What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
- Bipolar disorder or a family history of bipolar disorder
- Bleeding disorder
- Glaucoma
- Heart disease
- Kidney disease
- Liver disease
- Low levels of sodium in the blood
- Seizures
- Suicidal thoughts, plans, or attempt by you or a family member
- Take MAOIs, such as Carbex, Eldepryl, Marplan, Nardil, and Parnate
- Take medications that treat or prevent blood clots
- Thyroid disease
- An unusual or allergic reaction to paroxetine, other medications, foods, dyes, or preservatives
- Pregnant or trying to get pregnant
- Breastfeeding
What may interact with this medication?
Do not take this medication with any of the following:
- Linezolid
- MAOIs, such as Carbex, Eldepryl, Marplan, Nardil, and Parnate
- Methylene blue (injected into a vein)
- Pimozide
- Thioridazine
This medication may also interact with the following:
- Alcohol
- Amphetamines
- Aspirin and aspirin-like medications
- Atomoxetine
- Certain medications for irregular heart beat, such as propafenone, flecainide, encainide, and quinidine
- Certain medications for mental health conditions
- Certain medications for migraine headache, such as almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
- Cimetidine
- Digoxin
- Diuretics
- Fentanyl
- Fosamprenavir
- Furazolidone
- Isoniazid
- Lithium
- Medications that treat or prevent blood clots, such as warfarin, enoxaparin, and dalteparin
- Medications for sleep
- NSAIDs, medications for pain and inflammation, such as ibuprofen or naproxen
- Phenobarbital
- Phenytoin
- Procarbazine
- Rasagiline
- Ritonavir
- Supplements, such as St. John's wort, kava kava, valerian
- Tamoxifen
- Tramadol
- Tryptophan
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
This medication may cause thoughts of suicide or depression. This includes sudden changes in mood, behaviors, or thoughts. These changes can happen at any time but are more common in the beginning of treatment or after a change in dose. Call your care team right away if you experience these thoughts or worsening depression.
This medication may increase your risk of bone fractures. Tell your care team if you have pain, swelling, or trouble moving a part of your body like you usually can.
Talk to your care team if you may be pregnant. Serious birth defects can occur if you take this medication during pregnancy.
What are the most serious risks of this medication?
This medication may increase thoughts of suicide. This may be more common in children, teenagers, and young adults. The risk may increase after first starting the medication and after dose changes. Talk to your care team right away if you have changes in mood and behavior or thoughts of self-harm or suicide.