Important Safety Information

 
Prescription Paxil CR is not for everyone. Don't take with MAOIs, thioridazine or pimozide. Paxil CR is generally well tolerated. As with many medications, there can be side effects. Some of the side effects may include infection, nausea, diarrhea, dry mouth, constipation, decreased appetite, dizziness, sweating, tremor, sexual side effects, injury, yawning, weakness, insomnia, abnormal vision or sleepiness. Talk to your doctor if you are taking prescription medication known as triptans, which are used for migraine or cluster headaches. When used in combination with Paxil CR or other antidepressant treatments, these drugs may lead to potentially life-threatening complications.

Paxil CR is approved only for adults 18 years and over. In some children and teens, antidepressants increase suicidal thoughts or actions. Young adults, especially those with depression, may be at increased risk for suicidal actions. Whether or not you are taking antidepressants, you or your family should call the doctor right away if you have worsening depression, thoughts of suicide, or sudden or severe changes in mood or behavior (for example feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, hyperactive, overly excited, or not being able to sleep), especially at the beginning of treatment or after a change in dose.

Don't stop taking Paxil CR before talking to your doctor since side effects may result from stopping the medicine, particularly when abrupt. Symptoms some patients have reported on stopping
Paxil CR include: dizziness, sensory disturbances (including electric shock sensations and tinnitus), abnormal dreams, agitation, anxiety, nausea, sweating, mood fluctuations, headache, fatigue, nervousness and sleep disturbances.

Tell your doctor if you are pregnant or plan to become pregnant, as there is a potential risk to the fetus with paroxetine. Some studies of paroxetine in pregnant women have suggested an increased risk of heart malformations. In addition, babies born to mothers who have taken antidepressants, including SSRIs such as Paxil CR, in the latter half of pregnancy have reported complications, including difficulties with breathing, turning blue, seizures, changing body temperature, feeding problems, vomiting, low blood sugar, floppiness, stiffness, tremor, shakiness, irritability or constant crying. Tube feeding, help with breathing, and longer hospitalization may be needed. There have also been reports of premature births in pregnant women exposed to SSRIs, including Paxil CR.

Like many antidepressants, Paxil CR can be present in breast milk so tell your doctor if you are nursing.