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Paxil CR

Name of the Generic: Paroxetine pa-ROX-a-teen pa-ROX-a-teen
The Brand Names are: Brisdelle, Paxil, Paxil CR, and Pexeva.
Drug Class: Selective serotonin reuptake inhibitors

What is Paxil CR?

Paxil CR is a selective serotonin receptor inhibitor (SSRI) and an antidepressant.Paxil is used in the treatment of depression and anxiety disorders, including major depressive disorder.

Paxil CR is also utilized to treat anxiety disorders, obsessive-compulsive disorder (OCD) anxiety disorders, post-traumatic stress disorder (PTSD), as well as the premenstrual dysphoric condition (PMDD).

Brisdelle is a type of drug that helps treat excessive hot flashes that are caused by menopausal changes. Brisdelle is not a treatment for any other condition.Paxil CR can also be used to treat conditions that are not covered in this guideline.

Side effects of Paxil CR

Contact emergency medical assistance when you are experiencing symptoms that indicate an allergic reaction (hives, breathing difficulties, or swelling of your throat or face) or an extreme skin reaction (fever and throat pain, burning eyes, irritation, the ailment is either inflamed or purple (which causes blisters and peels).

If you notice any new or more severe symptoms, tell your physician, such as mood or behavior changes, anxiety, panic attacks, or trouble sleeping. You should also tell your doctor when you are feeling angry, irritable, or impulsive, aggressive, anxious, or hyperactive (mentally as well as physically), more depressed, or thinking about suicide or harming yourself.

Paxil CR can cause severe adverse effects. Consult your physician immediately in the event that you experience:

  • Racing thoughts, less desire to sleep, unusual risk-taking behavior or feelings of extreme joy or sadness, and being more outgoing than normal;
  • Blurred vision blurred vision, eyestrain, swelling, or seeing halos around lighting;
  • Uncommon bone tenderness or pain, bleeding, swelling, or bruising
  • Fluctuations in weight or appetite;
  • Simple bruising bleeding that is unusual (nose, vagina, mouth, or the rectum) bleeding from the mouth, nose, vagina, or rectum;
  • Extreme nervous system reaction characterized by very rigid (rigid) muscles and a high fever. sweating or confusion, quick or irregular heartbeats, fainting,
  • Low levels of sodium within the body. headache headache, confusion, speech slurred, extreme weakening, loss of coordination Feeling shaky.

Get medical attention immediately if you exhibit signs associated with serotonin syndrome, for example, hallucinations, agitation, sweating, fever, chills, shivering, rapid heart rate, muscle stiffness and twitching, loss of coordination, nausea, vomiting, or diarrhea.

Common adverse effects of Paxil can include:

  • Vision change;
  • Weakness, drowsiness, dizziness, and tiredness;
  • Sweating, anxiety, shaking;
  • Sleep problems (insomnia);
  • Insomnia, loss of appetite diarrhea, vomiting, and constipation;
  • Dry mouth and yawning
  • Infection;
  • Headaches migraine
  • Reduced sex drive insanity, abnormal ejaculation, or having trouble with an orgasm.

There isn't an exhaustive listing of all possible adverse consequences, but other effects might occur. Talk to your doctor and seek medical advice regarding the consequences. You may report any adverse reactions to the FDA at 1-800-FDA-1088.


It is not recommended to use Paxil CR if you are already taking pimozide or thioridazine.

Do not take Paxil CR within 14 days prior to or within 14 days after you've used any MAO inhibitor, for example, linezolid, isocarboxazid, or methylene blue injection, or phenelzine, rasagiline, selegiline, or tranylcypromine.A few young people may have thoughts about suicide after using an antidepressant. Be vigilant for any changes in your mental state or symptoms. Inform your doctor if you notice any changes or worsening signs.

Get medical attention as soon as you notice symptoms that include hallucinations, agitation, muscle stiffness, twitching, disorientation, loss of coordination, a sensation of warmth or tingling, nausea, vomiting, sweating, diarrhea, and tremors. You may also experience racing heartbeats or a seizure (convulsions).

Do not stop taking Paxil CR until you have first asked your physician.

Before you take this drug

Do not take Paxil CR in the event that you have an allergy to Paxil CR or are taking pimozide as well as the thioridazine.

Don't use an MAO inhibitor for 14 days prior to or 14 days after taking Paxil CR. Potentially dangerous interactions that occur with drugs could be dangerous. MAO inhibitors include isocarboxazid, rasagiline, phenelzine, linezolid, selegiline, tranylcypromine, and isocarboxazid. When you stop taking this medication, you should be patient for at least 14 days before beginning to use the MAO inhibitor.

Speak to your doctor if you have ever suffered from:

  • Heart diseases, high blood pressure, or stroke;
  • Kidney or liver disease;
  • A bleeding or blood clotting disorder;
  • Seizures or epilepsy;
  • Bipolar disorder (manic depression), drug addiction, or suicidal ideas;
  • Sexual issues;
  • Narrow-angle glaucoma;
  • Low levels of sodium within your blood.

Make sure to inform your doctor whether you are also taking stimulant medicines, opioid medications, herbal products, or medications for mental illness, depression, Parkinson's disease, migraine headaches, severe infections, or to prevent vomiting and nausea. These medications may be incompatible with Paxil CR and trigger a severe condition known as serotonin disorder.

A lot of young people are susceptible to suicide-related thoughts after the first time they take an antidepressant. Your doctor should be able to check your progress regularly. Your family members and other caregivers should be on the lookout for changes in your symptoms or mood.

If you are taking an SSRI antidepressant while pregnant, it could cause serious lung problems or other issues for the baby. You could also experience the possibility of a relapse in depression if you quit using your antidepressant. Contact your doctor immediately if you become pregnant. Do not begin or stop using this medication without consulting your doctor.

Do not use Brisdelle if you are pregnant.It is recommended not to breastfeed when using this medication.Paxil CR is not recommended for use by anyone younger than

How to take Paxil?

Follow all the instructions on the prescription label and go through all medication guides or instructions. The doctor might alter the dosage. Follow the medication exactly as prescribed.Suck this tablet with extended release whole, and don't crush, chew, or break it.

Make sure to shake off the oral suspension (liquid) prior to determining a dose. Utilize the dosing syringe that comes with it or a dosage-measuring device (not an ordinary spoon).It could take up to four weeks before symptoms improve. Use the medication exactly as prescribed, and notify your doctor if you feel your symptoms don't improve.Consult your doctor if you notice any changes in your sexual function, for example, a loss of interest in sexual sex, having trouble with an orgasm, or (in males) issues with erections or ejaculation. There are some sexual problems that can be addressed.

Don't stop taking Paxil CR at once, or you could experience uncomfortable withdrawal effects. Discuss with your physician how you can completely stop taking this medication. Follow the instructions of your physician about the process of tapering your dose.Keep at room temperature, free of heat, moisture, and light.

What happens If I miss a dose?

You should take the medication as quickly as you can. However, do not take any missed doses if you are nearing the time to take the next dose. Don't take two doses at once.

What happens if I overdose?

For medical emergencies, seek emergency treatment or contact the Poison Help line at 1-800-222-1222. A high dose of Paxil can cause death.

What should be avoided?

Avoid driving and other hazardous activities until you are aware of the effects of Paxil CR on your body. Your reaction could be affected.

Consult your physician before using a nonsteroidal anti-inflammatory medication (NSAID) like ibuprofen, aspirin (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, and meloxicam, among others. Utilizing an NSAID when you are taking Paxil CR can cause bleeding or bruises easily.

Alcohol consumption with this medication could cause adverse effects.

Interaction with other drugs

Combining Paxil CR with other medications that cause drowsiness can cause more of this. Consult your physician before taking an opioid drug, a sleeping pill, a muscle relaxer, or medication for seizures or anxiety.

Discuss with your doctor any other medications you take, including:

  • Cimetidine (Tagamet), digoxin, St. John's wort, tamoxifen, theophylline, tryptophan (sometimes called L-tryptophan), warfarin (Coumadin, Jantoven);
  • Diuretic, or "water pill";
  • Heart rhythm medicine;
  • HIV, also known as AIDS drugs;
  • Certain medications for treating ADHD or narcolepsy include amphetamine and atomoxetine, as well as dextroamphetamines like Adderall, Dexedrine, Evekeo, Vyvanse, and others;
  • Narcotic pain medicine (fentanyl, tramadol);
  • Medications to treat mood disorders, thoughts disorders, and mental illnesses such as buspirone, lithium, or various antidepressants and an antipsychotic;
  • Migraine headache medicine—sumatriptan, rizatriptan, zolmitriptan, and others;
  • Seizure medicine—phenobarbital and phenytoin.

This list isn't comprehensive. Other drugs can interact with paroxetine. This includes medications that are prescribed and available over the counter, vitamins, and herbal remedies. There are many possible interactions that are not mentioned in this medication guide.



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