine (Trilafon) and others; almotriptan (Axert) frovatriptan (Frova) sumatriptan (Imitrex) naratriptan (Amerge) rizatriptan (Maxalt) or zolmitriptan (Zomig); or heart rhythm medication such as flecainide (Tambocor) propafenone (Rhythmol) and others. • If you are using any of these drugs you may not be able to use Paxil or you may need dosage adjustments or special tests during treatment. • There may be other drugs not listed that can affect Paxil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor

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Women's Health: Aygestin (Norethindrone Acetate) Aygestin (Norethindrone Acetate) is a progestin used to treat endometriosis a disorder of the lining of the uterus. It may also be used to treat menstrual disorders and to treat other conditions as determined by your doctor. Buy Aygestin (Norethindrone Acetate) and other Women's Health products online at Medstore. About Aygestin (Norethindrone Acetate): Product Type: Women's Health Brand name: Aygestin Generic name: Norethindrone Acetate What is the most important information I should know about Aygestin? • Using Aygestin while you are pregnant can cause harm to the unborn baby. Do not use Aygestin if you are pregnant. Stop using the medication and tell your doctor if you become pregnant during treatment. • Avoid smoking cigarettes while taking Aygestin. Smoking increases your risk of developing a heart attack stroke or blood clot. • Aygestin does not protect you from sexually transmitted diseases — including HIV and AIDS. Using a condom is the only way to help protect yourself from these diseases. What is Aygestin? • Aygestin is a form of progesterone a female hormone. • Aygestin is used for birth control (contraception) to prevent pregnancy. Aygestin is also used to treat menstrual disorders endometriosis or abnormal vaginal bleeding caused by a hormone imbalance. • Aygestin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Aygestin? • Aygestin is in the FDA pregnancy category X. This means that using the medication while you are pregnant can cause birth defects in the baby. Do not take Aygestin if you are pregnant. Stop taking the medication and tell your doctor if you become pregnant. If you plan to become pregnant after you stop taking Aygestin ask your doctor how long you should wait before trying to get pregnant. • You should not take Aygestin if you have: a history of stroke or blood clots; liver disease; a history of stroke or blood clots; cancer of the breast of ovary; unusual vaginal bleeding that a doctor has not diagnosed; or complications from a recent miscarriage or abortion. • Taking Aygestin may be dangerous if you have any of the conditions listed above. • Before taking Aygestin tell your doctor if you have: high blood pressure angina or heart disease; a bleeding disorder such as hemophilia; diabetes; high cholesterol; migraines; a history of depression or mental illness; asthma; or seizures or epilepsy. • If you have any of the conditions listed above you may not be able to use Aygestin or you may require a dosage adjustment or special monitoring during treatment. • This medication can pass into breast milk and may harm a nursing baby. Do not use Aygestin without telling your doctor if you are breast-feeding. • Taking Aygestin can cause you to have unusual results to certain medical tests. Tell any doctor who treats you that you are using Aygestin. How should I take Aygestin? • The dose schedule for Aygestin may be different for birth control than for treating other conditions. To best treat your condition Aygestin should be used exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Aygestin for longer than your doctor has prescribed. • Take the medication at the same time each dose day. Taking a pill late or missing a pill can increase your chances of having breakthrough bleeding or getting pregnant. • For birth control start a new pack of pills the day after your last pack is finished. There is no break between packs. • If you vomit soon after taking Aygestin use a backup method of birth control (such as a condom and/ or spermicide) for 48 hours. • You may have some light bleeding or spotting between periods. Continue taking Aygestin even if this occurs. • If your menstrual period is late you may be pregnant. If it has been more than 45 says since the start of your last period call your doctor or use a home pregnancy test. • You will need to have yearly physical exams and Pap smears while you are using Aygestin. Examine your breasts at home every month to check for lumps. It is important that you not miss any scheduled visits to your doctor. • After you stop using Aygestin you may start bleeding within a few days. • Store Aygestin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. Then take the next dose at your regularly scheduled time. Do not take extra medicine to make up the missed dose. • If you were more than 3 hours late in taking your dose use a backup method of birth control (such as a condom and/ or spermicide). Keep using the backup method for at least 48 hours to ensure protection from pregnancy. • If you are not sure what to do about a missed dose keep taking Aygestin and use a backup method of birth control until you can talk to your doctor. What happens if I overdose? • An overdose of Aygestin is not likely to cause serious overdose symptoms. Call your doctor if you think you have used too much of this medicine. • Symptoms of a Aygestin overdose have not been reported. What should I avoid while taking Aygestin? • Women who use hormone medication should not smoke. Smoking will increase your risk of having a serious side effect from Aygestin such as heart attack stroke or a blood clot. • Aygestin does not protect you from sexually transmitted diseases — including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. What are the possible side effects of Aygestin? • Stop using Aygestin and call your doctor at once if you have any of these serious side effects: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); abnormal vaginal bleeding; late or missed menstrual period; a partial or complete loss of vision blurred vision double vision or a sudden onset of bulging eyes; sudden and severe headache pain behind your eyes dizziness or fainting; speech problems; vomiting or jaundice (yellowing of the skin or eyes); or sudden or severe pain in your lower stomach. • Other less serious side effects may be more likely to occur. Continue to take Aygestin and talk to your doctor if you experience: nausea; swollen or tender breasts; sleep problems (insomnia); depression mood swings; acne freckles or darkened skin areas; increased hair growth; weight gain or loss; or changes in your menstrual cycle or vaginal discharge. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Aygestin? • Before taking Aygestin tell your doctor if you are taking any of the following medicines: rifampin (Rifadin); phenytoin (Dilantin); carbamazepine (Tegretol); or a barbiturate such as amobarbital (Amytal) butabarbital (Butisol) mephobarbital (Mebaral) secobarbital (Seconal) or phenobarbital (Luminal Solfoton). • If you are using any of these drugs Aygestin may not work as well and you may get pregnant. You may need to use a second form of birth control if you are taking any of the medicines listed above. • There may be other drugs not listed that can affect Aygestin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. 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