Paroxetine can cause side effects that may impair your thinking or reactions. Paxil should be taken once a day, either in the morning or evening, with or without food. Studies suggest an increased risk of Paxil birth defects for pregnant women during their first trimester. The morning or evening, with or without food. Zoloft, Paxil, Luvox and Prozac are currently used by more than five million Americans. Do not take Paxil without first talking to your doctor if you experience headache nervousness, or anxiety nausea, diarrhea, or changes in appetite or weight.
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