{"id":20541,"date":"2022-04-06T11:11:59","date_gmt":"2022-04-06T11:11:59","guid":{"rendered":"https:\/\/zeepedia.com\/?p=20541"},"modified":"2022-04-07T10:06:21","modified_gmt":"2022-04-07T10:06:21","slug":"paroxetine-hexal","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/paroxetine-hexal\/","title":{"rendered":"Paroxetine Hexal &#8211; Paroxetine uses, dose and side effects"},"content":{"rendered":"\n<p>10 mg, 20 mg&nbsp;film-coated tablets<br>paroxetine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Paroxetine Hexal is and what it is used for<\/h2>\n\n\n\n<p><strong>Paroxetine\u00a0Hexal is used in the treatment of adults with depression and\/or<\/strong> anxiety.\u00a0The anxiety states that\u00a0Paroxetine\u00a0Hexal is used for are: obsessive-compulsive disorder (repeated obsessive-compulsive disorder), panic disorder (attacks of panic disorder, including those caused by\u00a0agoraphobia, ie fear of open spaces),\u00a0social phobia\u00a0(fear of or avoidance of social situations),\u00a0post-traumatic stress disorder\u00a0(anxiety after a traumatic experience) and generalized anxiety (general severe anxiety or worry).<\/p>\n\n\n\n<p>Paroxetine\u00a0Hexal belongs to a group of medicines called\u00a0<em>selective\u00a0serotonin reuptake inhibitors<\/em>\u00a0(\u00a0SSRIs\u00a0).\u00a0All people have a neurotransmitter in the brain called\u00a0serotonin.\u00a0Those who suffer from depression or anxiety have abnormally low levels of\u00a0serotonin.\u00a0How\u00a0Paroxetine\u00a0Hexal and other\u00a0SSRIs\u00a0work is not completely known but it could be because they raise the levels of\u00a0serotonin\u00a0in the brain.\u00a0Proper treatment of your depression or anxiety is important to help you improve.<\/p>\n\n\n\n<p>Paroxetine\u00a0contained in\u00a0Paroxetine\u00a0Hexal may also be approved for the treatment of other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or other healthcare professionals 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 Hexal<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Paroxetine Hexal<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>if you are taking medicines called monoamine oxidase inhibitors\u00a0(<\/strong>MAOIs,\u00a0including moclobemide and methylthionine chloride (methylene blue)) or have taken them at any time during the last two weeks.\u00a0Your doctor will advise you on how to start taking\u00a0Paroxetine\u00a0Hexal after you have stopped taking\u00a0MAOIs.<\/li><li>if you are taking an antipsychotic medicine\u00a0that contains either thioridazine or pimozide<\/li><li>if you are allergic\u00a0to\u00a0paroxetine\u00a0or any of the other ingredients of this medicine (listed in section 6).<\/li><li>If any of the above applies to you, tell your doctor before taking\u00a0Paroxetine\u00a0Hexal.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong>Talk to your doctor or pharmacist before using&nbsp;Paroxetine&nbsp;Hexal<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Are you taking any other medicines (see &#8216;Other medicines and\u00a0Paroxetine\u00a0Hexal&#8217; in this leaflet)?<\/li><li>Are you taking tamoxifen for the treatment of breast cancer or fertility problems?\u00a0Paroxetine\u00a0Hexal may reduce the effect of tamoxifen and doctors may therefore recommend that you use other antidepressant medicines.<\/li><li>Do you have kidney, liver, or heart problems?<\/li><li>Do you have\u00a0epilepsy\u00a0or have you ever 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>Have you had a bleeding disorder or are you taking any other medication that may increase the risk of bleeding (blood thinners such as\u00a0warfarin, antipsychotics such as perfenazine or clozapine,\u00a0tricyclic antidepressants, painkillers, and anti-inflammatory\u00a0drugs, so-called\u00a0NSAIDs\u00a0) ), such as\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiplo-citrus\/\">acetylsalicylic acid<\/a>,\u00a0ibuprofen, celecoxib, etodolac,\u00a0diclofenac, meloxicam)?<\/li><li>Are you pregnant or planning to become pregnant (see &#8216;Pregnancy, breastfeeding and fertility in this leaflet)?<\/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 under 18 (see &#8220;Children and adolescents under 18&#8221; in this leaflet)?<\/li><li><strong>If you answer YES to any of these<\/strong>\u00a0questions and have not previously discussed this with your doctor,\u00a0<strong>consult your doctor again and ask how to apply\u00a0Paroxetine\u00a0Hexal.<\/strong><\/li><\/ul>\n\n\n\n<p><strong>Children and young people under 18 years of age<\/strong><\/p>\n\n\n\n<p><strong>Paroxetine\u00a0Hexal should not be used by children and adolescents under 18 years of age.\u00a0<\/strong>The risk of\u00a0side effects\u00a0such as suicide attempts, suicidal thoughts, and hostility (mainly aggression, defiance, and anger) is greater in patients under 18 years of age using\u00a0Paroxetine\u00a0Hexal.\u00a0If your doctor has prescribed\u00a0Paroxetine\u00a0Hexal for you (or your child) and you want to discuss this, you should see your doctor again.\u00a0You should tell your doctor if you notice any of the above symptoms or if such symptoms worsen while you (or your child) are taking\u00a0Paroxetine\u00a0Hexal.\u00a0The long-term effects on growth, maturity, and\u00a0cognitive\u00a0and 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\u00a0paroxetine\u00a0in patients under 18 years of age, common\u00a0side effects\u00a0that occurred in less than 1 in 10 children\/adolescents were the following: increased suicidal ideation and suicide attempts, intentional 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).\u00a0The studies showed that the same symptoms also occurred in children and adolescents who received\u00a0a placebo\u00a0(an inactive substance) instead of\u00a0paroxetine, 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\u00a0paroxetine.\u00a0These symptoms are similar to those that occur in adults after discontinuation of\u00a0paroxetine\u00a0(see section 3 \u201cHow to use\u00a0Paroxetine\u00a0Hexal\u201d in this leaflet).\u00a0In 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>If you start to feel worse and have thoughts of harming yourself<\/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.\u00a0These 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&nbsp;<\/strong><strong>more common&nbsp;<\/strong><strong>:<\/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.\u00a0Studies 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><li><strong>Contact a doctor as soon as possible or go to the nearest hospital<\/strong>\u00a0if you have thoughts of injuring yourself or committing suicide.<\/li><\/ul>\n\n\n\n<p><strong>It can be helpful to tell a relative or close friend<\/strong>\u00a0that you are depressed and\/or suffering from anxiety.\u00a0Feel free to ask them to read this leaflet.\u00a0You 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 been seen with&nbsp;Paroxetine&nbsp;Hexal<\/strong><\/p>\n\n\n\n<p>Some patients taking\u00a0Paroxetine\u00a0Hexal develop something called\u00a0akathisia, which means that they\u00a0feel restless and\u00a0can not sit or standstill.\u00a0Others may develop something called\u00a0serotonergic syndrome\u00a0or 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,\u00a0<strong>consult a doctor<\/strong>.\u00a0For more information on these or other\u00a0side effects\u00a0of\u00a0Paroxetine\u00a0Hexal, see section 4 \u201cPossible side effects\u201d in this leaflet.<\/p>\n\n\n\n<p>Drugs such as&nbsp;Paroxetine&nbsp;Hexal (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 Hexal<\/h2>\n\n\n\n<p>Some medicines may affect the way\u00a0Paroxetine\u00a0Hexal works or increase the risk of\u00a0side effects.\u00a0Paroxetine\u00a0Hexal may also affect the way other medicines work.\u00a0Drugs affected 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 &#8216;\u00a0Do not use\u00a0Paroxetine\u00a0Hexal\u00a0&#8216; in this leaflet.<\/li><li>Thioridazine or pimozide, which are\u00a0antipsychotics\u00a0&#8211; see &#8216;\u00a0Do not use\u00a0Paroxetine\u00a0Hexal\u00a0&#8216; in this leaflet.<\/li><li>Acetylsalicylic acid,\u00a0ibuprofen,\u00a0or other so-called\u00a0NSAIDs\u00a0(non-steroidal anti-inflammatory drugs\u00a0) such as celecoxib, etodolac,\u00a0diclofenac,\u00a0and meloxicam, are used for\u00a0pain and\u00a0inflammation.<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tramadol-retard-krka\/\">Tramadol<\/a> and pethidine are\u00a0painkillers.<\/li><li>Drugs called\u00a0triptans, such as sumatriptan, are used to\u00a0treat migraines.<\/li><li>Other\u00a0antidepressant\u00a0drugs include other\u00a0SSRIs, tryptophan, and tricyclic antidepressants such as clomipramine, nortriptyline, and desipramine.<\/li><li>A\u00a0dietary supplement\u00a0called tryptophan.<\/li><li>Mivacurium and suxamethonium (used in anesthesia).<\/li><li>Drugs such as lithium,\u00a0risperidone, perfenazine, and clozapine (so-called\u00a0antipsychotics\u00a0), are used to treat certain\u00a0psychiatric illnesses.<\/li><li>Fentanyl is used in\u00a0anesthesia and anesthesia\u00a0or the treatment of\u00a0chronic\u00a0pain.<\/li><li>A combination of fosamprenavir and ritonavir is used to\u00a0treat\u00a0HIV\u00a0infection.<\/li><li>St. John&#8217;s wort is a natural remedy for\u00a0depression.<\/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 is used to relieve tremors, especially in\u00a0Parkinson&#8217;s disease.<\/li><li>Warfarin\u00a0or other\u00a0anticoagulants, ie\u00a0blood-thinning drugs.<\/li><li>Propafenone,\u00a0flecainide,\u00a0and medicines are used to treat\u00a0an irregular heartbeat.<\/li><li>Metoprolol is a\u00a0beta-blocker used to treat\u00a0high\u00a0blood pressure\u00a0and\u00a0heart problems.<\/li><li>Pravastatin is used to treat\u00a0high\u00a0cholesterol.<\/li><li>Rifampicin is used to treat\u00a0tuberculosis\u00a0and\u00a0leprosy.<\/li><li>Linezolid is an\u00a0antibiotic.<\/li><li>Tamoxifen is used to treat\u00a0breast cancer\u00a0or\u00a0fertility problems.<\/li><li>If you are taking or have recently taken any of the medicines listed above\u00a0and have not already discussed this with your doctor,\u00a0talk to your doctor again and ask for advice.\u00a0Your\u00a0dose\u00a0may need to be changed or you may need another medicine.<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Paroxetine Hexal with food, drink, and alcohol<\/h2>\n\n\n\n<p>Do not use alcohol while taking\u00a0Paroxetine\u00a0Hexal.\u00a0Alcohol can worsen your symptoms or\u00a0side effects.\u00a0Taking\u00a0Paroxetine\u00a0Hexal 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><strong>Pregnancy<\/strong>&nbsp;:<\/p>\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.<\/p>\n\n\n\n<p>There are reports of an increased risk of malformations, especially heart malformations in children whose mothers took\u00a0paroxetine\u00a0during the first months of pregnancy.\u00a0In the general population, about 1 in 100 children is born with heart malformations.\u00a0The risk is higher in children whose mothers have taken\u00a0paroxetine, where the risk is 2 out of 100 children.<\/p>\n\n\n\n<p>You and your doctor can decide together if you should switch to another treatment or if you should gradually reduce\u00a0Paroxetine\u00a0Hexal while you are pregnant.\u00a0Depending on the circumstances, your doctor may decide that continued treatment with Paroxetine Hexal is better for you.<\/p>\n\n\n\n<p><strong>Tell your midwife or doctor that you are using&nbsp;Paroxetine&nbsp;Hexal.&nbsp;<\/strong>When drugs such as&nbsp;Paroxetine&nbsp;Hexal 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;Hexal 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 baby is too hot or cold<\/li><li>blue lips<\/li><li>vomiting or that the child does not eat properly<\/li><li>that the child is very tired, has difficulty sleeping, or cries persistently<\/li><li>tense or slack muscles<\/li><li>tremors, twitches, or cramps<\/li><li>excessive reflexes.<\/li><li>If your baby has any of these symptoms after birth, or if you are worried about your baby&#8217;s health,\u00a0<strong>consult a doctor or midwife for advice.<\/strong><\/li><\/ul>\n\n\n\n<p>If you are taking&nbsp;Paroxetine&nbsp;Hexal 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;Hexal so that they can advise you on this.<\/p>\n\n\n\n<p><strong>Breastfeeding<\/strong>&nbsp;:<\/p>\n\n\n\n<p><strong>Paroxetine\u00a0Hexal can be\u00a0excreted in\u00a0human milk in\u00a0very small amounts.\u00a0<\/strong>Consult your doctor before breastfeeding.\u00a0You and your doctor can decide together if you can breastfeed while\u00a0taking Paroxetine\u00a0Hexal.<\/p>\n\n\n\n<p><strong>Fertility<\/strong>&nbsp;:<\/p>\n\n\n\n<p>In animal studies, it has been shown that\u00a0paroxetine\u00a0reduces the quality of semen.\u00a0In theory, this could affect\u00a0fertility, but no such reducing effect of\u00a0paroxetine\u00a0on\u00a0fertility\u00a0has 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\u00a0side effects\u00a0of\u00a0Paroxetine\u00a0Hexal include dizziness, confusion, drowsiness, or blurred vision.\u00a0If you get these\u00a0side effects, do not drive or use machines.<\/p>\n\n\n\n<p><br>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Paroxetine Hexal contains sodium<\/h2>\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 Hexal<\/h2>\n\n\n\n<p><strong>Always take this medicine exactly as your doctor&nbsp;<\/strong><strong>or pharmacist has told you.&nbsp;<\/strong>Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>Sometimes you may need to take more than one tablet or just half a tablet.<\/p>\n\n\n\n<p><strong>The table indicates the recommended\u00a0dose\u00a0for different conditions.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td><strong>Introductory dose<\/strong><\/td><td><strong>Recommended daily&nbsp;dose<\/strong><\/td><td><strong>Maximum daily&nbsp;dose<\/strong><\/td><\/tr><tr><td>Depression<\/td><td>20 mg<\/td><td>20 mg<\/td><td>50 mg<\/td><\/tr><tr><td>Obsessive-compulsive disorder (obsessive-compulsive disorder)<\/td><td>20 mg<\/td><td>40 mg<\/td><td>60 mg<\/td><\/tr><tr><td>Panic Syndrome (Panic Anxiety Attacks)<\/td><td>10 mg<\/td><td>40 mg<\/td><td>60 mg<\/td><\/tr><tr><td>Social phobia&nbsp;(fear or avoidance of social situations)<\/td><td>20 mg<\/td><td>20 mg<\/td><td>50 mg<\/td><\/tr><tr><td>Posttraumatic stressyndrome<\/td><td>20 mg<\/td><td>20 mg<\/td><td>50 mg<\/td><\/tr><tr><td>General severe anxiety or worry<\/td><td>20 mg<\/td><td>20 mg<\/td><td>50 mg<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Your doctor will advise you on which\u00a0dose\u00a0of\u00a0Paroxetine\u00a0Hexal to start with.\u00a0<\/strong>Most people start to feel better after a few weeks.\u00a0If you have not noticed any improvement after this time, consult your doctor for advice.\u00a0Your doctor may decide to increase your\u00a0dose\u00a0gradually, by 10 mg at a time, up to the highest daily\u00a0dose.<\/p>\n\n\n\n<p><strong>Take&nbsp;Paroxetine&nbsp;Hexal in the morning with food.<\/strong><\/p>\n\n\n\n<p><strong>Swallow the tablets with a glass of water.<\/strong><\/p>\n\n\n\n<p><strong>Do not chew them.<\/strong><\/p>\n\n\n\n<p><strong>The 20 mg film-coated tablets can be divided into two equal\u00a0doses\u00a0if needed.<\/strong><\/p>\n\n\n\n<p>Your doctor will discuss with you how long you need to continue taking&nbsp;Paroxetine&nbsp;Hexal.&nbsp;It can be many months or even longer.<\/p>\n\n\n\n<p><strong>Elderly patients<\/strong><\/p>\n\n\n\n<p>The maximum&nbsp;dose&nbsp;for patients over 65 years of age is 40 mg per day.<\/p>\n\n\n\n<p><strong>Patients with liver or kidney disease<\/strong><\/p>\n\n\n\n<p>If you have problems with your liver or kidneys, your doctor may decide that your&nbsp;dose&nbsp;of&nbsp;Paroxetine&nbsp;Hexal should be lower than what is normally recommended.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Paroxetine Hexal than you should<\/h2>\n\n\n\n<p><strong>Never take more\u00a0Paroxetine\u00a0Hexal than your doctor advised.\u00a0<\/strong>If you have ingested too much medicine or if e.g.\u00a0If a child has ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.\u00a0Show the medicine package.\u00a0A person who has overdosed on\u00a0Paroxetine\u00a0Hexal may experience\u00a0side effects\u00a0listed in section 4.\u00a0<em>Possible\u00a0side effects\u00a0or<\/em>\u00a0the following symptoms: fever, uncontrollable muscle contraction.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Paroxetine Hexal<\/h2>\n\n\n\n<p>Take&nbsp;Paroxetine&nbsp;Hexal at the same time each day.<\/p>\n\n\n\n<p><strong>If you forget to take a\u00a0dose\u00a0and\u00a0think about it before going to bed at night<\/strong>, take a\u00a0dose\u00a0immediately.\u00a0Continue as usual the next day.<\/p>\n\n\n\n<p><strong>If you forget to take a\u00a0dose\u00a0and\u00a0only remember to do so\u00a0overnight or\u00a0the next day<\/strong>, do not take any extra\u00a0dose.\u00a0You may experience some withdrawal symptoms, but these should go away after you take your next\u00a0dose\u00a0at the usual time.<\/p>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<p><strong>If you do not&nbsp;<\/strong><strong>feel any improvement<\/strong><\/p>\n\n\n\n<p>Paroxetine&nbsp;Hexal will not relieve your symptoms immediately.&nbsp;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 using Paroxetine Hexal<\/h2>\n\n\n\n<p><strong>Do not stop&nbsp;<\/strong><strong>taking&nbsp;Paroxetine&nbsp;Hexal until your doctor&nbsp;<\/strong><strong>tells you to.<\/strong><\/p>\n\n\n\n<p><strong>When stopping\u00a0Paroxetine\u00a0Hexal, your doctor\u00a0will<\/strong>\u00a0help you slowly reduce your\u00a0dose\u00a0over several weeks or months to reduce the risk of withdrawal symptoms.\u00a0One way to do this is to gradually reduce your\u00a0dose of\u00a0Paroxetine\u00a0Hexal by 10 mg per week.\u00a0Most people experience that the withdrawal symptoms are mild and go away on their own within 2 weeks.\u00a0For some patients, the symptoms may be more severe or more prolonged.<\/p>\n\n\n\n<p><strong>If you experience withdrawal symptoms<\/strong>\u00a0when you stop your treatment, your doctor may recommend that you discontinue\u00a0Paroxetine\u00a0Hexal more slowly.\u00a0Contact your doctor if you experience severe withdrawal symptoms.\u00a0Your doctor may ask you to start taking\u00a0Paroxetine\u00a0Hexal again, then discontinue the medicine more slowly.\u00a0<strong>Even if you experience withdrawal symptoms, it will be possible for you to stop taking\u00a0Paroxetine\u00a0Hexal.<\/strong><\/p>\n\n\n\n<p><strong>Withdrawal symptoms 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>Common withdrawal symptoms (may affect up to 1 in 10 people):<\/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, a sensation of electric shock even in the head<\/li><li>some patients have experienced buzzing, whistling, ringing, or another persistent ringing in the ears (\u00a0tinnitus\u00a0) when using\u00a0paroxetine<\/li><li>sleep disorders (vivid dreams, nightmares, difficulty falling asleep)<\/li><li>anxiety<\/li><li>headache.<\/li><\/ul>\n\n\n\n<p>Uncommon withdrawal symptoms (may affect up to 1 in 100 people):<\/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&nbsp;(shaking)<\/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><li>Contact a doctor if you are worried about withdrawal symptoms when treatment with&nbsp;Paroxetine&nbsp;Hexal is stopped.<\/li><\/ul>\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, this medicine can cause\u00a0side effects, although not everybody gets them.\u00a0Side effects\u00a0occur more often during the first weeks of treatment with\u00a0Paroxetine\u00a0Hexal.<\/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<\/strong>&nbsp;(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>If you get unusual bruising or bleeding<\/strong>, bloody vomiting, or blood in the stool<strong>, consult a doctor or see a hospital immediately.<\/strong><\/li><li><strong>If you have difficulty urinating (throwing water), consult a doctor or see a hospital immediately.<\/strong><\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>If you have a seizure, consult a doctor or see a hospital immediately.<\/strong><\/li><li><strong>If you feel restless and have difficulty sitting or standing still<\/strong>, it may be something called\u00a0akathisia.\u00a0Elevating the\u00a0Paroxetine\u00a0Hexal\u00a0dose\u00a0may worsen the symptoms.\u00a0Contact a doctor\u00a0if you experience these 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.\u00a0<strong>Contact a doctor<\/strong>\u00a0if you get these symptoms.<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Allergic reactions\u00a0to\u00a0Paroxetine\u00a0Hexal <\/strong>may be serious.\u00a0<\/li><li>If you develop red and lumpy skin rash, swelling of the eyelids, face, lips, mouth or tongue,\u00a0itching\u00a0or difficulty breathing (shortness of breath) or swallowing as well as feelings of weakness and dizziness leading to collapse and unconsciousness,\u00a0contact a doctor or see a hospital immediately.<\/li><li>If you have one or all of the following symptoms, it could be a so-called serotonergic syndrome or 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.\u00a0Contact a doctor\u00a0if you experience this.<\/li><li>Acute\u00a0glaucoma<strong>.<\/strong><\/li><\/ul>\n\n\n\n<p>If it hurts in your eyes and you get blurred vision,&nbsp;<strong>consult a doctor.<\/strong><\/p>\n\n\n\n<p><strong>Has been reported<\/strong>\u00a0(occurs in the unknown number of users):<\/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\u00a0paroxetine\u00a0or shortly after stopping treatment (see section 2).<\/li><li>Some people have experienced aggression while taking\u00a0paroxetine.<\/li><\/ul>\n\n\n\n<p><strong>If you experience these\u00a0side effects, consult your doctor.<\/strong><\/p>\n\n\n\n<p><strong>Other possible\u00a0side effects\u00a0are during the treatment<\/strong><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 user in 10):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea.\u00a0Taking Paroxetine\u00a0Hexal\u00a0with food in the morning reduces the risk of this.<\/li><li>changes in sexual drive or function e.g.\u00a0missed orgasm, and in men\u00a0erectile dysfunction\u00a0and ejaculation.<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people):<\/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 tremor (&nbsp;tremor&nbsp;)<\/li><li>headache<\/li><li>concentration difficulties<\/li><li>indignation<\/li><li>unusual weakness<\/li><li>dimsyn<\/li><li>yawning,&nbsp;dry mouth<\/li><li>diarrhea or constipation<\/li><li>vomiting<\/li><li>weight gain<\/li><li>sweating.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people):<\/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\u00a0pupil\u00a0is<\/li><li>rash<\/li><li>itching<\/li><li>confusion<\/li><li>hallucinations (seeing and hearing strange things)<\/li><li>inability to urinate (\u00a0urinary retention\u00a0) or uncontrollable, involuntary urination (urinary incontinence)<\/li><li>If you have\u00a0diabetes, you may find it difficult to control your blood sugar while taking\u00a0Paroxetine\u00a0Hexal.\u00a0Talk to your doctor about a dose adjustment of your\u00a0insulin\u00a0or diabetes medicine.<\/li><\/ul>\n\n\n\n<p><strong>Rare (<\/strong>&nbsp;may affect up to 1 in 1,000 people):<\/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 overactive thoughts (mania)<\/li><li>the feeling of being outside your own body (depersonalization)<\/li><li>anxiety<\/li><li>the uncontrollable need to move the legs (Restless Legs syndrome)<\/li><li>pain in joints and muscles<\/li><li>increase of\u00a0hormone\u00a0et\u00a0prolactin\u00a0in the blood<\/li><li>menstrual disorders (including heavy or irregular menstrual bleeding, menstrual bleeding, and absence or delayed menstruation).<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>skin rash that can cause blisters and look like small &#8220;targets&#8221; (a central dark spot surrounded by a paler area, with a dark ring around the edge).\u00a0This is called erythema multiforme.<\/li><li>extensive skin rash with blisters and flaky skin, especially around the mouth, nose, eyes, and genitals (\u00a0Stevens-Johnson\u00a0syndrome)<\/li><li>extensive skin rash with blisters and scales that occupy a large part of the body surface (\u00a0toxic epidermal necrolysis\u00a0)<\/li><li>liver problems that cause the skin or whites of the eyes to turn yellow<\/li><li>syndrome with disturbed 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>fluid or water accumulation (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><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>\u00a0(occurs in the unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>gnashing of teeth<\/li><li>buzzing, whistling, ringing, or another persistent ringing in the ears (\u00a0tinnitus\u00a0)<\/li><li>inflammation\u00a0of the colon (which causes diarrhea)<\/li><li>severe vaginal bleeding shortly after delivery (\u00a0postpartum hemorrhage), see \u201cPregnancy\u201d in section 2 for more information.<\/li><\/ul>\n\n\n\n<p>An increased risk of bone fractures has been seen in patients taking this type of drug.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Paroxetine Hexal<\/h2>\n\n\n\n<p>Keep this medicine out of the 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 and the blister or can after EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Blister (Al \/ PVC):<\/p>\n\n\n\n<p>10 mg: Do not store above 30 \u00b0 C.<\/p>\n\n\n\n<p>20 mg: No special storage instructions.<\/p>\n\n\n\n<p>HDPE can:<\/p>\n\n\n\n<p>Do not store above 30 \u00b0 C.<\/p>\n\n\n\n<p>Medicines 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>The active substance is&nbsp;paroxetine&nbsp;(as hydrochloride).<\/p>\n\n\n\n<p>One film-coated tablet contains 10 mg&nbsp;paroxetine&nbsp;(as hydrochloride).<\/p>\n\n\n\n<p>One film-coated tablet contains 20 mg&nbsp;paroxetine&nbsp;(as hydrochloride).<\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p><em>Tablet core:<\/em><\/p>\n\n\n\n<p>Mannitol<\/p>\n\n\n\n<p>Microcrystalline cellulose<\/p>\n\n\n\n<p>Kopovidon K28<\/p>\n\n\n\n<p>Sodium starch glycolate (type A)<\/p>\n\n\n\n<p>Anhydrous&nbsp;colloidal&nbsp;silica<\/p>\n\n\n\n<p>Magnesium stearate<\/p>\n\n\n\n<p><em>Tablet cover:<\/em><\/p>\n\n\n\n<p>Hypromellose 5 cps<\/p>\n\n\n\n<p>Talc<\/p>\n\n\n\n<p>Titanium dioxide (E 171)<\/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><em>10 mg film-coated tablets:<\/em><\/p>\n\n\n\n<p>White or almost white, round film-coated tablet, marked &#8220;PX 10&#8221;.<\/p>\n\n\n\n<p><em>20 mg&nbsp;<\/em><em>film-coated tablets:<\/em><\/p>\n\n\n\n<p>White, round, two-part film-coated tablet with pressure-sensitive brake notch, marked with &#8220;PX 20&#8221;.<\/p>\n\n\n\n<p>The film-coated tablets are packaged in PVC \/ ALU blisters in a carton or packaged in an HDPE jar with an LDPE screw cap.<\/p>\n\n\n\n<p>Pack sizes:<\/p>\n\n\n\n<p>10 mg: 7, 10, 14, 20, 28, 30, 50, 60, 100 and 250 film-coated tablets.<\/p>\n\n\n\n<p>20 mg: 7, 10, 14, 15, 20, 28, 30, 40, 50, 50&#215;1, 60, 100, 200 and 250 film-coated 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 Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorisation Holder:<\/em><\/p>\n\n\n\n<p>HEXAL A \/ S, Edvard Thomsens Vej 14, 2300 Copenhagen S, Denmark<\/p>\n\n\n\n<p><em>Manufacturer:<\/em><\/p>\n\n\n\n<p>Salutas Pharma GmbH, Otto-von-Guericke-Allee 1, D-39179 Barleben, Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paroxetine Hexal is used in the treatment of adults with depression and \/ or anxiety. The anxiety states that Paroxetine Hexal is used for are: obsessive-compulsive disorder (repeated obsessive-compulsive disorder), panic disorder (attacks of panic disorder, including those caused by agoraphobia , ie fear of open spaces), social phobia (fear of or avoidance of social situations) , post-traumatic stress disorder (anxiety after a traumatic experience) and generalized anxiety (general severe anxiety or worry).<\/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":[2200,18527],"tags":[21045,21040,21044,21043,21041,21042],"class_list":["post-20541","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-paroxetine","tag-paroxetine","tag-paroxetine-side-effects","tag-paroxetine-tablet","tag-what-is-paroxetine","tag-what-paroxetine-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20541","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=20541"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20541\/revisions"}],"predecessor-version":[{"id":20603,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20541\/revisions\/20603"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=20541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=20541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=20541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}