Why would an antidepressant work in people who aren't depressed? May 29, 2002 -- Once again, Viagra comes to the rescue. Paroxetine is to be used only by the patient for whom it is prescribed. Do not share it with other people. Several weeks may pass before your symptoms get better. Do NOT take more than the recommended dose, change your dose, or use paroxetine for longer than prescribed without checking with your doctor. But that's not the only place serotonin is found.
Take this medication by as directed by your doctor, usually once a week with or without food. Swallow the capsule whole. not crush or chew the contents of the capsule. Start taking this medication 7 days after your last dose of the form of fluoxetine that is taken daily. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. Some medical conditions may interact with paroxetine. The cleverly designed study showed that more than one in four irritable-bowel patients get enormous relief simply by going on a high-fiber diet.
Children, teenagers, and young adults who take paroxetine may be at increased risk of suicidal thoughts or actions. Closely watch all patients who take paroxetine. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur. SSRIs work by helping to restore the balance of certain natural substances in the neurotransmitters such as serotonin. Older tricyclic antidepressants are often used to treat irritable bowel syndrome. But newer antidepressants -- the SSRI class, like Paxil -- specifically act to increase the action of serotonin, a chemical messenger.
Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur. Check the labels on all your medicines such as or -and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking this medication without first consulting your doctor. Some conditions may become worse when the drug is abruptly stopped. Your dose may need to be gradually decreased.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Use paroxetine as directed by your doctor. Check the label on the medicine for exact dosing instructions. Shaker warns. "It must be used in a select group of patients. Paroxetine may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use paroxetine with caution. Paroxetine comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get paroxetine refilled. Paroxetine may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens. Certain antidepressants, including paroxetine, may increase the risk of bleeding. Sometimes, bleeding can be life-threatening. Discuss any questions or concerns with your doctor. The patient should be monitored for symptoms of serotonin syndrome for 2 weeks or until 24 hours after the last dose of linezolid or intravenous methylene blue, whichever comes first. SSRIs may help relieve the emotional and physical and PMDD symptoms. SSRI therapy can bring relief within a few days of starting this medicine. If your doctor tells you to stop taking paroxetine, you will need to wait for several weeks before beginning to take certain other medicines eg, MAOIs, nefazodone. Ask your doctor when you should start to take your new medicines after you have stopped taking paroxetine. Arnold says. "Their pain and their improved, and their overall well-being improved enough to say they didn't want any more treatment.
Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; bizarre behavior; black or bloody stools; chest pain; confusion; decreased concentration; decreased coordination; decreased sexual desire or ability; exaggerated reflexes; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; memory loss; new or worsening mental or mood changes eg, agitation, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; persistent or severe ringing in the ears; persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent anxiety or trouble sleeping; severe or persistent headache or dizziness; significant weight loss; stomach pain; suicidal thoughts or attempts; tremor; unusual bone pain or unexplained swelling, tenderness, or bruising; unusual bruising or bleeding; unusual weakness; worsening of depression. Viagra in combination with helps premature ejaculators who have not improved with standard treatment. When you are taking an SSRI continuously, never stop taking it abruptly. The long-term use of an SSRI should be tapered off slowly and only under the supervision of a doctor. Complete the What is a document? This long-acting form of is used to treat in people who have been successfully treated with the form of fluoxetine that is taken daily. Fluoxetine is a selective serotonin reuptake inhibitor SSRI. Store paroxetine at room temperature, between 59 and 86 degrees F 15 and 30 degrees C. Store away from heat, moisture, and light. Do not store in the bathroom. Keep paroxetine out of the reach of children and away from pets. Thirty-eight were satisfied with that treatment. The remaining 100 started taking Paxil, and 42 of them were satisfied with that, leaving 58 who took Paxil with Viagra. In fact, says study leader George Arnold, MD, of the University of Pittsburgh Medical Center, patients with no hint of responded well to the drug. Shaker tells WebMD. "I like this study because it is independent -- the drug companies did not pay for it -- because it was randomized, and because it has a six-month follow-up. It's a relatively small number of patients, but still it is very promising that in a subgroup of IBS patients, SSRI may be helpful. Take paroxetine by mouth with or without food.
If any of these effects persist or worsen, tell your doctor promptly. Arnold says. "I think it is doing something to the nerves in the gastrointestinal tract. Over the course of three months, the men took one dose of Paxil seven hours before sex and one dose of Viagra one hour before sex. They noted how long they were able to have sexual intercourse, from the moment they entered a partner's to the moment they ejaculated. In the beginning, they were able to sustain intercourse for less than one minute to three minutes. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Paxil didn't help with or bloating. But patients who took Paxil had significantly better improvement in other symptoms -- straining, urgency, and a feeling of incomplete evacuation -- than those who took a placebo. If you have any questions about paroxetine, please talk with your doctor, pharmacist, or other health care provider. Talk to your doctor about using this medication safely. Older adults may be more sensitive to the side effects of this drug, especially bleeding and QT prolongation see above. Older adults may also be more likely to develop in the blood, especially if they are taking "water pills" diuretics. SSRI treatment is not recommended if you have a seizure disorder or a history of including . These conditions can be made worse by an SSRI. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Tell your doctor if your condition does not improve or if it worsens. Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health and perhaps your life at risk. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. Side effects may go away after you take the medicine for a while.
All medicines may cause side effects, but many people have no, or minor, side effects. Ask your health care provider any questions you may have about how to use paroxetine. Irritable bowel syndrome, Shaker says, is not a single disease but may arise from several as-yet-unknown causes. By treating only patients who did not respond to fiber, he suggests, Arnold's team may have found a way to identify a group of patients with the kind of irritable bowl syndrome most likely to respond to antidepressant treatment. The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables. Fluoxetine may cause a condition that affects the rhythm QT prolongation. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or of all the drugs you take see section. SSRIs make bleeding more likely in the upper gastrointestinal tract and . Taking SSRIs with such as or makes bleeding even more likely. Taking medicines that control acid in the may help. Read the Guide provided by your before you start using and each time you get a refill. If you have any questions, ask your doctor or pharmacist. It's well known that Paxil has sexual side effects, including delayed ejaculation. But Viagra? Do not suddenly stop taking paroxetine without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be closely monitored when you start paroxetine and whenever a change in dose is made. Consult your doctor before -feeding. Paxil, a type of drug called an SSRI, improves some irritable bowel symptoms. There are many reasons why people have trouble taking their medicine. Use paroxetine with caution in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels. Check with your pharmacist about how to dispose of unused medicine.
Do not stop taking any medications without consulting your healthcare provider. Paroxetine may affect fertility in some men. Discuss any questions or concerns with your doctor. Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed. Many drugs besides fluoxetine may affect the rhythm QT prolongation including and thioridazine, among others. Kwan I, Onwude JL 2009. Premenstrual syndrome, search date July 2009. Make sure laboratory personnel and all your doctors know you use this drug.
Some MEDICINES MAY INTERACT with paroxetine. These findings impress Reza Shaker sha-CARE MD, chief of the division of gastroenterology and hepatology at the Medical College of Wisconsin. Check with your doctor before you use medicines that may cause drowsiness eg, sleep aids, muscle relaxers while you are using paroxetine; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. One possibility is that Viagra acts on the part of the that controls ejaculation. This function involves the chemical nitric oxide. Too much nitric oxide inhibits ejaculation. Viagra increases the amount of nitric oxide in the body, which is how it helps men get erections. PREGNANCY and BREAST-FEEDING: Paroxetine may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of taking paroxetine while you are pregnant. Paroxetine is found in breast milk. If you are or will be breast-feeding while you take paroxetine, check with your doctor. Discuss any possible risks to your baby. Not everybody with gets better after going on a high-fiber diet. In the Arnold team's study, those who didn't get better with a high-fiber diet went on to the second part of the study. The 81 patients in this part of the trial were randomly assigned to get Paxil or an identical-looking for 12 weeks. Neither the patients nor their doctors knew which drug they were taking. All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine. Serotonin syndrome is a possibly fatal syndrome that can be caused by paroxetine. Some brands of paroxetine should be swallowed whole, and should not be crushed or chewed. If you cannot swallow paroxetine whole, check with your pharmacist to see if your brand of paroxetine can be crushed. This drug may make you dizzy or drowsy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid beverages.
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Remember that your doctor has prescribed this because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication not have serious side effects. Low levels of or in the may also increase your risk of QT prolongation. For many women, SSRI medicine need only be taken during the premenstrual phase, generally 2 weeks before the start of menstrual bleeding. Usually the benefits of the medicine are more important than any minor side effects. This may not be a complete list of all interactions that may occur. Ask your health care provider if paroxetine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Do not drink alcohol while you are taking paroxetine. Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. Anxiety; constipation; diarrhea; dizziness; drowsiness; dry mouth; gas; increased sweating; increased urination; loss of appetite; nausea; nervousness; numbness or tingling of the skin; stomach upset; trouble sleeping; weakness; yawning. If your symptoms do not improve or if they become worse, check with your doctor.
Arnold says that a high-fiber diet would help far more than 26% of patients. The dosage is based on your medical condition and response to treatment. Use this medication regularly in order to get the most benefit from it. To help you remember, take it on the same day of the week. Mark a calendar to help you remember when you should take your next dose. This information should not be used to decide whether or not to take paroxetine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about paroxetine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to paroxetine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using paroxetine.