Patient/caregiver was educated on precautions to be exercised while taking paxil as follows:
- Alcohol, opioid pain medications, such as, hydrocodone and codeine, a number of OTC cough medications, antihistamines, muscle relaxant medications, and antianxiety medications can further add to the dizziness and confusion caused by paxil. This can result in compromised safety, falls, and accidents and so, must be avoided taken together with paxil.
- Paxil carries significant risk for obstruction to the drainage of fluid (aqueous humor) inside the eye. This blockage of fluid in the eye can result in increase in the intraocular pressure, eye pain, headache, blurred vision with haloes around light, compromised vision, and glaucoma. So, paxil is contraindicated or cautiously administered in glaucoma patients. Individuals with history of glaucoma must discuss with their physician on safety with paxil intake and observe extra caution in watching out for exacerbation of eye pain and deterioration of vision. Report any eye pain and changes with vision, while taking paxil, to your physician immediately, so that, an alternative plan of care could be considered. Observe compliance with any periodical vision exams recommended.
- Paxil intake carries the risk of causing seizures, especially in individuals with history of seizures. Individuals can present with sudden episodes of loss of consciousness, intense convulsions with muscle contractions, bowel and bladder incontinence. Do not ignore seizure episodes and report them to your physician promptly for any appropriate measures to be considered. Discuss with your physician regarding your history of seizures, if any, if you are newly started on paxil. If you are newly diagnosed with seizure complaint, discuss with your physician regarding your safety with continuing on paxil, if you have been using paxil for long. Observe compliance with intake of anti-seizure medications prescribed, if any.
