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Talk to your doctor about any side effect that seems unusual or that is especially bothersome. Multum's drug information does not endorse drugs diagnose patients or recommend therapy. 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. Taking any of these drugs with Paxil may cause you to bruise or bleed easily. There may be other drugs not listed that can affect Paxil. 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. Ask your pharmacist any questions you have about Paxil especially if it is new to you. 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. Serious and sometimes fatal reactions can occur when these medicines are taken with Paxil. And there are millions of women who suffer from premenstrual dysphoric disorder (PMDD).

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