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It may also be used to treat anxiety disorders, obsessive compulsive disorder, panic attacks, post traumatic stress, and premenstrual dysphoric disorder (PMDD). This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.</p> <h2>What should I tell my health care providers before I take this medicine?</h2> <p>They need to know if you have any of these conditions:</p> <ul> <li>bipolar disorder or a family history of bipolar disorder </li> <li>heart disease </li> <li>kidney or liver disease </li> <li>receiving electroconvulsive therapy </li> <li>seizures (convulsions) </li> <li>suicidal thoughts or a previous suicide attempt </li> <li>an unusual or allergic reaction to paroxetine, other medicines, foods, dyes, or preservatives </li> <li>pregnant or trying to get pregnant </li> <li>breast-feeding</li> </ul> <h2>How should I use this medicine?</h2> <p>Take this medicine by mouth with a glass of water. 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Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> <p>Do not take this medicine with any of the following:</p> <ul> <li>antacids </li> <li>certain diet drugs like dexfenfluramine, fenfluramine, phentermine </li> <li>MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate </li> <li>medicines similar to paroxetine like fluoxetine, sertraline, citalopram </li> <li>phenothiazines like thioridazine </li> <li>pimozide </li> <li>procarbazine </li> <li>St. John's wort </li> <li>tryptophan </li> </ul> <p>This medicine may also interact with the following:</p> <ul> <li>aspirin and aspirin-like drugs </li> <li>cimetidine </li> <li>digoxin </li> <li>fosamprenavir </li> <li>linezolid </li> <li>medicines for depression, anxiety, or psychotic disturbances </li> <li>medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan </li> <li>medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin </li> <li>NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen </li> <li>phenobarbital </li> <li>phenytoin </li> <li>procyclidine </li> <li>ritonavir </li> <li>theophylline</li> </ul> <p>This list may not describe all possible interactions. 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