Cholesterol Drugs, Prescriptions and Overseas Pharmacy Meds

Paxil (Paroxetine)

Cholesterol Drugs, Prescriptions and Overseas Pharmacy Meds » Anti Depressants » Paxil (Paroxetine)

Paxil (Paroxetine) is a newer class of antidepressant medication known as Selective Serotonin Reuptake Inhibitors (SSRIs).

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About Paxil (Paroxetine):

Product Type: Anti Depressants

Brand name: Paxil Generic name: Paroxetine What is the most important information I should know about Paxil? • You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are a child or young adult. Talk with your doctor about this risk. While you are taking Paxil you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. • Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/ or physical hyperactivity) thoughts of suicide or hurting yourself. • Do not use this medication if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control and tell your doctor if you become pregnant during treatment. • Do not take Paxil together with pimozide (Orap) thioridazine (Mellaril) or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Paxil. You must wait 5 weeks after stopping Paxil before you can take thioridazine (Mellaril). What is Paxil? • Paxil is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Paxil affects chemicals in the brain that may become unbalanced and cause depression panic anxiety or obsessive-compulsive symptoms. • Paxil is used to treat depression obsessive-compulsive disorder panic disorder anxiety disorders post-traumatic stress disorder (PTSD) and premenstrual dysphoric disorder (PMDD). • Paxil may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Paxil? • You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication especially if you are a child or young adult. Talk with your doctor about this risk. While you are taking Paxil you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment or whenever your dose is changed. In addition to you watching for changes in your own symptoms your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. • Do not use Paxil if you are using any of the following drugs: pimozide (Orap); thioridazine (Mellaril); or an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) or selegiline (Eldepryl Emsam). • Serious and sometimes fatal reactions can occur when these medicines are taken with Paxil. You must wait at least 14 days after stopping an MAO inhibitor before you can take Paxil. You must wait 5 weeks after stopping Paxil before you can take thioridazine (Mellaril). • Before taking Paxil tell your doctor if you have: liver or kidney disease; seizures or epilepsy; bipolar disorder (manic depression); or a history of drug abuse or suicidal thoughts. • If you have any of these conditions you may not be able to use Paxil or you may need a dosage adjustment or special tests during treatment. • FDA pregnancy category D. This medication can cause harm to an unborn baby. Do not use Paxil if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. • Paxil can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take Paxil? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication. • Try to take the medicine at the same time each day. • Do not crush chew or break a controlled-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. • Shake the liquid form of Paxil well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. • It may take 4 weeks or more for you to start feeling better. Do not stop using Paxil without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. • Store Paxil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Paxil overdose may include nausea vomiting tremor sweating decreased urination blurred vision rapid heartbeat confusion aggression fainting seizures and coma. What should I avoid while taking Paxil? • Do not take Paxil together with pimozide (Orap) thioridazine (Mellaril) isocarboxazid (Marplan) phenelzine (Nardil) selegiline (Eldepryl Emsam) or tranylcypromine (Parnate). • Avoid drinking alcohol which can increase some of the side effects of Paxil. • Avoid using other medicines that make you sleepy (such as cold medicine other pain medication muscle relaxants). They can add to sleepiness caused by Paxil. • Paxil can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. What are the possible side effects of Paxil? • Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face lips tongue or throat. • Contact your doctor promptly if you have any of the following side effects especially if they are new symptoms or if they get worse: mood changes anxiety panic attacks trouble sleeping irritability agitation aggressiveness severe restlessness mania (mental and/ or physical hyperactivity) thoughts of suicide or hurting yourself. • Call your doctor at once if you have any of these serious side effects: seizure (convulsions); tremors shivering muscle stiffness or twitching; problems with balance or coordination; or agitation confusion sweating fast heartbeat. • Other less serious side effects are more likely to occur such as: feeling nervous restless or unable to sit still; drowsiness dizziness weakness; sleep problems (insomnia); nausea constipation loss of appetite; weight changes; decreased sex drive impotence or difficulty having an orgasm; or dry mouth yawning or ringing in your ears. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Paxil? • Talk to your doctor before taking any medicine for pain arthritis fever or swelling. This includes aspirin ibuprofen (Advil Motrin) naproxen (Aleve Naprosyn) diclofenac (Voltaren) indomethacin piroxicam (Feldene) nabumetone (Relafen) etodolac (Lodine) and others. Taking any of these drugs with Paxil may cause you to bruise or bleed easily. • Before taking Paxil tell your doctor if you are using any of the following medicines: tryptophan (also called L-tryptophan); risperidone (Risperdal); tramadol (Ultram); St. John's wort; cimetidine (Tagamet); lithium (Lithobid Eskalith); atomoxetine (Strattera); a blood thinner such as warfarin (Coumadin); any other antidepressants such as amitriptyline (Elavil) citalopram (Celexa) escitalopram (Lexapro) fluoxetine (Prozac Sarafem) fluvoxamine (Luvox) imipramine (Tofranil) nortriptyline (Pamelor) or sertraline (Zoloft); a phenothiazine such as prochlorperazine (Compazine) chlorpromazine (Thorazine) fluphenazine (Prolixin) mesoridazine (Serentil) perphenazine (Trilafon) and others; almotriptan (Axert) frovatriptan (Frova) sumatriptan (Imitrex) naratriptan (Amerge) rizatriptan (Maxalt) or zolmitriptan (Zomig); or heart rhythm medication such as flecainide (Tambocor) propafenone (Rhythmol) and others. • If you are using any of these drugs you may not be able to use Paxil or you may need dosage adjustments or special tests during treatment. • There may be other drugs not listed that can affect Paxil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor

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Cholesterol Drugs, Prescriptions and Overseas Pharmacy Meds: Atorvastatin (Lipitor) Atorvastatin belongs to the group of medicines called 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors. It works by blocking an enzyme that is needed by the body to make cholesterol thereby reducing the amount of cholesterol in the blood. Buy Atorvastatin (Lipitor) and other Cholesterol products online at Medstore. About Atorvastatin (Lipitor): Product Type: Cholesterol Brand name: Atorvastatin Generic name: Lipitor What is the most important information I should know about Atorvastatin? • Rare cases of muscle problems and liver problems have been associated with the use of Atorvastatin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain tenderness or weakness especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes abdominal pain unexplained fatigue dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems. • Do not take Atorvastatin without first talking to your doctor if you have liver disease. • Alcohol and Atorvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined. • Do not take Atorvastatin if you are pregnant could become pregnant during treatment or if you are breast-feeding a baby. What is Atorvastatin? • Atorvastatin is an HMG CoA reductase inhibitor. Atorvastatin blocks the production of cholesterol (a type of fat) in the body. • Atorvastatin is used to reduce the amounts of LDL (bad) cholesterol total cholesterol triglycerides (another type of fat) and apolipoprotein B (a protein needed to make cholesterol) in your blood. Atorvastatin is also used to increase the level of HDL (good) cholesterol in your blood. These actions are important in reducing the risk of hardening of the arteries which can lead to heart attacks stroke and peripheral vascular disease. • Atorvastatin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Atorvastatin? • Do not take Atorvastatin without first talking to your doctor if you have liver disease. • Before taking Atorvastatin tell your doctor if you drink alcoholic beverages have a chronic muscular disease require major surgery or have a blood disorder. • You may not be able to take Atorvastatin or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Atorvastatin is in the FDA pregnancy category X. This means that Atorvastatin is known to cause birth defects if it is taken during pregnancy. Do not take Atorvastatin if you are pregnant or could become pregnant during treatment. • It is not known whether Atorvastatin passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. How should I take Atorvastatin? • Take Atorvastatin exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Atorvastatin can be taken with or without food. • Atorvastatin is usually taken once a day. Try to take your dose at the same time each day. Follow your doctor's instructions. • Your doctor may want to monitor your liver function with blood tests before starting treatment with Atorvastatin at twelve weeks after both the start of your treatment and any increase in dose and periodically (every 6 months) thereafter. Depending on the results of these tests your doctor can determine how much monitoring you will require. • Grapefruit and grapefruit juice may interact with Atorvastatin. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Eat a low-fat low-cholesterol diet. To realize beneficial effects from Atorvastatin avoid fatty high-cholesterol foods. • It is important to take Atorvastatin regularly to get the most benefit. • Do not stop taking Atorvastatin without first talking to your doctor. Atorvastatin may need to be taken on a long-term basis for the treatment of high cholesterol. • Your doctor may want you to have blood tests or other medical evaluations during treatment with Atorvastatin to monitor progress and side effects. • Store Atorvastatin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next dose skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • The symptoms of an Atorvastatin overdose are not known. What should I avoid while taking Atorvastatin? • Alcohol and Atorvastatin can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined. • Grapefruit and grapefruit juice may interact with Atorvastatin. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. What are the possible side effects of Atorvastatin? • Rare cases of muscle problems and liver problems have been associated with the use of Atorvastatin and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain tenderness or weakness especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes abdominal pain unexplained fatigue dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems. • If you experience any of the following serious side effects stop taking Atorvastatin and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); decreased urine or rust-colored urine; or blurred vision. • Other less serious side effects may be more likely to occur. Continue to take Atorvastatin and talk to your doctor if you experience headache; upset stomach or flatulence; or a rash. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Atorvastatin? • Do not take Atorvastatin without first talking to your doctor if you are taking any of the following medicines: cyclosporine (Sandimmune Neoral); gemfibrozil (Lopid) clofibrate (Atromid-S) or fenofibrate (Tricor); niacin (Nicolar Nicobid Slo-Niacin others); erythromycin (E-Mycin E.E.S. Ery-Tab others) or clarithromycin (Biaxin); cholestyramine (Questran) or colestipol (Colestid); hormonal birth control (pills patches or implants); or an antifungal medication such as itraconazole (Sporanox) fluconazole (Diflucan) or ketoconazole (Nizoral). • You may not be able to take Atorvastatin or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Atorvastatin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products. Generic Atorvastatin (Lipitor) Atropic Rovator Trovatin Cardyl Sotis Torvast Tozalip Xavator 10mg 120 tabs 10mg 180 tabs 20mg 60 tabs 10mg 60 tabs 40mg 240 tabs 10mg 240 tabs 20mg 90 tabs 20mg 120 tabs 40mg 30 tabs 10mg 480 tabs 40mg 120 tabs 20mg 240 tabs 40mg 60 tabs 20mg 30 tabs 40mg 90 tabs Lipitor Atorvastatin