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Your doctor may not want you to take prozac, may need to change the doses of your medications, or may need to monitor you carefully for side effects medications that can make you drowsy or sleepy, such as sedatives, sleeping pills, and tranquilizers other antidepressants that increase serotonin levels, such as celexa citalopram , lexapro escitalopram , paxil paroxetine , luvox fluvoxamine , zoloft sertraline , pristiq desvenlafaxine , cymbalta duloxetine , fetzima levomilnacipran , savella milnacipran , and effexor venlafaxine drugs for migraine headaches, such as axert almotriptan , relpax eletriptan , frova frovatriptan , amerge naratriptan , maxalt rizatriptan , imitrex sumatriptan , and zomig zolmitriptan eskalith or lithopid lithium ultram tramadol actiq, abstral, onsolis, or fentora fentanyl buspar buspirone st john s wort tryptophan drugs that can thin the blood and cause bleeding, including coumadin warfarin , aspirin, and nsaids such as advil or motrin ibuprofen and aleve or naprosyn naproxen other antidepressants, including tricyclic antidepressants such as elavil amitriptyline , asendin amoxapine , anafranil clomipramine , norpramin desipramine , silenor doxepin , tofranil imipramine , aventyl or pamelor nortriptyline , vivactil protriptyline , and surmontil trimipramine antipsychotics, such as clozaril clozapine , haldol haloperidol , geodon ziprasidone , fanapt iloperidone , thorazine or promapar chlorpromazine , serentil mesoridazine , and inapsine droperidol medications to treat abnormal heart rhythms, such as rythmol propafenone , tambocor flecainide , quinidine, procainamide, pacerone or cordarone amiodarone , and betapace or sorine sotalol velban vinblastine benzodiazepines, such as xanax alprazolam and valium diazepam anti-seizure medications, such as tegretol darbamazepine and dilantin phenytoin lanoxin digoxin diuretics, also called water pills certain antibiotics, such as ery-tab erythromycin , zymaxid gatifloxacin , and zagam sparfloxacin nebupent pentamidine levomethadyl acetate methadone halofantrine lariam mefloquine anzemet dolasetron prograf tacrolimus .

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examples are fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram, escitalopram snris serotonin noradrenaline reuptake inhibitors used to treat depression and or anxiety.

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in this trial, patients with pd assigned to paroxetine demonstrated a lower relapse rate compared to patients on placebo see clinical trials .

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however, sexual problems occur more frequently with paroxetine as compared with fluoxetine.

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based on the mechanism of action of snris and ssris, including paroxetine hydrochloride, and the potential for serotonin syndrome, caution is advised when paroxetine is coadministered with other drugs that may affect the serotonergic neurotransmitter systems, such as triptans, linezolid an antibiotic which is a reversible non-selective maoi , lithium, tramadol, or st.

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