PAROXETINE HCL (PAROXETINE HCL)

Moderate

• abciximab

• Abilify

• Abilify Discmelt

• Abilify Maintena

• Abstral

• acetaminophen-codeine

• Actiq

• Activase

• Added Strength Headache Relief

• Added Strength Pain Reliever

• Adderall

• Adderall Xr

• Adipex-p

• Adult Low Dose Aspirin

• Advil

• Advil Allergy Sinus

• Advil Allergy-congestion Rlf

• Advil Cold & Sinus

• Advil Congestion Relief

• Advil Liqui-gel

• Advil Migraine

• Advil Pm

• Advil Pm Liqui-gels

• Aggrastat In Sodium Chloride

• Aggrenox

• Aleve

• Aleve Cold & Sinus

• Aleve Sinus & Headache

• Aleve-d Sinus & Cold

• Aleve-d Sinus & Headache

• Alka-seltzer

• Alka-seltzer Extra Strength

• Alka-seltzer Original

• Alka-seltzer Plus C/c(pe,dm)

• Alka-seltzer Plus Cold (pe)

• Alka-seltzer Plus Day-night

• Alka-seltzer Plus Night

• Alka-seltzer Pm

• All Day Pain Relief

• All Day Pain Relief Sinus & Co

• All Day Relief

• almotriptan malate

• Alsuma

• alteplase

• Amerge

• Amphetamine Salt Combo

• Anacin

• Anacin Maximum Strength

• Analgesic

• Anaprox

• Anaprox Ds

• Ansaid

• Antacid & Pain Relief

• aripiprazole

• Arthri-flex

• Arthrotec 50

• ASA-acetaminophen-caff-buffers

• ASA-acetaminophen-salicyl-caff

• Ascomp With Codeine

• Aspir-81

• Aspir-low

• Aspir-trin

• aspirin

• Aspirin Childrens

• Aspirin Low Dose

• Aspirin Low-strength

• aspirin, buffered

• aspirin-acetaminophen-caffeine

• aspirin-caffeine

• aspirin-calcium carbonate

• aspirin-diphenhydramine

• aspirin-diphenhydramine citrat

• aspirin-sod bicarb-citric acid

• Axert

• Back & Body Pain Reliever

• Bayer Advanced

• Bayer Aspirin

• Bayer Aspirin (with Caffeine)

• Bayer Back & Body

• Bayer Chewable Aspirin

• Bayer Childrens Aspirin

• Bayer Plus Extra Strength

• Bayer Pm

• Bc

• Bc Arthritis

• Brilinta

• bromphen-pseudoephed-codeine

• brompheniramine-PE-codeine

• Buffered Aspirin

• Bufferin

• Butalbital Compound W/codeine

• Butalbital Compound-codeine

• butalbital-acetaminop-caf-cod

• butalbital-aspirin-caffeine

• Caldolor

• Cambia

• Capcof

• Capital With Codeine

• carisoprodol-ASA-codeine

• carisoprodol-aspirin

• Cataflam

• Celebrex

• celecoxib

• Cheratussin Ac

• Cheratussin Dac

• Child Aspirin

• Child Ibuprofen

• Children's Advil

• Children's Aspirin

• Children's Ibu-drops

• Children's Ibuprofen

• Children's Medi-profen

• Children's Motrin

• Children's Profen Ib

• chlorcyclizine-codeine

• chlorphen-phenyleph-DM-aspirin

• chlorphen-phenyleph-ibuprofen

• chlorphen-pseudoeph-ibuprofen

• chlorphen-pseudoephed-codeine

• chlorphenir-phenylephrn-aspirn

• chlorpheniramine-codeine

• chlorpheniramine-PE-codeine

• cilostazol

• clopidogrel

• clrcycliz-pseudoephed-codeine

• codeine sulfate

• codeine-butalbital-ASA-caff

• codeine-guaifenesin

• codeine-pyrilamine

• Cold & Sinus Pain Relief

• Cold Relief

• Cold Relief Plus

• Cold-sinus Relief

• Conzip

• Cymbalta

• Daypro

• Desoxyn

• dexbrompheniramine-PSE-codeine

• dexchlorphen-phenyleph-codeine

• Dexedrine Spansule

• dextroamphetamine

• dextroamphetamine-amphetamine

• diclofenac epolamine

• diclofenac potassium

• diclofenac sodium

• diclofenac submicronized

• diclofenac-misoprostol

• dihydrocodeine-aspirin-caff

• dipyridamole-aspirin

• doxylamine-phenylep-DM-aspirin

• Duexis

• duloxetine

• Duragesic

• E.c. Prin

• Ec-naprosyn

• Ecotrin

• Ecotrin Low Strength

• Efferves Pain Relief Antacid

• Effervescent Antacid

• Effervescent Pain Relief

• Effervescent Pain Reliever

• eletriptan HBr

• Endodan

• Enteric Coated Aspirin

• eptifibatide

• etodolac

• Excedrin Extra Strength

• Excedrin Migraine

• Extra Strength Bayer

• Feldene

• fenoprofen

• fentanyl

• fentanyl citrate

• fentanyl citrate (PF)

• Fentora

• Fioricet With Codeine

• Fiorinal

• Fiorinal-codeine #3

• Flanax

• Flector

• flurbiprofen

• Frova

• frovatriptan

• gluc-msm-coll2-hyal-antiarthr3

• glucos-msm-C-Mn-ginger-willow

• glucos-msm-C-Mn-herb#21

• glucos-msm-collagen-C-Mn-hrb21

• Glucosamine-msm Complex

• Goody's Extra Strength

• Goody's Migraine Relief

• Guaiatussin Ac

• Guaifenesin Ac

• Guaifenesin Dac

• Guiatuss Ac

• Headache Formula

• Headache Formula Added Str

• Headache Relief

• heparin (porcine)

• heparin (porcine) in D5W

• heparin(porcine) in 0.45% NaCl

• heparin, porcine (PF)

• hydrocodone-ibuprofen

• I-prin

• Ibu-drops

• Ibudone

• ibuprofen

• Ibuprofen Cold

• Ibuprofen Cold-sinus(with Pse)

• Ibuprofen Ib

• Ibuprofen Jr Strength

• ibuprofen lysine (PF)

• Ibuprofen Pm

• ibuprofen-diphenhydramine

• ibuprofen-diphenhydramine HCl

• ibuprofen-famotidine

• ibuprofen-oxycodone

• ibuprofen-phenylephrine HCl

• Imitrex

• Imitrex Statdose Kit Refill

• Imitrex Statdose Pen

• Indocin

• indomethacin

• indomethacin sodium

• Infant's Ibuprofen

• Infant's Medi-profen

• Infant's Motrin

• Infants Ibu-drops

• Infants Profenib

• Integrilin

• Iophen C-nr

• ketoprofen

• ketorolac

• Lamisil

• Lazanda

• Levacet

• levmetamfetamine

• lisdexamfetamine

• Lite Coat Aspirin

• lithium carbonate

• lithium citrate

• Lithobid

• Lo-dose Aspirin

• Lortuss Ex

• M-clear Wc

• M-end Max D

• M-end Pe

• Mar-cof Bp

• Mar-cof Cg

• Maxalt

• Maxalt-mlt

• Medi-profen

• Medi-seltzer

• Mediproxen

• mefenamic acid

• meloxicam

• methamphetamine

• Midol (naproxen)

• Migraine Formula

• Migraine Pain Reliever

• Migraine Relief

• Mobic

• Motrin Ib

• Motrin Pm

• Msm Glucosamine Complex

• nabumetone

• Nalfon

• Naprelan Cr

• Naprosyn

• naproxen

• naproxen sodium

• naproxen-esomeprazole

• naproxen-pseudoephedrine

• naratriptan

• Neoprofen (ibuprofen Lysn)(pf)

• Nucynta

• Nucynta Er

• Orphenadrine Compound Forte

• Orphenadrine Compound-ds

• orphenadrine-ASA-caffeine

• oxaprozin

• oxycodone-aspirin

• Pain Relief

• Pain Relief Extra Strength

• Pain Reliever

• Pain Reliever Extra Strength

• Pain Reliever Plus

• Pain-off

• Pamprin Max

• PE-DM-ASA/doxyla-PE-DM-ASA

• Pennsaid

• Percodan

• phentermine

• phentermine-topiramate

• Phenylhistine

• Phenylhistine Dh

• piroxicam

• Plavix

• Pletal

• Poly-tussin

• Poly-tussin Ac

• Poly-tussin D

• Ponstel

• Pravachol

• pravastatin

• Pro-clear Ac

• Pro-clear Caps

• Pro-red Ac (w/ Dexchlorphenir)

• Procentra

• Promethazine Vc-codeine

• promethazine-codeine

• promethazine-phenyleph-codeine

• Provil

• pseudoephedrine-codeine-GG

• pseudoephedrine-ibuprofen

• Qsymia

• Relcof C

• Relpax

• Reopro

• Reprexain

• Retavase

• reteplase

• Risperdal

• Risperdal Consta

• Risperdal M-tab

• risperidone

• risperidone microspheres

• rizatriptan

• Rydex

• Sinus & Cold-d

• Solaraze

• Sprix

• St Joseph Aspirin

• St. Joseph Aspirin

• Statuss Green (codeine)

• Sublimaze (pf)

• Subsys

• sulindac

• sumatriptan

• sumatriptan succinate

• Sumavel Dosepro

• Super Pain Relief

• Suprenza

• Synalgos-dc

• Synapryn

• tapentadol

• tenecteplase

• terbinafine

• tetrabenazine

• ticagrelor

• ticlopidine

• tirofiban-0.9% sodium chloride

• Tnkase

• tolmetin

• tramadol

• tramadol-acetaminophen

• tramadol-glucosamine

• Tri-buffered Aspirin

• Trymine Cg

• Tusnel C

• Tylenol-codeine #3

• Tylenol-codeine #4

• Ultracet

• Ultram

• Ultram Er

• Vanquish

• Vapor Inhaler

• Vicoprofen

• Vimovo

• Virtussin Ac

• Voltaren-xr

• Vyvanse

• Wal-profen

• Wal-profen Cold-sinus

• Wal-proxen

• Women's Aspirin With Calcium

• Xenazine

• Z-tuss Ac

• Z-tuss E

• Zenzedi

• Zipsor

• Zodryl Ac 25

• Zodryl Ac 30

• Zodryl Ac 35

• Zodryl Ac 40

• Zodryl Ac 50

• Zodryl Ac 60

• Zodryl Ac 80

• Zodryl Dac 25

• Zodryl Dac 30

• Zodryl Dac 35

• Zodryl Dac 40

• Zodryl Dac 50

• Zodryl Dac 60

• Zodryl Dac 80

• Zodryl Dec 25

• Zodryl Dec 30

• Zodryl Dec 35

• Zodryl Dec 40

• Zodryl Dec 50

• Zodryl Dec 60

• Zodryl Dec 80

• zolmitriptan

• Zomig

• Zomig Zmt

• Zorvolex

Moderate

• Akathisia

• Hyponatremia

• Increased risk of bleeding

• Manic disorder

• Pathological fracture

• Seizure disorder

• SIADH syndrome

Paroxetine

• Severity Level:

  D

• Additional Notes: Risk of heart defects in first trimester; pulm htn 2nd trim;behav syndr 3rd trim

Contraindicated

None

General	Excretion Potential	Effect on Infant	Notes
			None

Precaution Exists

Paroxetine

Low levels excreted, reports of irritability, sleepiness, and constipation

General	Excretion Potential	Effect on Infant	Notes
Evaluate use carefully	Excreted	Not known; no or inclusive data	Low levels excreted, reports of irritability, sleepiness, and constipation

No Known Risk

None

General	Excretion Potential	Effect on Infant	Notes
			None

Contraindicated

None

Precaution Exists

Paroxetine

Neuro/Psych-Anticholinergic side effects may be seen at higher doses which may cause sedation, worsen cognitive impairment and increase fall risk. Dosing-Initial dose should be reduced since elderly have min plasma conc (Cmin) that are 70-80% greater than younger adults. Endocrine-Elderly are at higher risk for hyponatremia due to SIADH from SSRIs. Renal-CrCl of 30-60 mL/min resulted in 2-fold higher plasma concentrations. Hepatic-Hepatic impairment increases plasma concentrations.

Organ / System	HEP	REN	CARD	ENDO	NEURO / PSYCH	PULM
Increased Risk / Adverse Effects	Y	Y	N	Y	N	Y

BEERS: Y     HEDIS: Y     STOPP: Y

No Known Risk

None

0-9	A-Z
F32	Major depressive disorder, single episode
F32.0	Major depressive disorder, single episode, mild
F32.1	Major depressive disorder, single episode, moderate
F32.2	Major depressive disorder, single episode, severe without psychotic features
F32.3	Major depressive disorder, single episode, severe with psychotic features
F32.4	Major depressive disorder, single episode, in partial remission
F32.5	Major depressive disorder, single episode, in full remission
F32.9	Major depressive disorder, single episode, unspecified
F33	Major depressive disorder, recurrent
F33.0	Major depressive disorder, recurrent, mild
F33.1	Major depressive disorder, recurrent, moderate
F33.2	Major depressive disorder, recurrent severe without psychotic features
F33.3	Major depressive disorder, recurrent, severe with psychotic symptoms
F33.4	Major depressive disorder, recurrent, in remission
F33.40	Major depressive disorder, recurrent, in remission, unspecified
F33.41	Major depressive disorder, recurrent, in partial remission
F33.42	Major depressive disorder, recurrent, in full remission
F33.9	Major depressive disorder, recurrent, unspecified
F40.01	Agoraphobia with panic disorder
F40.1	Social phobias
F40.10	Social phobia, unspecified
F40.11	Social phobia, generalized
F41.0	Panic disorder [episodic paroxysmal anxiety]
F41.1	Generalized anxiety disorder
F41.8	Other specified anxiety disorders
F42	Obsessive-compulsive disorder
F42.8	Other obsessive-compulsive disorder
F42.9	Obsessive-compulsive disorder, unspecified
F43.1	Post-traumatic stress disorder (PTSd)
F43.10	Post-traumatic stress disorder, unspecified
F43.11	Post-traumatic stress disorder, acute
F43.12	Post-traumatic stress disorder, chronic
F60.5	Obsessive-compulsive personality disorder
R46.81	Obsessive-compulsive behavior