Details for tablet - Parotin 20mg - Paroxetine Hydrochloride
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Parotin 20mg 10 Tablets/Strip (Paroxetine) (Generic Paxil)
Also known as Paxil
What is Paroxetine?
Paroxetine is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Paroxetine affects chemicals in the brain that may become unbalanced. Paroxetine is used to treat depression, obsessive-compulsive disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).
What is it used for?
- Depressive illness
- Generalised anxiety disorder (GAD)
- A psychiatric disorder in which tasks are excessively repeated (obsessive-compulsive disorder)
- Condition of sudden attacks of fear, panic and confusion (panic disorder)
- Post-traumatic stress disorder
- Fear of social situations (social phobia)
Most important fact about Paroxetine?
You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are 18 years of age or younger. Talk with your doctor about this risk.
How should you take Paroxetine?
Take this medication with or after food. It may take 4 weeks or more for you to start feeling better and you may have unpleasant side effects if you stop taking Paroxetine suddenly. Your doctor may occasionally change your dose to make sure you get the best results from the medication. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
What should I avoid while taking Paroxetine?
Avoid drinking alcohol, which can increase some of the side effects of Paroxetine. Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, medicine for seizures, other medication for depression or anxiety). They can add to sleepiness caused by paroxetine.
Paroxetine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What side effects may occur?
- Sexual problems
- Decreased appetite
- Sleepiness (somnolence)
- Difficulty in sleeping (insomnia)
- Shaking, usually of the hands (tremor)
- Visual disturbances such as blurred vision
- Dry mouth
- Disturbances of the gut such as diarrhoea or constipation
- Weakness or loss of strength (asthenia)
- Weight gain
- Abnormal bleeding
- Skin reactions such as rash and itch
- Liver disorders
Use with caution in:
- Elderly people
- Young adults
- History of suicidal behaviour or thoughts
- History of mania or hypomania
- People receiving electroconvulsive therapy (ECT)
- People taking antipsychotic medicines
- Decreased kidney function
- Decreased liver function
- Heart disease
- History of bleeding disorders
- People taking medicine to prevent blood clotting (anticoagulants, eg warfarin)
- History of glaucoma
Not to be used in:
- Children and adolescents under 18 years of age
- Manic episodes of bipolar affective disorder (manic depression)
- Uncontrolled epilepsy
- People who have taken a monoamine oxidase inhibitor antidepressant (MAOI) in the last 14 days
- People taking the antipsychotic medicines thioridazine or pimozide
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.
What other drugs will affect Paroxetine?
Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes Aspirin, Ibuprofen (Advil, Motrin), Naproxen (Aleve, Naprosyn), Diclofenac (Voltaren), Indomethacin, Piroxicam (Feldene), Nabumetone (Relafen), Etodolac (Lodine), and others. Taking any of these drugs with Paroxetine may cause you to bruise or bleed easily.
Before taking Paroxetine, tell your doctor if you are using any of the following medicines:
- Atomoxetine (Strattera), Cimetidine (Tagamet), Fosamprenavir (Lexiva), Lithium (Lithobid, Eskalith), Risperidone (Risperdal), Ritonavir (Norvir), St. John's wort, Tramadol (Ultram), or Tryptophan (also called L-tryptophan);
- Heart rhythm medication such as Flecainide (Tambocor) or Propafenone (Rhythmol);
- A blood thinner such as Warfarin (Coumadin);
- Any other antidepressants such as Amitriptyline (Elavil), Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac, Sarafem), Fluvoxamine (Luvox), Imipramine (Tofranil), Nortriptyline (Pamelor), or Sertraline (Zoloft);- A phenothiazine such as Prochlorperazine (Compazine), Chlorpromazine (Thorazine), Fluphenazine (Prolixin), Mesoridazine (Serentil), and others; or
- Almotriptan (Axert), Frovatriptan (Frova), Sumatriptan (Imitrex), Naratriptan (Amerge), Rizatriptan (Maxalt), or Zolmitriptan (Zomig)