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Check with your doctor immediately if any of the following side effects occur while taking paroxetine:

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotoninExamples include street drugs such as MDMAecstasyStJohn’s wortcertain antidepressantsincluding other SSRIs such as citalopram/fluoxetineSNRIs such as duloxetine/venlafaxinetryptophanamong othersThe risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

It may take up to several weeks before you get the full benefit of this drug.

Check the labels on all your medicinessuch as allergy or cough-and-cold productsbecause they may contain ingredients that cause drowsinessAsk your pharmacist about using those products safely.

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although ssris, such as paxil and zoloft, are often the first choice of medication for depression, tricyclic antidepressants like nortriptyline are still frequently prescribed.

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