Paroxetine without insurance in Canada

Paroxetine

About Paroxetine | Side effects

Paroxetine is an antidepressant with strong anti-anxious effect. Paroxetine is also a reactant used in these tablets.

This medicine is produced under the following brand names: Paxil, Paxil CR, Pexeva, etc. The medicine is no longer under patent protection so itís produced as a generic drug called paroxetine.

Paroxetine is used to treat:

  • Depressions
  • Panic disorders (sudden panic attacks or their prevention)
  • Social anxiety disorders and various forms of phobias (social anxiety, audience speech fear, crowd phobia which interfere with normal way of life).
  • Paroxetine tablets are also used to treat obsessive-compulsive disorder (OCD) (obsessional thoughts and nightmares)
  • Generalized anxiety disorders (GAD) (uncontrollable excessive anxiety)
  • Posttraumatic stress disorders (PTSD) (anxious psychological syndroms after stress situation).
  • Paroxetine tablets are used to treat premenstrual dysphoric disorder (PMDD) (physical and psychological symptoms which occur before menstrual cycle every month).

Paroxetine can also be used in other cases not mentioned above. You have to consult with your doctor first.

Paroxetine belongs to selective serotonin reuptake inhibitor (SSRI) group. Proxetine increases amount of serotonin (natural substance in human brain which keeps emotional equilibrium). This helps to displace psychological conflicts which canít be solved as a result of various reasons.

Paroxetine helps to realize psychological problem and to see the solution.

Paroxetine application method and dosage:

Paroxetine should be used once a day during morning meals. You should swallow the tablet and wash down with water. Do not chew.

Depression treatment:

Initial dose of Paroxetine 20 mg/day. Itís optimal therapeutic Paroxetine dose. The effect develops by degrees. In case of insufficient efficiency the dosage can be increased up to 50 mg/day (maximum daily dose). Dosage increase should be progressive (additional 10 mg every week). For senior aged, weak patients and in case of liver and kidney functional disorder, initial dosage is 10 mg/day and maximum is 40 mg/day. Medical treatment course must be long. You need 6-8 weeks to estimate therapy efficiency. Overall treatment duration is defined by common rules for all antidepressants.

Obsessive-compulsive disorder:

Initial dose is 20 mg/day. Dosage can be increased by 10 mg/day until therapeutic response. Average therapeutic dosage is 40 mg/day. Maximum daily dosage is 60 mg.

Panic disorder:

The medical treatment should start from 10 mg/day dosage. The dosage is increased by 10 mg every week depending on therapeutic effect. Average therapeutic dosage is 40 mg/day. Low initial dosage is used to minimize panic symptomatology exacerbation risk which can occur on initial therapy stage. In case of insufficient efficiency the dosage can be increased up to 60 mg/day.

Social phobia:

You can start therapy from 20 mg/day dosage. In case of patient's condition is not improved, the dosage can be increased by 10 mg a week to reach desired effect. Maximum daily dosage cannot exceed 50 mg.

Post-traumatic stress disorders:

Recommended therapeutic dosage is 20 mg/day. Daily dosage can be increased by 10 mg/week. Maximum daily dosage is 50 mg.

To prevent relapse:

To prevent relapse you should do support therapy. For support therapy the dosage is 20 mg/day. After depression symptoms disappeared, support therapy course should be run for 4-6 months. The course should last more than 4-6 months in case of obsessive and panic disorders. You shouldnít cancel medical treatment dramatically.

For senior aged and weak patients recommended dosage is 10 mg/day. The dosage can be increased by 10 mg a week depending on patientís condition. Maximum daily dosage cannot exceed 40 mg.

In case of liver and kidney failure, paroxetine concentration in plasma increases and recommended daily dosage is 20 mg. Depending on patientís condition the dosage can be increased.

Method of application:

  • You should intake Paroxetine at the same time every day.
  • The tablets must be swallowed completely and washed down. Do not chew tablets.
  • Do not drink alcohol during therapy.
  • Do not use Paroxetine while using Pimozide (Orap), Thioridazine (Mellaril) or MAO inhibitors such as Isocarboxazid (Marplan), Tranylcypromine (Parnate), Phenelzine (Nardil), Rasagiline (Azilect) or Selegiline (Eldepryl, Emsam).
  • Paroxetine is not allowed to be used with MAO inhibitors and for two weeks after MAO inhibitors cessation. You should use Paroxetin with caution. The dosage must be increased by degrees. MAO inhibitors must be used after two weeks of Paroxetin therapy cessation.
  • Do not use Paroxetine if you have allergy to some medicine components.
  • Do not use medicine during pregnancy and breast-feeding.
  • You should use Paroxetine with caution when using with medicine containing lithium.
  • Paroxetine shouldnít be used by patients before 18 years old because thereís no information about safety and efficiency of using Paroxetine by children.
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Overdose:

In case overdose occurred you should call your doctor or emergency.

Dose skip:

If you forgot to take Paroxetine tablet, you should take it when you remember. Do not double dosage.

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