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Therefore, the physician who elects to prescribe paroxetine tablets, usp for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient see dosage and administration .

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Concomitant use or within 14 days of MAOIs increases risk of serotonin syndrome Reactions to concomitant administration with MAOIs include tremormyoclonusdiaphoresisnauseavomitingflushingdizzinesshyperthermia with features resembling neuroleptic malignant syndromeseizuresrigidityautonomic instability with possible rapid fluctuations of vital signsand mental status changes that include extreme agitation progressing to delirium and coma Starting paroxetine in a patient who is being treated with linezolid or IV methylene blue is contraindicated because of an increased risk of serotonin syndrome If linezolid or IV methylene blue must be administereddiscontinue SSRI immediately and monitor for CNS toxicitymay resume 24 hr after last linezolid or methylene blue doseor after 2 weeks of monitoring5 weeks for fluoxetinewhichever comes first.

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Depression exacerbation ManiarareSerotonin syndrome Suicidal thoughtsrareSuiciderareSeizurerareToxic epidermal necrolysis HyponatremiarareBleedingabnormalrareAcute hepatitisrareStevens-Johnson Syndrome Bone fracture Akathisia.

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