Treating depression or obsessive-compulsive disorder. It may be used to treat panic disorder or posttraumatic stress disorder (PTSD). It may also be used to treat generalized anxiety disorder or social anxiety disorder. It may also be used for other conditions as determined by your doctor. Paroxal is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to improve certain mood problems.
Important safety information:
Paroxal may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Paroxal with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Check with your doctor before you use medicines that may cause drowsiness while you are using Paroxal; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
Do not drink alcohol while you are taking Paroxal.
Several weeks may pass before your symptoms get better. Do NOT take more than the recommended dose, change your dose, or use Paroxal for longer than prescribed without checking with your doctor.
Children, teenagers, and young adults who take Paroxal may be at increased risk of suicidal thoughts or actions. Closely watch all patients who take Paroxal. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
If your doctor tells you to stop taking Paroxal, you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor when you should start to take your new medicines after you have stopped taking Paroxal.
Paroxal may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
Serotonin syndrome is a possibly fatal syndrome that can be caused by Paroxal. Your risk may be greater if you take Paroxal with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
Certain antidepressants, including Paroxal, may increase the risk of bleeding. Sometimes, bleeding can be life-threatening. Discuss any questions or concerns with your doctor.
Some people may be at risk for eye problems from Paroxal. Your doctor may want you to have an eye exam to see if you are at risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, or swelling or redness in or around the eye.
Paroxal may affect fertility in some men. Discuss any questions or concerns with your doctor.
Use Paroxal with caution in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels.
Paroxal may cause weight changes. CHILDREN and teenagers may need regular weight and growth checks while they take Paroxal.
PREGNANCY and BREAST-FEEDING: Paroxal may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Paroxal while you are pregnant. Paroxal is found in breast milk. If you are or will be breast-feeding while you take Paroxal, check with your doctor. Discuss any possible risks to your baby.
Paroxal side effects
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Anxiety; constipation; diarrhea; dizziness; drowsiness; dry mouth; gas; increased sweating; increased urination; loss of appetite; nausea; nervousness; numbness or tingling of the skin; stomach upset; trouble sleeping; weakness; yawning.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre behavior; black or bloody stools; chest pain; confusion; decreased concentration; decreased coordination; decreased sexual desire or ability; exaggerated reflexes; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; memory loss; new or worsening mental or mood changes (eg, agitation, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still); persistent or severe ringing in the ears; persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent anxiety or trouble sleeping; severe or persistent headache or dizziness; significant weight loss; stomach pain; suicidal thoughts or attempts; tremor; unusual bone pain or unexplained swelling, tenderness, or bruising; unusual bruising or bleeding; unusual weakness; worsening of depression.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
Dailymed."Paroxetine mesylate: dailymed provides trustworthy information about marketed drugs in the united states. dailymed is the official provider of fda label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
Can Paroxal be stopped immediately or do I have to stop the consumption gradually to ween off?
In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.
It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.
How should I take Paroxal?
Use Paroxal as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Paroxal comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Paroxal refilled.
Take Paroxal by mouth with or without food.
Some brands of Paroxal should be swallowed whole, and should not be crushed or chewed. If you cannot swallow Paroxal whole, check with your pharmacist to see if your brand of Paroxal can be crushed.
Taking Paroxal at the same time each day will help you remember to take it.
Continue to take Paroxal even if you feel well. Do not miss any doses.
Do not suddenly stop taking Paroxal without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be closely monitored when you start Paroxal and whenever a change in dose is made.
If you miss a dose of Paroxal, take it as soon as possible. If it almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Paroxal.
Who should not take Paroxal?
Some medical conditions may interact with Paroxal. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you or a family member has a history of bipolar disorder, other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
if you have a history of seizures, heart problems, liver problems, severe kidney problems, stomach or bowel bleeding, increased eye pressure or glaucoma, diabetes, or metabolism problems
if you are dehydrated, have low blood sodium levels, or drink alcohol
if you will be having electroconvulsive therapy (ECT)
if you are taking a medicine that contains methylene blue
Some MEDICINES MAY INTERACT with Paroxal. Tell your health care provider if you are taking any other medicines, especially any of the following:
Anorexiants (eg, phentermine), cimetidine, fenfluramine derivatives (eg, dexfenfluramine), fentanyl, linezolid, lithium, MAOIs (eg, phenelzine, selegiline), metoclopramide, nefazodone, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, venlafaxine), another SSRI (eg, fluoxetine), St. John's wort, tramadol, trazodone, or tryptophan because severe side effects, such as a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
Antiarrhythmics (eg, flecainide, propafenone, quinidine), astemizole, phenothiazines (eg, chlorpromazine, thioridazine), or terfenadine because severe heart problems, including irregular heartbeat, may occur
Cyproheptadine, HIV protease inhibitors (eg, ritonavir), phenobarbital, or phenytoin because they may decrease paroxetine's effectiveness
Aripiprazole, atomoxetine, clozapine, fluoxetine, pimozide, procyclidine, risperidone, theophylline, or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects may be increased by Paroxal
Digoxin or tamoxifen because their effectiveness may be decreased by Paroxal
This may not be a complete list of all interactions that may occur. Ask your health care provider if Paroxal may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Can Paroxal be taken or consumed while pregnant?
Please visit your doctor for a recommendation as such case requires special attention.
Can Paroxal be taken for nursing mothers or during breastfeeding?
Kindly explain your state and condition to your doctor and seek medical advice from an expert.
Reviews
Following the study conducted by gmedication.com on Paroxal, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Paroxal. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.
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