Paroxat 20 mg Tablet 30pcs

Paroxetine
hydrochloride 20  mg  Tablet

What
is Paroxetine hydrochloride and what is used for :

• Paroxetine
  hydrochloride is a medication that belongs to a class of medicines known as
  “selective serotonin reuptake inhibitors”.
• It works by increasing serotonin
  levels in the brain; a hormone which is naturally present in the brain and may
  be linked to depression and anxiety when deficient.
• It is used for the
  treatment of adult patients with depression and/or anxiety disorders.
• Anxiety
  disorders that may be treated with this medication include: generalized anxiety
  disorder (generally feeling extremely nervous and anxious), panic disorder
  (panic attacks, including agoraphobia; fear of open spaces), obsessive
  compulsive disorder (obsessive, repetitive thoughts with uncontrollable
  behavior), social anxiety disorder (fear of social situations) and post-traumatic
  stress disorder (anxiety due to a previous traumatic event).

Do
not take Paroxetine hydrochloride :

• If
  you are allergic to Paroxetine hydrochloride or any of the ingredients in this
  medicine.
• Tell your doctor about the allergy and what signs you had.
• If
  you are taking or have taken during the previous two weeks MAO inhibitors (used
  to treat depression), like, methylthioninium chloride (methylene blue) and
  moclobemide.
• Talk to your doctor if this applies to you.
• Your doctor will tell
  you when you should start taking Paroxetine hydrochloride after stopping the
  MAO inhibitor.  
• If
  you are taking any of the following antipsychotic medicines; thioridazine or
  pimozide.

Warnings
and precautions :

• Talk
  to your doctor or pharmacist before taking Paroxetine hydrochloride if you are
  taking any other medications.
• This
  medication may cause Tamoxifen (used to treat fertility problems and breast
  cancer) to be less effective if taken together.
• Talk to your doctor or
  pharmacist before starting this medication if you are you taking tamoxifen.
  
• Your doctor may switch your medicine to another antidepressant.
• Talk
  to you doctor if you have a history of epilepsy (convulsions), seizures or
  fits, or if you have a history of mania episodes (overactive thoughts or
  behavior).
• Talk
  to your doctor before starting this medication if you have liver, heart or
  kidney problems.
• Talk
  to your doctor if you are having electro-convulsive therapy (ECT); a procedure
  used to treat certain psychiatric conditions.
• Talk
  to your doctor before starting this medication if you are pregnant or plan on
  getting pregnant, have glaucoma (high pressure in your eye), diabetes (high
  blood sugar levels) or if you are following a strictly controlled low sodium
  diet.
• Talk
  to your doctor before starting this medication if you are taking medications
  that may cause an increase in your risk of bleeding (e.g. blood thinners like
  warfarin, tricyclic antidepressants used to treat depression, non-steroidal
  anti-inflammatory drugs or NSAIDs like ibuprofen, acetylsalicylic acid,
  celecoxib, diclofenac, etodolac, meloxicam which are used to reduce
  inflammation and pain and antipsychotics such as clozapine or perphenazine) or
  if you have bleeding problems.

For
patients under 18 years of age:

• Talk to your doctor before starting this
  medication if you are below 18 years of age; this medication may increase the
  risk of depression, suicidal attempts, suicidal thoughts and hostility (anger,
  oppositional behavior and aggression) and therefore should not be given for
  children and adolescents under 18 years.
• If your doctor decides to start you or
  your child on this medication, make sure to discuss all the risks with the
  doctor and to consult your doctor immediately if you experience any worsening
  of depression signs or any of the signs mentioned before or signs like, lack of
  appetite, changing emotions, abnormal sweating, unusual bruising or bleeding,
  abnormal growth or maturation and behavioral and cognitive development, stomach
  pain, changing emotions and feeling nervous.
• This
  medication may cause withdrawal signs if stopped abruptly.
• Do not stop the
  medication without consulting your doctor for advice first.
• This
  medication may take up to 2 weeks or more to start giving effect and therefore
  may increase your anxiety and depression signs at first.
• Make sure to go to the
  hospital or talk to your doctor immediately if you experience worsening of
  signs like thoughts of killing or harming yourself.
• This is more likely to
  happen if you are a young adult if you already have previously experienced
  similar thoughts or suicidal behavior. 
• It
  is recommended that you tell a close friend or relative about your anxiety or
  depression and ask them to read this leaflet for you.
• It is also recommended
  that you ask them to monitor you for any change in behavior or worsening of
  signs that you may not notice.
• Drinking
  alcohol along with this medication may worsen your symptoms and may increase
  the side effects of the medication.
• Make sure not to drink alcohol while you
  are taking Paroxetine.
• It its recommended that you take this medication in the
  morning with food in order to decrease the risk of nausea.
• This
  medication may take some time to start working (2 weeks or longer). You may
  even feel worse at the beginning. Therefore, make sure not to stop taking the
  medication if you do not feel better at first and make sure to talk to your
  doctor for advice if you do not feel better after a couple of weeks have
  passed.

Possible
side effects :

• Possible
  side effects include signs of an allergic reaction, like rash and itching,
  akathisia (feeling like you cannot sit or stand still), signs of serotonin
  syndrome or neuroleptic malignant syndrome, like, confusion, muscle stiffness,
  agitation, irritability, restlessness, sweating, fast heartbeat, feeling hot,
  shivering, shaking, hallucinations, sudden jerks of the muscles and loss of
  consciousness, signs of withdrawal effects, like, dizziness, pins and needles
  sensations, unsteadiness, electric shock and burning sensations (including in
  the head), sleep disturbances, anxiety, headaches, tinnitus (buzzing,
  whistling, ringing, hissing, ringing or other persistent noise in your ears),
  nausea, sweating, shakiness, agitation, feeling irritable or emotional, restlessness,
  confusion, palpitations, diarrhea and visual disturbances.
• Other side effects
  include colon inflammation and diarrhea, increased risk of bone fractures,
  tooth grinding, unusual bleeding or bruising, including vomiting blood or
  passing blood in your stools, difficulty urinating, seizures (fits), signs of
  low sodium levels, like, tiredness, weakness, confusion and achy, stiff or
  uncoordinated muscles, signs of acute glaucoma (high pressure in your eyes),
  like pain in your eyes and blurred vision, suicidal thoughts, aggression or
  worsening of depression signs.
• Very common side effects include nausea and
  sexual dysfunction or change in sex drive (e.g. lack of orgasm and abnormal
  erection and ejaculation in men).
• Common side effects include increases in the
  level of blood cholesterol, sleep disturbances (e.g. nightmares, difficulty
  sleeping or feeling sleepy), lack of appetite, dizziness, shakiness, difficulty
  in concentrating, headache, agitation, weakness, yawning, blurred vision,
  constipation or diarrhea, dry mouth, weight gain, vomiting and sweating.

Other
medicines and Paroxetine Hydrochloride :

Tell
your doctor or pharmacist if you are taking, have recently taken or might take
any other medications including over the counter non-prescription medicines,
prescription medicines, herbal supplements, vitamins and supplements.

• If
  you are taking or have taken during the previous two weeks MAO inhibitors (used
  to treat depression), like, methylthioninium chloride (methylene blue) and
  moclobemide.
• If
  you are taking antipsychotic medicines including, thioridazine, pimozide,
  lithium, risperidone, perphenazine and clozapine.

• if
  you are taking medications that may cause an increase in your risk of bleeding
  (e.g. blood thinners like warfarin, tricyclic antidepressants used to treat
  depression, non-steroidal anti-inflammatory drugs or NSAIDs like ibuprofen,
  acetylsalicylic acid, celecoxib, diclofenac, etodolac, meloxicam which are used
  to reduce inflammation and pain and antipsychotics such as clozapine or
  perphenazine).
• If
  you are taking other antidepressants.
• If
  you are taking tramadol, fentanyl or pethidine (painkillers).
• If
  you are taking triptans, like sumatriptan (used to treat migraine).
• If
  you are taking tryptophan (dietary supplement).
• If
  you are taking mivacurium or suxamethonium (anaesthesia medicines).
• If
  you are taking a combination of ritonavir and fosamprenavir (used to treat
  Human Immunodeficiency Virus HIV infection).
• If
  you are taking anticonvulsants, like phenytoin, phenobarbital, carbamazepine or
  sodium valproate.

• If
  you are taking heart rhythm medications like, flecainide and propafenone.
• If
  you are taking St John’s Wort (herbal used for depression).
• If
  you are taking pravastatin (used to treat high blood cholesterol).
• If
  you are taking atomoxetine (used to treat attention deficit hyperactivity
  disorder ADHD).
• If
  you are taking procyclidine (used to relieve tremor).
• If
  you are taking metoprolol (used to treat some heart problems and high blood
  pressure).
• If
  you are taking rifampicin (used to treat tuberculosis and leprosy).
• If
  you are taking tamoxifen (used to treat some fertility problems and breast
  cancer).
• If
  you are taking linezolid (antibiotic).

How
to take Paroxetine hydrochloride :

You
may need to take one or more tablet or half a tablet; make sure to follow the
instructions below to know how to take your doses:

• If
  your dose is 10 mg: take one tablet of 10 mg.
• If
  your dose is 20 mg: take one tablet of 20 mg.
• If
  your dose is 30 mg: take one tablet of 30 mg.
• If
  your dose is 40 mg: take 2 tablets of 20 mg.
• If
  your dose is 50 mg: take 1 tablet of 30 mg + 1 tablet of 20 mg, or take 2 and a
  half tablets of 20 mg.
• If
  your dose is 60 mg: take 2 tablets of 30 mg, or take 3 tablets of 20 mg. 

Depression:

• Recommended
  starting and daily dose is 20 mg.
• Maximum daily dose is 50 mg.

Obsessive
compulsive disorder:

• Recommended
  starting dose is 20 mg followed by a recommended daily dose of 40 mg.
• Maximum
  daily dose is 60 mg.

Panic
disorder:

• Recommended
  starting dose is 10 mg followed by a recommended daily dose of 40 mg.
• Maximum
  daily dose is 60 mg.

Social
anxiety disorder:

• Recommended
  starting dose is 20 mg followed by a recommended daily dose of 20 mg.
• Maximum
  daily dose is 50 mg.

Post-Traumatic
stress disorder:

• Recommended
  starting dose is 20 mg followed by a recommended daily dose of 20 mg.
• Maximum
  daily dose is 50 mg.

Generalized
anxiety disorder:

• Recommended
  starting dose is 20 mg followed by a recommended daily dose of 20 mg.
• Maximum
  daily dose is 50 mg.

• Your
  doctor will tell you the specific dose that you need to take and for how long
  (can be for several months or more) depending on your case. Take exactly as
  prescribed by your doctor.
• You are most likely to start feeling better in a
  couple of weeks.
• If you do not feel better, make sure to talk to your doctor
  for advice.
• Your doctor may recommend accordingly to gradually increase the
  dose by 10 mg increments, making sure not to exceed the maximum daily dose.
• Take
  tablet in the morning with food.
• This will help in preventing nausea.
• Do
  not chew the tablet.
• Take
  your medication at the same time every day.
• Swallow
  tablet with a full glass of water.
• If
  you are 65 years of age or older, make sure not to exceed 40 mg per day.
• Your
  doctor may recommend a lower dose if you have liver or kidney problems. If you
  have severe liver or kidney problems, make sure not to exceed 20 mg per day.

How
to store Paroxetine Hydrochloride :

• Keep
  out of the reach of children and pets
• Store
  medication below 30°C
• Make
  sure to keep half tablets safely in the pack (if you are using half tablets).
• Do
  not use beyond the expiry date mentioned on the box
• Keep
  medication in its original pack to protect it from moisture and light
• Do
  not use damaged pills
• Do
  not dispose medication in the wastewater or household waste