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Paroxetine

Paroxetine
N10060

N10060
Package leaflet: Information for the user • Aspirin (acetylsalicylic acid), ibuprofen or other medicines called NSAIDs (non-steroidal
anti-inflammatory drugs) like celecoxib, etodolac, diclofenac and meloxicam, used for
Paroxetine 20 mg film-coated tablets pain and inflammation.
Paroxetine 30 mg film-coated tablets • Tramadol, buprenorphine and pethidine, painkillers
paroxetine • Buprenorphine combined with naloxone, substitution treatment for opioid drug
Read all of this leaflet carefully before you start taking this medicine because it addiction
• Medicines called triptans, such as sumatriptan, used to treat migraine
contains
• Other antidepressants including other SSRIs, tryptophan and tricyclic antidepressants
important information for you.
like clomipramine, nortriptyline and desipramine
- Keep this leaflet. You may need to read it again.
• A dietary supplement called tryptophan
- If you have any further questions, ask your doctor or pharmacist. • Mivacurium and suxamethonium (used in anaesthesia)
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm • Medicines such as lithium, risperidone, perphenazine and clozapine (called anti-
them, even if their signs of illness are the same as yours. psychotics) used to treat some psychiatric conditions.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible • Fentanyl, used in anaesthesia or to treat chronic pain
side effects not listed in this leaflet. See section 4. • A combination of fosamprenavir and ritonavir, which is used to treat Human
What is in this leaflet: Immunodeficiency Virus (HIV) infection.
1. What Paroxetine is and what it is used for • St John’s Wort, a herbal remedy for depression
2. What you need to know before you take Paroxetine • Phenobarbital, phenytoin, sodium valproate or carbamazapine, used to treat fits or
3. How to take Paroxetine epilepsy
4. Possible side effects • Atomoxetine which is used to treat attention deficit hyperactivity disorder (ADHD)
5. How to store Paroxetine • Procyclidine, used to relieve tremor, especially in Parkinson’s Disease.
6. Contents of the pack and other information • Warfarin or other medicines (called anticoagulants) used to thin the blood
• Propafenone, flecainide and medicines used to treat an irregular heart beat
• Metoprolol, a beta-blocker used to treat high blood pressure and heart problems.
1. What Paroxetine is and what it is used for
• Pravastatin, used to treat high cholesterol
Paroxetine is a treatment for adults with depression and/or anxiety disorders. • Rifampicin, used to treat tuberculosis (TB) and leprosy
The anxiety disorders that Paroxetine is used to treat are: obsessive compulsive disorder • Linezolid, an antibiotic
(repetitive, obsessive thoughts with uncontrollable behaviour); panic disorder (panic attacks, • Tamoxifen, which is used to treat breast cancer or fertility problems.
including those caused by agoraphobia, which is a fear of open spaces); social anxiety → If you are taking or have recently taken any of the medicines in this list, and you
disorder (fear or avoidance of social situations); post-traumatic stress disorder (anxiety have not already discussed these with your doctor, go back to your doctor and ask
caused by a traumatic event); and generalised anxiety disorder (generally feeling very what to do. The dose may need to be changed or you may need to be given another
medicine.
anxious or nervous).
Tell your doctor or pharmacist if you are taking, have recently taken or might take any
Paroxetine is one of a group of medicines called SSRIs (selective serotonin reuptake
other medicines, including medicines obtained without a prescription.
inhibitors). It is not fully understood how Paroxetine and other SSRIs work but they may help
by increasing the level of serotonin in the brain. Treating depression or anxiety disorders Paroxetine with food, drink and alcohol
properly is important to help you get better.
Do not drink alcohol while you are taking Paroxetine. Alcohol may make your symptoms or
side effects worse.
2. What you need to know before you take Paroxetine
Taking Paroxetine in the morning with food will reduce the likelihood of you feeling sick
Do not take Paroxetine (nausea).
- if you are allergic to paroxetine or any of the other ingredients of this medicine (listed in
section 6) Pregnancy and, breast-feeding and fertility
­- If you are taking medicines called monoamine oxidase inhibitors (MAOIs, including Pregnancy:
moclobemide and methylthioninium chloride (methylene blue)), or have taken them at If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a
any time within the last two weeks. Your doctor will advise you how you should begin baby, ask your doctor or pharmacist for advice before taking this medicine. In babies whose
taking Paroxetine once you have stopped taking the MAOI. mothers took paroxetine during the first few months of pregnancy, there have been some
­- If you are taking an anti-psychotic called thioridazine or an anti-psychotic called pimozide reports showing an increased risk of birth defects, in particular those affecting the heart. In
the general population, about 1 in 100 babies are born with a heart defect. This increased to
If any of these apply to you, tell your doctor without taking Paroxetine. up to 2 in 100 babies in mothers who took paroxetine. You and your doctor may decide that
it is better for you to change to another treatment or to gradually stop taking Paroxetine while
Warnings and precautions you are pregnant. However, depending on your circumstances, your doctor may suggest that
Talk to your doctor or pharmacist before taking Paroxetine it is better for you to keep taking Paroxetine.
- Are you taking any other medicines (see Other medicines and Paroxetine, inside this
leaflet)? Make sure your midwife or doctor know you’re taking Paroxetine. If you take Paroxetine
- Are you taking tamoxifen to treat breast cancer or fertility problems? Paroxetine may near the end of your pregnancy there may be an increased risk of heavy vaginal bleeding
make tamoxifen less effective, so your doctor may recommend you take another shortly after birth, especially if you have a history of bleeding disorders. Your doctor or
antidepressant. midwife should be aware that you are taking Paroxetine so they can advise you. When
- Do you have kidney, liver or heart trouble? taken during pregnancy, particularly late pregnancy, medicines like Paroxetine may increase
- Do you have an abnormality of your heart tracing after an electrocardiogram (ECG) the risk of a serious condition in babies, called persistent pulmonary hypertension of the
known as prolonged QT interval? newborn (PPHN). In PPHN, the blood pressure in the blood vessels between the baby’s
- Do you have a family history of QT prolongation, heart disease such as heart failure, low heart and the lungs is too high. If you take Paroxetine during the last 3 months of pregnancy,
heart rate, or low potassium levels or low magnesium levels? your newborn baby might also have other conditions, which usually begin during the first 24
- Do you have epilepsy or have a history of fits or seizures? hours after birth. Symptoms include:
- Have you ever had episodes of mania (overactive behaviour or thoughts)? - trouble with breathing
- Are you having electro-convulsive therapy (ECT)? - a blue-ish skin or being too hot or cold
- Do you have a history of bleeding disorders, or are you taking other medicines that may - blue lips
increase the risk of bleeding (these include medicines used to thin the blood, such as - vomiting or not feeding properly
warfarin, anti-psychotics such as perphenazine or clozapine, tricyclic antidepressants, - being very tired, not able to sleep or crying a lot
medicines used for pain and inflammation called non-steroidal anti-inflammatory drugs - stiff or floppy muscles
or NSAIDs, such as acetylsalicylic acid, ibuprofen, celecoxib, etodolac, diclofenac, - tremors, jitters or fits
meloxicam)? - exaggerated reflexes.
- Do you have diabetes? If your baby has any of these symptoms when it is born, or you are concerned about your
- Are you on a low sodium diet? baby’s health, contact your doctor or midwife who will be able to advise you.
- Do you have glaucoma (pressure in the eye)?
- Are you pregnant or planning to get pregnant (see Pregnancy, breast-feeding and fertility Paroxetine may pass into breast milk in very small amounts. If you are taking Paroxetine, go
inside this leaflet)? back and talk to your doctor before you start breast-feeding.
- Are you under 18 years old (see Children and adolescents under 18, inside this leaflet)? You and your doctor may decide that you can breast-feed while you are taking Paroxetine.

If you answer YES to any of these questions, and you have not already discussed them Paroxetine has been shown to reduce the quality of sperm in animal studies. Theoretically,
with your doctor, go back to your doctor and ask what to do about taking Paroxetine. this could affect fertility, but impact on human fertility has not been observed as yet.
Driving and using machines
Children and adolescents under 18 years of age:
Possible side effects of Paroxetine include dizziness, confusion, feeling sleepy or blurred
Paroxetine should not be used for children and adolescents under 18 years. Also,
vision. If you do get these side effects, do not drive or use machinery.
patients under 18 have an increased risk of side effects such as suicide attempt, suicidal
thoughts and hostility (predominantly aggression, oppositional behaviour and anger) Paroxetine contains lactose
when they take Paroxetine. If your doctor has prescribed Paroxetine for you (or your Paroxetine contains small amount of lactose. If you have been told by your doctor that
child) and you want to discuss this, please go back to your doctor. You should inform your you have an intolerance to some sugars, contact your doctor before taking this medicinal
doctor if any of the symptoms listed above develop or worsen when you (or your child) product.
are taking Paroxetine. Also, the long-term safety effects concerning growth, maturation
Paroxetine contains sodium
and cognitive and behavioural development of Paroxetine in this age group have not yet
This medicinal product contains less than 1 mmol sodium (23 mg) per each tablet, that is to
been demonstrated.
say essentially ‘sodium-free’.
In studies of Paroxetine in under 18s, common side effects that affected less than 1 in
10 children/adolescents were: an increase in suicidal thoughts and suicide attempts, 3. How to take Paroxetine
deliberately harming themselves, being hostile, aggressive or unfriendly, lack of appetite,
shaking, abnormal sweating, hyperactivity (having too much energy), agitation, changing Always take this medicine exactly as your doctor has told you. Check with your doctor or
emotions (including crying and changes in mood) and unusual bruising or bleeding (such pharmacist if you are not sure.
as nose bleeds). These studies also showed that the same symptoms affected children Sometimes you may need to take more than one tablet or half a tablet. This table will show
and adolescents taking sugar pills (placebo) instead of Paroxetine, although these were you how many tablets to take.
seen less often.
Some patients in these studies of under 18s had withdrawal effects when they stopped Dose Number of tablets to take
taking Paroxetine. These effects were mostly similar to those seen in adults after 10 mg Half a white tablet
stopping Paroxetine (see section 3). In addition, patients under 18 also commonly 20 mg One white tablet
(affecting less than 1 in 10) experienced stomach ache, feeling nervous and changing
emotions (including crying, changes in mood, trying to hurt themselves, thoughts of 30 mg One blue tablet or One-and-a-half white tablet
suicide and attempting suicide). 40 mg Two white tablets
Thoughts of suicide and worsening of your depression or anxiety disorder 50 mg One blue tablet + one white tablet or Two-and-a-half white tablets
If you are depressed and/or have anxiety disorders you can sometimes have thoughts of 60 mg Two blue tablets or Three white tablets
harming or killing yourself. These may be increased when first starting antidepressants,
since these medicines all take time to work, usually about two weeks but sometimes The usual doses for different conditions are set out in the table below.
longer. Starting dose Recommended Maximum
You may be more likely to think like this: daily dose daily dose
- If you have previously had thoughts about killing or harming yourself. Depression 20 mg 20 mg 50 mg
- If you are a young adult. Information from clinical trials has shown an increased risk of
suicidal behaviour in adults aged less than 25 years with psychiatric conditions who were Obsessive Compulsive Disorder 20 mg 40 mg 60 mg
treated with an antidepressant. (obsessions and compulsions)
Panic Disorder (panic attacks) 10 mg 40 mg 60 mg
If you have thoughts of harming or killing yourself at any time, contact your doctor or go to
a hospital straight away. Social Anxiety Disorder (fear or 20 mg 20 mg 50 mg
avoidance of social situations)
You may find it helpful to tell a relative or close friend that you are depressed or have an
Post-Traumatic Stress Disorder 20 mg 20 mg 50 mg
anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think
your depression or anxiety is getting worse, or if they are worried about changes in your Generalised Anxiety Disorder 20 mg 20 mg 50 mg
behaviour.
Your doctor will advise you what dose to take when you first start taking Paroxetine.
Important side effects seen with Paroxetine Most people start to feel better after a couple of weeks. If you don’t start to feel better after
Some patients who take Paroxetine develop something called akathisia, where they feel this time, talk to your doctor, who will advise you. He or she may decide to increase the dose
restless and feel like they can’t sit or stand still. Other patients develop something called gradually, 10 mg at a time, up to a maximum daily dose.
serotonin syndrome or neuroleptic malignant syndrome, where they have some or all of
Take your tablets in the morning with food.
the following symptoms: feeling very agitated or irritable, feeling confused, feeling restless,
Swallow them with a drink of water.
feeling hot, sweating, shaking, shivering, hallucinations (strange visions or sounds), muscle
Do not chew.
stiffness, sudden jerks of the muscles or a fast heartbeat. The severity can increase, leading
Your doctor will talk to you about how long you will need to keep taking your tablets. This
to loss of consciousness. If you notice any of these symptoms, contact your doctor. For
more information on these or other side effects of Paroxetine, see section 4. may be for many months or even longer.

Medicines like Paroxetine (so called SSRIs) may cause symptoms of sexual dysfunction Older people
(see section 4). In some cases, these symptoms have continued after stopping treatment. The maximum dose for people over 65 is 40 mg per day.
Patients with liver or kidney disease
Other medicines and Paroxetine If you have trouble with your liver or kidneys, your doctor may decide that you should have a
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other lower dose of Paroxetine than usual. If you have severe liver or kidney disease the maximum
medicines dose is 20 mg per day.
Some medicines can affect the way Paroxetine works, or make it more likely that you’ll have If you take more Paroxetine than you should
side effects. Paroxetine can also affect the way some other medicines work. These include:
Never take more tablets than your doctor recommends. If you take too many Paroxetine
• Medicines called monoamine oxidase inhibitors (MAOIs, including moclobemide and tablets (or someone else does), tell your doctor or a hospital straight away. Show them the
methylthioninium chloride (methylene blue) – see Do not take Paroxetine, inside this pack of tablets. Someone who has taken an overdose of Paroxetine may have any one of
leaflet. the symptoms listed in section 4, Possible side effects, or the following symptoms: fever;
• Medicines known to increase the risk of changes in the electrical activity of the heart (e.g. uncontrollable tightening of the muscles.
the anti-psychotics thioridazine or pimozide) - see Do not take Paroxetine, inside this
leaflet.

Black
If you forget to take Paroxetine Rare (may affect up to 1 in every 1,000 people):
Take your medicine at the same time every day. • Abnormal production of breast milk in men and women
If you do forget a dose, and you remember before you go to bed, take it straight away. • A slow heartbeat
Carry on as usual the next day. • Effects on the liver showing up in blood tests of your liver function
If you only remember during the night, or the next day, leave out the missed dose. You • Panic attacks
may possibly get withdrawal effects, but these should go away after you take your next dose • Overactive behaviour or thoughts (mania)
at the usual time. • Feeling detached from yourself (depersonalisation)
Do not take a double dose to make up for a forgotten dose. • Feeling anxious
• Irresistible urge to move the legs (Restless Legs Syndrome)
What to do if you’re feeling no better
• Pain in the joints or muscles.
Paroxetine will not relieve your symptoms straight away – all antidepressants take
• Increase in a hormone called prolactin in the blood
time to work. Some people will start to feel better within a couple of weeks, but for others
• Menstrual period disorders (including heavy or irregular periods, bleeding between
it may take a little longer. Some people taking antidepressants feel worse before feeling
periods and absence or delay of periods).
better. If you don’t start to feel better after a couple of weeks, go back to your doctor who will
advise you. Your doctor should ask to see you again a couple of weeks after you first start Very rare (may affect up to 1 in 10,000 people):
treatment. Tell your doctor if you haven’t started to feel better. • Skin rash, which may blister, and looks like small targets (central dark spots surrounded
by a paler area, with a dark ring around the edge) called erythema multiforme
If you stop taking Paroxetine
• A widespread rash with blisters and peeling skin, particularly around the mouth, nose,
Do not stop taking Paroxetine until your doctor tells you to. eyes and genitals (Stevens-Johnson syndrome)
• A widespread rash with blisters and skin peeling on much of the body surface (toxic
When stopping Paroxetine, your doctor will help you to reduce your dose slowly over a
epidermal necrolysis)
number of weeks or months this should help reduce the chance of withdrawal effects. One-
• Liver problems that make the skin or whites of the eyes go yellow
way of doing this is to gradually reduce the dose of Paroxetine you take by 10 mg a week.
• Syndrome of inappropriate antidiuretic hormone production (SIADH) which is a
Most people find that any symptoms on stopping Paroxetine are mild and go away on their
condition in which the body develops an excess of water and a decrease in sodium
own within two weeks. For some people, these symptoms may be more severe, or go on for
(salt) concentration, as a result of improper chemical signals. Patients with SIADH may
longer.
become severely ill, or may have no symptoms at all
If you do get withdrawal effects when you are coming off your tablets, your doctor may • Fluid or water retention (which may cause swelling of the arms or legs)
decide that you should come off them more slowly. If you get severe withdrawal effects when • Sensitivity to sunlight
you stop taking Paroxetine, please see your doctor. He or she may ask you start taking your • Painful erection of the penis that won’t go away
tablets again and come off them more slowly. • Low blood platelet count.
If you do get withdrawal effects, you will still be able to stop Paroxetine. Not known (frequency cannot be estimated from the available data)
• Inflammation of the colon (causing diarrhoea)
Possible withdrawal effects when stopping treatment • Tooth grinding
Studies show that 3 in 10 patients notice one or more symptoms on stopping Paroxetine.
Some withdrawal effects on stopping occur more frequently than others. Some patients have developed buzzing, hissing, whistling, ringing or other persistent noise
in the ears (tinnitus) when they take Paroxetine.
Common side effects (may affect up to 1 in 10 people):
- Feeling dizzy, unsteady or off-balance An increased risk of bone fractures has been observed in patients taking this type of
- Feelings like pins and needles, burning sensations and (less commonly) electric shock medicines.
sensations, including in the head
Reporting of side effects
- Some patients have developed buzzing, hissing, whistling, ringing or other persistent
If you get any side effects, talk to your doctor or, pharmacist . This includes any possible
noise in the ears (tinnitus) when they take Paroxetine
side effects not listed in this leaflet. You can also report side effects directly via Yellow Card
- Sleep disturbances (vivid dreams, nightmares, inability to sleep)
Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the
- Feeling anxious
Google Play or Apple App Store.
- Headaches.
By reporting side effects you can help provide more information on the safety of this
Uncommon side effects (may affect up to 1 in every 100 people):
medicine.
- Feeling sick (nausea)
- Sweating (including night sweats)
5. How to store Paroxetine
- Feeling restless or agitated
- Tremor (shakiness) Keep this medicine out of the sight and reach of children.
- Feeling confused or disorientated
- Diarrhoea (loose stools) Do not use this medicine after the expiry date which is stated on the carton and blister after
- Feeling emotional or irritable EXP. The expiry date refers to the last day of that month.
- Visual disturbances This medicine does not require any special storage conditions.
- Fluttering or pounding heartbeat (palpitations).
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist
Please see your doctor if you are worried about withdrawal effects when stopping how to throw away medicines you no longer use. These measures will help protect the
Paroxetine. environment
If you have any further questions on the use of this product, ask your doctor or pharmacist.
6. Contents of the pack and other information
4. Possible Side Effects What Paroxetine contains
Like all medicines, this medicine, can cause side effects, although not everybody gets them. The active substance is Paroxetine.
Side effects are more likely to happen in the first few weeks of taking Paroxetine. Each film-coated tablet contains 20 mg of paroxetine (as paroxetine hydrochloride
See the doctor if you get any of the following side effects during treatment You may need to hemihydrate).
contact your doctor or go to a hospital straight away. Each film-coated tablet contains 30 mg of paroxetine (as paroxetine hydrochloride
hemihydrate).
Uncommon (may affect up to 1 in 100 people):
• If you have unusual bruising or bleeding, including vomiting blood or passing blood in The other ingredients are:
your stools, contact your doctor or go to a hospital straight away. Tablet core:
• If you find that you are not able to pass water, contact your doctor or go to a Calcium hydrogen phosphate, dihydrate
hospital straight away. Calcium hydrogen phosphate
Lactose monohydrate
Rare (may affect up to 1 in 1000 people): Sodium starch glycolate (Type A)
If you experience seizures (fits), contact your doctor or go to a hospital straight away. Magnesium stearate (E470b)
• If you feel restless and feel like you can’t sit or stand still, you may have something
called akathisia. Increasing your dose of Paroxetine may make these feelings worse. If Film-coating:
you feel like this, contact your doctor. 20 mg:
• If you feel tired, weak or confused and have achy, stiff or uncoordinated muscles Titanium dioxide (E171)
this may be because your blood is low in sodium. If you have these symptoms, contact Hypromellose (E464)
your doctor. Macrogol 400
Polysorbate 80 (E433)
Very rare (may affect up to 1 in 10,000 people):
• Allergic reactions, which may be severe to Paroxetine If you develop a red and 30 mg:
lumpy skin rash, swelling of the eyelids, face, lips, mouth or tongue, start to itch or have Titanium dioxide (E171)
difficulty breathing (shortness of breath) or swallowing and feel weak or lightheaded Hypromellose (E464)
resulting in collapse or loss of consciousness, contact your doctor or go to a hospital Macrogol 400
straight away. Indigo carmine aluminum lake (E 132)
• If you have some or all of the following symptoms you may have something called Polysorbate 80 (E433)
serotonin syndrome. The symptoms include: feeling confused, feeling restless, What Paroxetine looks like and contents of the pack
sweating, shaking, shivering, hallucinations (strange visions or sounds), sudden jerks of Film-coated tablets.
the muscles or a fast heartbeat. If you feel like this contact your doctor. 20 mg:
• Acute glaucoma. If your eyes become painful and you develop blurred vision, contact Paroxetine 20 mg film-coated tablets are white coloured, capsule shaped, biconvex tablets
your doctor. debossed with ‘56’ on one side and ‘C’ with a deep break line on the other side. The tablet
Not known (frequency cannot be estimated from the available data) can be divided into equal halves.
• Some people have had thoughts of harming or killing themselves while taking Paroxetine 30 mg:
or soon after stopping treatment (see thoughts of suicide and worsening of your Paroxetine 30 mg film-coated tablets are blue coloured, capsule shaped, biconvex tablets
depression or anxiety disorder in section 2) debossed with an‘F’ on one side and ‘12’ on the other side.
• Some people have experienced aggression while taking Paroxetine
• Heavy vaginal bleeding shortly after birth (postpartum haemorrhage), see Pregnancy, Paroxetine 20 / Paroxetine 30 mg film-coated tablets are available in blister packs of 7, 10,
breastfeeding and fertility in section 2 for more information. 14, 20, 28, 30, 50, 56, 60, 98 100 and 250 film-coated tablets.

If you experience these side effects, contact your doctor. HDPE Bottle pack:
For 20mg:
Other possible side effects during treatment 30, 50, 56, 60, 98, 100, 250 and 500 tablets.
Very common (may affect more than 1 in 10 people):
• Feeling sick (nausea). Taking your medicine in the morning with food will reduce the For 30mg:
chance of this happening. 30, 50, 56, 60, 98, 100 and 250 tablets.
• Change in sex drive or sexual function. For example, lack of orgasm and, in men, Not all pack sizes may be marketed.
abnormal erection and ejaculation.
Marketing Authorisation Holder
Common (may affect up to 1 in 10 people): Milpharm Limited
• Increases in the level of cholesterol in the blood Ares, Odyssey Business Park
• Lack of appetite West End Road
• Not sleeping well (insomnia) or feeling sleepy South Ruislip HA4 6QD
• Abnormal dreams (including nightmares) United Kingdom
• Feeling dizzy or shaky (tremors)
• Headache Manufacturer
• Difficulty in concentrating Milpharm Limited,
• Feeling agitated Ares, Odyssey Business Park,
• Feeling unusually weak West End Road, South Ruislip HA4 6QD
• Blurred vision United Kingdom
• Yawning, dry mouth or
• Diarrhoea or constipation
• Vomiting APL Swift Services (Malta) Limited
• Weight gain HF26, Hal Far Industrial Estate, Hal Far,
• Sweating. Birzebbugia, BBG 3000.
Malta
Uncommon (may affect up to 1 in 100 people):
• A brief increase in blood pressure, or a brief decrease that may make you feel dizzy or This leaflet was last revised in 12/2023.
faint when you stand up suddenly
• A faster than normal heartbeat
• Lack of movement, stiffness, shaking or abnormal movements in the mouth and tongue
• Dilated pupils
• Skin rashes
• Itching
• Feeling confused
• Having hallucinations (strange visions or sounds)
• An inability to urinate (urinary retention) or an uncontrollable, involuntary passing of urine
(urinary incontinence).
N10060XX

• If you are a diabetic patient you may notice a loss of control of your blood sugar levels
whilst taking Paroxetin. Please speak to your doctor about adjusting the dosage of your
insulin or diabetes medications.
• Reduction in white blood cell count