Patient/caregiver was educated on precautions to be exercised while taking paxil as follows: Serotonin is one chemical in the brain, which in permissible amounts, is believed to reduce anxiety and promote happiness and well-being. Very excessive concentrations of serotonin in the brain can lead to serotonin syndrome. Individuals with serotonin syndrome can present with mania, excitement, hallucinations, agitation, insomnia, pounding heartbeat, very rapid heart rate, overactive reflexes, and diarrhea. Paxil use, especially along with other [...]

Patient/caregiver was educated on precautions to be exercised while taking paxil as follows: Paxil intake can thin the blood and increase risk for bleeding in the skin and mucus membranes. Patients can present with bleeding spots on the skin, internal abdominal bleeding with fresh blood or partially digested blood in the stool, and bleeding in the urine staining the urine brownish red. This risk is further more in individuals concurrently taking blood thinners and anticoagulants, [...]

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 [...]

Patient/caregiver was educated on precautions to be exercised while taking paxil as follows: Paxil intake carries the risk of lowering the blood pressure. Hypotension, secondary to paxil intake, can lead to episodes of confusion and dizziness. Avoid sudden changes in position, until you are used to the side-effects of paxil intake. Sudden change of positions can make the confusion and dizzy episodes even worse and precipitate accidents and falls. Report any episodes of increased dizziness, [...]

Patient/caregiver was educated on precautions to be exercised while taking paxil as follows: Follow closely on the expiration date of the medication. If using a pillbox, check the expiration date on the medication container every time you fill the pillbox. If you are taking this medication for longer periods of time, set reminders on your phone, one 10 days ahead, the next a week ahead, and then every day, before you run out of the [...]