{"id":20538,"date":"2022-04-06T11:09:14","date_gmt":"2022-04-06T11:09:14","guid":{"rendered":"https:\/\/zeepedia.com\/?p=20538"},"modified":"2022-04-07T10:24:12","modified_gmt":"2022-04-07T10:24:12","slug":"paroxetine-actavis","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/paroxetine-actavis\/","title":{"rendered":"Paroxetine Actavis uses, dose and side effects"},"content":{"rendered":"\n<p>10 mg&nbsp;film-coated tablets<br>paroxetine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Paroxetine Actavis is and what it is used for<\/h2>\n\n\n\n<p><strong>Paroxetine\u00a0Actavis is used to treat adults with depression and\/or anxiety<\/strong>.\u00a0The anxiety states that\u00a0Paroxetine\u00a0Actavis is used for are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>obsessive-compulsive disorder (repeated obsessive-compulsive disorder with uncontrollable behavior),<\/li><li>panic disorder (attacks of panic disorder, including those arising from&nbsp;agoraphobia, ie fear of open spaces),<\/li><li>social phobia&nbsp;(fear of or avoidance of social situations),<\/li><li>post-traumatic stress disorder&nbsp;(anxiety after a traumatic experience)<\/li><li>generalized anxiety disorder (generalized severe anxiety or worry).<\/li><\/ul>\n\n\n\n<p>Paroxetine&nbsp;Actavis belongs to a group of medicines called selective serotonin reuptake inhibitors (&nbsp;SSRIs&nbsp;).&nbsp;All people have a neurotransmitter in the brain called&nbsp;serotonin.&nbsp;Those who suffer from depression or anxiety have abnormally low levels of&nbsp;serotonin.&nbsp;How Paroxetine Actavis and other&nbsp;SSRIs&nbsp;work is not completely known but it could be because they raise the levels of&nbsp;serotonin&nbsp;in the brain.&nbsp;Proper treatment of your depression or anxiety is important to help you improve.<\/p>\n\n\n\n<p>The paroxetine contained\u00a0in\u00a0Paroxetine\u00a0Actavis may also be approved for the treatment of other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Paroxetine Actavis<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Paroxetine Actavis<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are taking medicines called&nbsp;monoamine oxidase inhibitors&nbsp;(&nbsp;MAOIs, including moclobemide and methylthionine chloride (methylene blue)) or have taken them at any time during the last two weeks.&nbsp;Your doctor will advise you on how to start taking&nbsp;Paroxetine&nbsp;Actavis after you stop taking&nbsp;MAOIs.<\/li><li>if you are taking an antipsychotic medicine that contains either thioridazine or pimozide.<\/li><li>if you are allergic to&nbsp;paroxetine, soy, peanuts, or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<p><strong>If any of the above applies&nbsp;to&nbsp;you<\/strong>, tell your doctor before taking&nbsp;Paroxetine&nbsp;Actavis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong>Talk to your&nbsp;<\/strong><strong>doctor&nbsp;<\/strong><strong>or pharmacist before using&nbsp;<\/strong><strong>Paroxetine<\/strong><strong>&nbsp;Actavis<\/strong><strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Are you taking any other medicines (see\u00a0<em>Other medicines and\u00a0Paroxetine\u00a0Actavis<\/em>\u00a0in this leaflet)?<\/li><li>Are you taking tamoxifen to treat breast cancer?\u00a0Paroxetine\u00a0Actavis may make tamoxifen less effective and your doctor may therefore recommend that you take other antidepressant medicines.<\/li><li>Do you have kidney, liver, or heart problems?<\/li><li>Do you have\u00a0epilepsy\u00a0or have previously had seizures or seizures?<\/li><li>Have you ever had manic episodes (overactive behavior or thoughts)?<\/li><li>Do you receive electroconvulsive therapy (ECT)?<\/li><li>If you have had a bleeding disorder, are you pregnant (see Pregnancy, breast-feeding and\u00a0fertility\u00a0) or are you taking any other medicines that may increase the risk of bleeding (blood-thinning medicines such as\u00a0warfarin, antipsychotics such as perfenazine or clozapine,\u00a0tricyclic antidepressants, painkillers) and\u00a0inflammation, so-called\u00a0NSAIDs\u00a0(non-steroidal anti-inflammatory drugs), such as\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiplo-citrus\/\">acetylsalicylic acid<\/a>,\u00a0ibuprofen, celecoxib, etodolac,\u00a0diclofenac, meloxicam)?<\/li><li>Do you have\u00a0diabetes?<\/li><li>Are you on a salt-reduced diet?<\/li><li>Do you have\u00a0glaucoma\u00a0(\u00a0glaucoma, increased pressure in the eye)?<\/li><li>Are you pregnant or planning to become pregnant (see\u00a0Pregnancy, breast-feeding,<em> and\u00a0fertility<\/em>\u00a0in this leaflet)?<\/li><li>Are you under 18 (see\u00a0<em>Children and adolescents under 18<\/em>\u00a0in this leaflet)?<\/li><\/ul>\n\n\n\n<p><strong>If you answer YES to any of these questions<\/strong>&nbsp;and have not previously discussed this with your doctor,&nbsp;<strong>consult your doctor again and ask how to&nbsp;apply Paroxetine&nbsp;Actavis.<\/strong><\/p>\n\n\n\n<p><strong>Children and young people under 18 years of age<\/strong><\/p>\n\n\n\n<p><strong>Paroxetine&nbsp;Actavis should&nbsp;not be used&nbsp;in children and adolescents under 18 years of age.&nbsp;<\/strong>The risk of&nbsp;side effects&nbsp;such as suicide attempts, suicidal ideation, and hostility (mainly aggression and anger) is greater in patients under 18 years of age using&nbsp;Paroxetine&nbsp;Actavis.&nbsp;If your doctor has prescribed&nbsp;Paroxetine&nbsp;Actavis for you (or your child) and you want to discuss this, you should see your doctor again.&nbsp;You should inform your doctor if you notice any of the above symptoms or if such symptoms worsen<\/p>\n\n\n\n<p>while you (or your child) are taking&nbsp;Paroxetine&nbsp;Actavis.&nbsp;The long-term effects on growth, maturity, and mental and behavioral development have not yet been determined for children and adolescents under 18 years of age.<\/p>\n\n\n\n<p>In studies with&nbsp;paroxetine&nbsp;in patients under 18 years of age, common&nbsp;adverse reactions&nbsp;that occurred in less than 1 in 10 children\/adolescents were the following: increased suicidal ideation and suicide attempts, self-harming behavior, hostile, aggressive, or unfriendly behavior, loss of appetite, tremors, abnormal sweating, hyperactivity (excess energy), agitation, emotional changes (including crying and mood swings) and unusual bruising or bleeding (eg nosebleeds).&nbsp;The studies showed that the same symptoms also occurred in children and adolescents who received&nbsp;a placebo&nbsp;(an inactive substance) instead of&nbsp;paroxetine, but less often.<\/p>\n\n\n\n<p>Some patients in studies with people under 18 years of age experienced withdrawal symptoms when they stopped taking&nbsp;paroxetine.&nbsp;These symptoms are similar to those that occur in adults after discontinuation of&nbsp;paroxetine&nbsp;(see section 3 How to use&nbsp;Paroxetine&nbsp;Actavis in this leaflet).&nbsp;In addition, it was common (in less than 1 in 10) that patients under the age of 18 experienced abdominal pain, nervousness, and emotional changes (including crying, mood swings, attempted self-harm, thoughts of suicide, and suicide attempts).<\/p>\n\n\n\n<p><strong><em>If you start to feel worse and have thoughts of harming yourself<\/em><\/strong><\/p>\n\n\n\n<p>You who are depressed and\/or suffer from worry\/anxiety can sometimes have thoughts of harming yourself or committing suicide.&nbsp;These symptoms may worsen when you start taking antidepressants, as it takes time for a drug of this type to take effect, usually about 2 weeks, sometimes longer.<\/p>\n\n\n\n<p><strong>These thoughts may be common:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have previously had thoughts of harming yourself or committing suicide,<\/li><li>if you are younger than 25 years.&nbsp;Studies have shown that young adults (younger than 25 years) with mental illness who are treated with antidepressant drugs have an increased risk of suicidal thoughts and thoughts of harming themselves.<\/li><\/ul>\n\n\n\n<p><strong>Contact a doctor immediately or go to the nearest hospital <\/strong>if you have thoughts of injuring yourself or committing suicide.<\/p>\n\n\n\n<p><strong>It can be helpful to tell a relative or close friend<\/strong>&nbsp;that you are depressed and\/or suffering from anxiety.&nbsp;Feel free to ask them to read this leaflet.&nbsp;You can also ask them to tell you if they think you are feeling worse or if they think your behavior is changing.<\/p>\n\n\n\n<p><strong>Important&nbsp;side effects&nbsp;have&nbsp;<\/strong><strong>been&nbsp;<\/strong><strong>seen&nbsp;<\/strong><strong>with&nbsp;<\/strong><strong>Paroxetine<\/strong><strong>&nbsp;Actavis<\/strong><strong><\/strong><strong><\/strong><\/p>\n\n\n\n<p>Some patients take\u00a0Paroxetine\u00a0Actavis to develop something called\u00a0akathisia, which means that they\u00a0feel restless and can not sit or standstill.\u00a0Others may develop something called\u00a0serotonergic syndrome or malignant neuroleptic syndrome.\u00a0This is meant some or all of the following symptoms: feeling very aroused or irritated, confusion, restlessness, feeling hot, sweating, shaking, chills, hallucinations (seeing or hearing strange things), muscle stiffness, sudden muscle twitching, or rapid heartbeat.\u00a0The severity can increase and lead to unconsciousness.\u00a0If you experience any of these symptoms,\u00a0consult a doctor.\u00a0For more information about these or other side effects\u00a0of\u00a0Paroxetine\u00a0Actavis, see section 4\u00a0<em>Possible\u00a0side effects\u00a0in<\/em>\u00a0this leaflet.<\/p>\n\n\n\n<p>Drugs such as&nbsp;Paroxetine&nbsp;Actavis (so-called&nbsp;SSRIs&nbsp;\/ SNRIs) can cause symptoms of sexual&nbsp;dysfunction&nbsp;(see section 4).&nbsp;In some cases, these symptoms have persisted after discontinuation of treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Paroxetine Actavis<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Some medicines may affect the way&nbsp;Paroxetine&nbsp;Actavis works or increase the risk of&nbsp;side effects.&nbsp;Paroxetine&nbsp;Actavis may also affect the way other medicines work.&nbsp;These are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Medicines called\u00a0<strong>MAO inhibitors<\/strong>, including moclobemide and methylthionine chloride (methylene blue) &#8211; see\u00a0Do not use\u00a0Paroxetine\u00a0Actavis\u00a0in this leaflet.<\/li><li>Thioridazine or pimozide, which are\u00a0antipsychotics\u00a0&#8211; see\u00a0Do not use\u00a0Paroxetine\u00a0Actavis\u00a0in this leaflet.<\/li><li>Acetylsalicylic acid,\u00a0ibuprofen,\u00a0or other so-called\u00a0NSAIDs\u00a0(non-steroidal anti-inflammatory drugs) such as celecoxib, etodolac,\u00a0diclofenac,\u00a0and meloxicam, are used for\u00a0pain\u00a0and\u00a0inflammation.<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tramadol-retard-krka\/\">Tramadol<\/a>, buprenorphine, and pethidine are\u00a0painkillers<\/li><li>Drugs called triptans, such as sumatriptan, are used to\u00a0treat migraines<\/li><li>Other\u00a0antidepressants\u00a0including other\u00a0SSRIs\u00a0and\u00a0tricyclic antidepressants\u00a0such as clomipramine, nortriptyline, and desipramine<\/li><li>A\u00a0dietary supplement\u00a0called tryptophan<\/li><li>Mivacurium and suxamethonium (used for anesthesia)<\/li><li>Drugs such as lithium,\u00a0risperidone, perfenazine, clozapine (so-called antipsychotics), are used to treat certain\u00a0psychiatric disorders<\/li><li>A combination of fosamprenavir and ritonavir used to\u00a0treat\u00a0HIV\u00a0infection<\/li><li>St. John&#8217;s wort, a (traditional) herbal medicine for\u00a0depression<\/li><li>Fentanyl, used in\u00a0anesthesia\u00a0or the treatment of\u00a0chronic\u00a0pain<\/li><li>Phenobarbital,\u00a0phenytoin, sodium valproate, or carbamazepine for the treatment of\u00a0seizures\u00a0or\u00a0epilepsy<\/li><li>Atomoxetine is a drug used to treat\u00a0ADHD\u00a0(Attention Deficit Hyperactivity Disorder)<\/li><li>Procyclidine used to relieve tremors, especially in\u00a0\u00a0Parkinson&#8217;s disease<\/li><li>Warfarin\u00a0or other\u00a0anticoagulants, ie\u00a0blood-thinning\u00a0drugs<\/li><li>Propafenone,\u00a0flecainide,\u00a0and medicines used to treat\u00a0irregular\u00a0heartbeat<\/li><li>Metoprolol, a\u00a0beta-blocker used to treat high\u00a0blood pressure\u00a0and\u00a0heart problems<\/li><li>Pravastatin is used to treat\u00a0high\u00a0cholesterol<\/li><li>Rifampicin used to treat\u00a0tuberculosis\u00a0and leprosy<\/li><li>Linezolid which is an\u00a0antibiotic<\/li><li>Tamoxifen is used to\u00a0<strong>treat breast cancer.<\/strong><\/li><\/ul>\n\n\n\n<p><strong>If you are taking or have recently taken any of the medicines listed above<\/strong>&nbsp;and have not already discussed this with your doctor,&nbsp;<strong>talk to your doctor again and ask for advice<\/strong>.&nbsp;Your&nbsp;dose&nbsp;may need to be changed or you may need another medicine.&nbsp;Your doctor may want to examine you continuously during treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Paroxetine Actavis with food, drink, and alcohol<\/h2>\n\n\n\n<p>Do not use alcohol while taking&nbsp;Paroxetine&nbsp;Actavis.&nbsp;Alcohol can worsen your symptoms or&nbsp;side effects.&nbsp;Taking&nbsp;Paroxetine&nbsp;Actavis in the morning with food may reduce the risk of nausea.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.\u00a0<\/p>\n\n\n\n<p>There are reports of an increased risk of malformations, especially heart malformations in children whose mothers took&nbsp;Paroxetine&nbsp;Actavis during the first months of pregnancy.&nbsp;In the general population, about 1 in 100 children is born with heart malformations.&nbsp;The risk is higher in children whose mothers have taken&nbsp;Paroxetine&nbsp;Actavis, where the risk is 2 in 100 children.&nbsp;You and your doctor can decide together if it is better to switch to another treatment or if you should gradually reduce&nbsp;Paroxetine&nbsp;Actavis while you are pregnant.&nbsp;Depending on the circumstances, your doctor may decide that continued treatment with&nbsp;Paroxetine&nbsp;Actavis is better for you.<\/p>\n\n\n\n<p><strong>Tell your midwife or doctor that you are using&nbsp;Paroxetine&nbsp;Actavis.&nbsp;<\/strong>When drugs such as&nbsp;Paroxetine&nbsp;Actavis are used during pregnancy, especially late in pregnancy, they may increase the risk of a serious condition called&nbsp;persistent&nbsp;pulmonary&nbsp;hypertension&nbsp;in the newborn (PPHN).&nbsp;In PPHN, the&nbsp;blood pressure&nbsp;in the blood vessels between the baby&#8217;s heart and lungs is too high.&nbsp;If you are taking&nbsp;Paroxetine&nbsp;Actavis during the last 3 months of pregnancy, your newborn baby may also have other symptoms that usually start within the first 24 hours after birth and include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>difficulty breathing,<\/li><li>bluish skin or that the child is too hot or cold,<\/li><li>blue lips,<\/li><li>vomiting or the child not eating properly,<\/li><li>that the child is very tired, has difficulty sleeping, or cries persistently,<\/li><li>tense or limp muscles,<\/li><li>tremors, twitches or cramps,<\/li><li>excessive reflexes.<\/li><\/ul>\n\n\n\n<p>If your baby gets any of these symptoms after birth, or if you are worried about your baby&#8217;s health,&nbsp;&nbsp;<strong>consult&nbsp;a doctor or midwife&nbsp;for advice<\/strong>.<\/p>\n\n\n\n<p>If you take&nbsp;Paroxetine&nbsp;Actavis at the end of your pregnancy, there may be an increased risk of heavy vaginal bleeding shortly after delivery, especially if you have a history of bleeding disorders.&nbsp;Your doctor or midwife should be informed that you are taking&nbsp;Paroxetine&nbsp;Actavis so that they can advise you on this.<\/p>\n\n\n\n<p>Do not stop treatment without talking to a doctor.&nbsp;Sudden discontinuation of treatment may lead to withdrawal symptoms (see If you stop taking&nbsp;Paroxetine&nbsp;Actavis).<\/p>\n\n\n\n<p><strong>Paroxetine&nbsp;can be excreted in breast milk in very small amounts<\/strong>.&nbsp;Consult your doctor before breastfeeding.&nbsp;You and your doctor can decide together if you can breastfeed while&nbsp;taking Paroxetine&nbsp;Actavis.&nbsp;<\/p>\n\n\n\n<p>In animal studies, it has been shown that&nbsp;paroxetine&nbsp;reduces the quality of semen.&nbsp;In theory, this could affect&nbsp;fertility, but no such reducing effect of&nbsp;paroxetine&nbsp;on&nbsp;fertility&nbsp;has yet been demonstrated in humans.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Possible&nbsp;side effects&nbsp;of&nbsp;Paroxetine&nbsp;Actavis include dizziness, confusion, drowsiness, or blurred vision.&nbsp;If you get these&nbsp;side effects, do not drive or use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened vigilance.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Paroxetine Actavis contains soy lecithin, para-orange, and sodium<\/h2>\n\n\n\n<p>This medicine contains soy lecithin (E322).&nbsp;If you are allergic to peanuts or soy, do not take this medicine.<\/p>\n\n\n\n<p>This medicine contains the dye para-orange (E110), which may cause allergic reactions.<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per tablet, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Paroxetine Actavis<\/h2>\n\n\n\n<p>Always&nbsp;take Paroxetine&nbsp;Actavis exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>Dose&nbsp;one is determined by the doctor who adjusts it individually for you.&nbsp;Depending on how you respond to treatment, your doctor may gradually increase or decrease&nbsp;your dose.<\/p>\n\n\n\n<p>The maximum recommended&nbsp;dose&nbsp;is 50 mg and in some cases 60 mg.&nbsp;If you are over 65 years of age, the&nbsp;dose&nbsp;should not exceed 40 mg per day.<\/p>\n\n\n\n<p>You should continue to take the medicine even if you do not feel better right away, as it may take a few weeks before&nbsp;Paroxetine&nbsp;Actavis works.<\/p>\n\n\n\n<p>If you have the impression that the effect of&nbsp;Paroxetine&nbsp;Actavis is too strong or insufficient, or if you have any other problem that you think may be related to&nbsp;Paroxetin&nbsp;Actavis, talk to your doctor or pharmacist.&nbsp;You mustn&#8217;t change or discontinue treatment without first talking to your doctor.<\/p>\n\n\n\n<p><strong>Take&nbsp;Paroxetine&nbsp;Actavis in the morning with food.&nbsp;<\/strong>This reduces the risk of you feeling nauseous.<\/p>\n\n\n\n<p><strong>Swallow the tablets whole with a glass of water.&nbsp;Do not chew them.<\/strong><\/p>\n\n\n\n<p><strong>Patients with liver or kidney disease<\/strong><\/p>\n\n\n\n<p>If you have liver problems or severe kidney disease, your doctor may decide that your&nbsp;dose&nbsp;of&nbsp;Paroxetine&nbsp;Actavis should be lower than what is normally recommended.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Paroxetine Actavis than you should<\/h2>\n\n\n\n<p><strong>Never take more tablets than your doctor has recommended.&nbsp;<\/strong>&nbsp;If you have ingested too much or if, for example, a child has ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.<\/p>\n\n\n\n<p>A person who has overdosed on&nbsp;Paroxetine&nbsp;Actavis may experience&nbsp;side effects&nbsp;listed in section 4.&nbsp;<em>Possible&nbsp;side effects&nbsp;or<\/em>&nbsp;the following symptoms: fever, uncontrollable muscle contractions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Paroxetine Actavis<\/h2>\n\n\n\n<p>Take your medicine at the same time each day.<\/p>\n\n\n\n<p><strong>If you forget to take a&nbsp;dose&nbsp;and&nbsp;think about it before going to bed at night<\/strong>, take a&nbsp;dose&nbsp;immediately.&nbsp;Continue as usual the next day.<\/p>\n\n\n\n<p><strong>If you forget to take a&nbsp;dose&nbsp;and only remember to do so overnight or the next day<\/strong>, do not take any extra&nbsp;dose.&nbsp;You may experience some withdrawal symptoms, but these should go away after you take your next&nbsp;dose&nbsp;at the usual time.<\/p>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.<\/p>\n\n\n\n<p><strong>If you do not feel any improvement<\/strong><\/p>\n\n\n\n<p><strong>Paroxetine&nbsp;Actavis will not relieve your symptoms immediately.&nbsp;<\/strong>All antidepressant drugs require time to work.&nbsp;Some patients improve after a couple of weeks while for others it may take longer.&nbsp;Some people who take antidepressants experience a worsening before they start to feel better.&nbsp;If you have not started to get better after a few weeks, contact your doctor for advice.&nbsp;Your doctor should suggest a return visit a few weeks after you start treatment.&nbsp;Tell your doctor if you do not notice any improvement.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Paroxetine Actavis<\/h2>\n\n\n\n<p><strong>Do&nbsp;<\/strong><strong>not stop&nbsp;<\/strong><strong>taking&nbsp;<\/strong><strong>Paroxetine<\/strong><strong>&nbsp;Actavis until your doctor tells you to.<\/strong><strong><\/strong><\/p>\n\n\n\n<p><strong>When you stop taking&nbsp;Paroxetine&nbsp;Actavis,<\/strong>&nbsp;your doctor will help you slowly reduce your&nbsp;dose&nbsp;over several weeks or months to reduce the risk of withdrawal symptoms.&nbsp;One way to do this is to gradually reduce your&nbsp;dose of&nbsp;Paroxetine&nbsp;Actavis by 10 mg per week.&nbsp;Most people experience that the withdrawal symptoms are mild and go away on their own within 2 weeks.&nbsp;For some patients, the symptoms may be more severe or more prolonged.<\/p>\n\n\n\n<p><strong>If you experience withdrawal symptoms<\/strong>&nbsp;when you stop your treatment, your doctor may recommend that you&nbsp;discontinue Paroxetine&nbsp;Actavis more slowly.&nbsp;Contact your doctor if you experience severe withdrawal symptoms.&nbsp;Your doctor may ask you to start taking the tablets again, then discontinue the medicine more slowly.<\/p>\n\n\n\n<p><strong>Even if you experience withdrawal symptoms, it will be possible for you to stop taking&nbsp;Paroxetine&nbsp;Actavis.<\/strong><\/p>\n\n\n\n<p><strong>Withdrawal symptoms&nbsp;<\/strong><strong>that may occur when treatment is stopped<\/strong><\/p>\n\n\n\n<p>According to studies, 3 out of 10 patients experience one or more withdrawal symptoms when treatment with&nbsp;paroxetine&nbsp;is stopped.&nbsp;Some symptoms occur more often than others.<\/p>\n\n\n\n<p><em>Common withdrawal symptoms&nbsp;<\/em>&nbsp;<em>(may affect up to 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>dizziness (feeling of instability, balance difficulties),<\/li><li>sensory disturbances such as ant crawling, burning sensation, and, less commonly, the sensation of electric shock even in the head, as well as buzzing, whistling, ringing, or other persistent sounds in the ears (\u00a0tinnitus\u00a0),<\/li><li>sleep disorders (vivid dreams, nightmares, difficulty falling asleep),<\/li><li>anxiety,<\/li><li>headache.<\/li><\/ul>\n\n\n\n<p><em>Uncommon withdrawal symptoms&nbsp;<\/em><em>(may affect up to 1 in 100 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea,<\/li><li>sweating (including night sweats),<\/li><li>restlessness or agitation,<\/li><li>tremor,<\/li><li>confusion or disorientation,<\/li><li>diarrhea,<\/li><li>emotional instability or irritability,<\/li><li>visual disturbances,<\/li><li>fluttering and throbbing heartbeat (palpitations).<\/li><\/ul>\n\n\n\n<p><strong>If you are concerned about withdrawal symptoms when stopping treatment with&nbsp;Paroxetine&nbsp;Actavis, talk to your doctor.<\/strong><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines,\u00a0Paroxetine\u00a0Actavis can cause\u00a0side effects, although not everybody gets them.\u00a0Side effects\u00a0occur more often during the first weeks of treatment with\u00a0Paroxetine\u00a0Actavis.<\/p>\n\n\n\n<p><strong>If you get any of the following&nbsp;side effects&nbsp;during treatment, contact your doctor immediately or consult a hospital.<\/strong><\/p>\n\n\n\n<p><strong>Uncommon (&nbsp;<\/strong><strong>may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>unusual bruising or bleeding<\/strong>, including bloody vomiting or blood in the stool,<\/li><li><strong>if you have difficulty urinating<\/strong>\u00a0(throwing water).<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>seizures<\/strong>,<\/li><li>If you feel restless and have difficulty sitting or standing still, it may be something called\u00a0akathisia.\u00a0Increasing the\u00a0dose\u00a0of\u00a0Paroxetine\u00a0Actavis may worsen the symptoms.<\/li><li>If you feel tired, weak, or confused and have sore, stiff, or uncoordinated muscles, this may be due to too low a level of sodium in the blood.<\/li><\/ul>\n\n\n\n<p><strong>Very rare&nbsp;<\/strong><strong>(may affect up to 1 in 10,000 people&nbsp;<\/strong><strong>)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>allergic reaction<\/strong>, which may be severe, to\u00a0Paroxetine\u00a0Actavis.\u00a0Symptoms include red and lumpy skin rash, swelling of the eyelids, face, lips, mouth, or tongue,\u00a0itching\u00a0or difficulty breathing (shortness of breath) or swallowing, and feeling weak or dizzy resulting in fainting or unconsciousness.<\/li><li>if you have one or all of the following symptoms, it could be a so-called\u00a0serotonergic syndrome\u00a0or malignant neuroleptic syndrome.\u00a0The symptoms consist of feeling very aroused or irritated, confusion, restlessness, feeling hot, sweating, shaking, chills, hallucinations (hearing and seeing strange things), muscle stiffness, sudden muscle twitching, or palpitations.\u00a0The severity can increase and lead to unconsciousness.<\/li><li>acute\u00a0glaucoma\u00a0(symptoms include pain in the eyes and blurred vision),<\/li><li>skin rashes\u00a0that can cause blisters and look like small &#8220;targets&#8221;\u00a0(a central dark spot surrounded by a paler area, with a dark ring around the edge) are called erythema multiforme.<\/li><li>Extremely severe and severe skin side effects such as Stevens-Johnson syndrome and\u00a0toxic epidermal necrolysis\u00a0have been reported with\u00a0paroxetine.\u00a0The skin side effects may consist of rash with or without blisters.\u00a0Redness of the skin, sores or swelling in the mouth, throat, eyes, nose, and around the genitals (\u00a0Stevens-Johnson syndrome\u00a0) as well as fever and flu-like symptoms may also occur.\u00a0The skin rash can develop into severe widespread skin damage (skin detachment of the epidermis and superficial mucous membranes) with life-threatening consequences.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurs in an unknown number of users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>some people have had thoughts of harming themselves or taking their own lives while taking&nbsp;Paroxetine&nbsp;Actavis or shortly after stopping treatment (see section 2&nbsp;<em>What you need to know before you use&nbsp;Paroxetine&nbsp;Actavis<\/em>&nbsp;),<\/li><li>Some people have experienced aggression while taking&nbsp;Paroxetine&nbsp;Actavis.<\/li><\/ul>\n\n\n\n<p><strong>Other possible\u00a0side effects\u00a0are during the treatment<\/strong><\/p>\n\n\n\n<p><em>Very common&nbsp;<\/em><em>(may affect more than 1 user in 10)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea.&nbsp;Taking&nbsp;Paroxetine&nbsp;Actavis with food in the morning reduces the risk of this.<\/li><li>changes in sexual drive or function, such as missed orgasm, and in men,&nbsp;erectile dysfunction&nbsp;and ejaculation.<\/li><\/ul>\n\n\n\n<p><em>Common&nbsp;<\/em><em>(may affect up to 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated blood cholesterol levels,<\/li><li>loss of appetite,<\/li><li>poor sleep (difficulty falling asleep) or drowsiness,<\/li><li>abnormal dreams (including nightmares),<\/li><li>dizziness or\u00a0tremor,<\/li><li>headache,<\/li><li>concentration difficulties,<\/li><li>indignation,<\/li><li>unusual weakness,<\/li><li>dimsyn,<\/li><li>yawning,\u00a0dry mouth,<\/li><li>diarrhea or constipation,<\/li><li>vomiting,<\/li><li>weight gain,<\/li><li>sweating.<\/li><\/ul>\n\n\n\n<p><em>Uncommon&nbsp;<\/em><em>(may affect up to 1 in 100 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>a short-term increase in\u00a0blood pressure, or a short-term decrease that may make you feel dizzy or faint when you get up quickly,<\/li><li>faster\u00a0pulse\u00a0than normal,<\/li><li>movement inhibition, stiffness, shaking or abnormal movements of the mouth or tongue,<\/li><li>dilated\u00a0pupils\u00a0are,<\/li><li>rash,<\/li><li>itching,<\/li><li>confusion,<\/li><li>hallucinations (seeing and hearing strange things),<\/li><li>uncontrollable, involuntary urination (urinary incontinence), If you are a diabetic patient, you may experience a loss of control of your blood sugar levels while taking\u00a0Paroxetine\u00a0Actavis.\u00a0Talk to your doctor about adjusting the\u00a0dose\u00a0of your\u00a0insulin\u00a0or your diabetes medicine.\u00a0<\/li><\/ul>\n\n\n\n<p><em>Rare&nbsp;<\/em><em>(may affect up to 1 in 1,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>abnormal production of breast milk in men and women,<\/li><li>slow\u00a0pulse,<\/li><li>liver effects in the form of elevated liver function values \u200b\u200bin blood,<\/li><li>panic attacks,<\/li><li>overactive behavior or thoughts (mania),<\/li><li>a feeling of being outside one&#8217;s own body (depersonalization),<\/li><li>anxiety,<\/li><li>the uncontrollable need to move the legs (Restless Legs Syndrome),<\/li><li>joint and muscle pain,<\/li><li>increase in\u00a0hormone\u00a0and\u00a0prolactin\u00a0in the blood,<\/li><li>menstrual disorders (including heavy or irregular menstrual bleeding, bleeding between periods, and absence or delayed menstruation).<\/li><\/ul>\n\n\n\n<p><em>Very rare&nbsp;<\/em><em>(may affect up to 1 in 10,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>liver problems that cause the skin and whites of the eyes to turn yellow,<\/li><li>syndrome with insufficient production of\u00a0antidiuretic hormone\u00a0(SIADH), a condition that causes excess water and decreased\u00a0sodium\u00a0(salt) concentration in the body, this is due to incorrect chemical signals.\u00a0Patients with SIADH may become seriously ill or may be completely asymptomatic.<\/li><li>accumulation of fluid or water (which may cause swelling of the arms and legs),<\/li><li>sensitivity to sunlight,<\/li><li>painful and persistent\u00a0erection\u00a0of the penis,<\/li><li>decreased number of\u00a0platelets\u00a0in the blood,<\/li><li>gastric hemorrhage.<\/li><\/ul>\n\n\n\n<p><em>Has been reported (occurs in an unknown number of users)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tooth grinding,<\/li><li>inflammation\u00a0of the colon (which causes diarrhea),<\/li><li>tinnitus,<\/li><li>severe vaginal bleeding shortly after delivery (\u00a0postpartum hemorrhage), see \u201cPregnancy, breast-feeding and fertility\u201d in section 2 for more information.<\/li><\/ul>\n\n\n\n<p>An increased risk of bone fractures has been observed in patients taking this type of medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Paroxetine Actavis<\/h2>\n\n\n\n<p>Keep out of sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>The medicine should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>1 tablet contains:<\/p>\n\n\n\n<p>The active substance: paroxetine hydrochloride equivalent to 10 mg\u00a0paroxetine.<\/p>\n\n\n\n<p>The other ingredients are Tablet core: magnesium stearate, sodium starch glycolate, mannitol (E421), microcrystalline cellulose;\u00a0Undercoating: butylated methacrylate copolymer, Film coating: polyvinyl alcohol (partially hydrolyzed), talc, soy lecithin (E322), xanthan gum (E415), indigo carmine (E132), para-orange (E110), quinoline yellow (E104) and titanium dioxide (E171).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Paroxetine\u00a0Actavis film-coated tablets are blue, biconvex, and round with a notch on one side and a diameter of 8 mm.\u00a0The notch is not intended for splitting the tablet.<\/p>\n\n\n\n<p>Blister (Aluminum \/ Aluminum).<\/p>\n\n\n\n<p>Pack sizes: 20, 50, 60 and 100 tablets.&nbsp;Multipack containing 100 (5&#215;20) tablets and 200 (10&#215;20) tablets (hospital pack).<\/p>\n\n\n\n<p>Plastic jar (HDPE) with desiccant.<\/p>\n\n\n\n<p>Pack sizes: 20, 60, 100, 200 and 250 tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Actavis Group PTC ehf.<\/p>\n\n\n\n<p>Reykjav\u00edkurvegur 76-78<\/p>\n\n\n\n<p>220 Hafnarfj\u00f6r\u00f0ur<\/p>\n\n\n\n<p>Iceland<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Balkanpharma Dupnitsa AD<\/p>\n\n\n\n<p>3 Samokovsko Shosse Str<\/p>\n\n\n\n<p>Dupnitsa, 2600<\/p>\n\n\n\n<p>Bulgaria<\/p>\n\n\n\n<p>Actavis Ltd.<\/p>\n\n\n\n<p>BLB016 Bulebel Industrial Estate<\/p>\n\n\n\n<p>Zejtun, ZTN 3000<\/p>\n\n\n\n<p>Malta<\/p>\n\n\n\n<p>Actavis hf,<\/p>\n\n\n\n<p>Reykjavikurvegur 78<\/p>\n\n\n\n<p>Hafnarfj\u00f6r\u00f0ur<\/p>\n\n\n\n<p>Iceland<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paroxetine Actavis is used to treat adults with depression and \/ or anxiety . The anxiety states that Paroxetine Actavis is used for are:<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200],"tags":[],"class_list":["post-20538","post","type-post","status-publish","format-standard","hentry","category-medicines"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=20538"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20538\/revisions"}],"predecessor-version":[{"id":20608,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20538\/revisions\/20608"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=20538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=20538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=20538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}