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Paxil

Form.

Tablets: 10 milligrams,
Tablets: 12.5 milligrams,
Tablets: 20 milligrams,
Tablets: 25 milligrams,
Tablets: 30 milligrams,
Tablets: 37.5 milligrams,
Tablets: 40 milligrams.

No Prescription

Paxil is prescribed for:
- Obsessive-compulsive disorders;
- Panic disorders;
- Premenstrual dysphoric disorder;
- The management of depression;

Paxil relieves a variety of emotional problems. It can be prescribed for serious, continuing depression that interferes with your ability to function. Symptoms of this type of depression often include changes in appetite and sleep patterns, a persistent low mood, loss of interest in people and activities, decreased sex drive, feelings of guilt or worthlessness, suicidal thoughts, difficulty concentrating, and slowed thinking.

Paxil is also prescribed to treat obsessive-compulsive disorder (OCD), a disease marked by unwanted, but stubbornly persistent thoughts, or unreasonable rituals you feel compelled to repeat.

In addition, Paxil is prescribed for panic disorder, a crippling emotional problem characterized by sudden attacks of at least four of the following symptoms: palpitations, sweating, shaking, numbness, chills or hot flashes, shortness of breath, a feeling of choking, chest pain, nausea or abdominal distress, dizziness or faintness, feelings of unreality or detachment, fear of losing control, or fear of dying.

Paxil can be prescribed for generalized anxiety disorder, a disease marked by excessive anxiety and worry that persists for at least 6 months and can't be easily controlled. True cases of generalized anxiety disorder are accompanied by at least three of the following symptoms: restlessness or a keyed-up or on-edge feeling, a tendency to tire easily, difficulty concentrating or spells when the mind goes blank, irritability, muscle tension, or sleep disturbance.

Paxil can be prescribed in the treatment of social anxiety disorder (also known as social phobia), a condition marked by shyness or stage fright so intense that it interferes with an individual's work and social life.

Paxil is also prescribed for post-traumatic stress disorder--a crippling condition that sometimes develops in reaction to a disastrous or horrifying experience. Symptoms, which stubbornly refuse to abate, include unwanted memories and dreams, intense distress when confronted with reminders of the event, a general numbing of interest and enjoyment, jumpiness, irritability, poor sleep, and loss of concentration.

Paxil CR, the controlled-release version, is prescribed for major depression, panic disorder, social anxiety disorder, and severe premenstrual symptoms classified as premenstrual dysphoric disorder.

Paxil belongs to the class of drugs known as selective serotonin reuptake inhibitors (SSRIs). Serotonin is one of the chemical messengers believed to govern moods. Ordinarily, it is quickly reabsorbed after its release at the junctures between nerves. Reuptake inhibitors such as Paxil slow this process, thereby boosting the levels of serotonin available in the brain.

Dosage.

Paxil is given as a single daily dose, usually in the morning. As with all anti-depressants, the full effect may not occur until after a few weeks of therapy. Doses for obsessive- compulsive disorders and panic disorders are often higher than those for depression.
Doses often are adjusted to find the optimal dose. Elderly patients, debilitated persons, and patients with certain kidney or liver diseases may need lower doses because they metabolize and eliminate Paxil more slowly and, therefore, are prone to develop high blood levels.

The following dosages are for adults. The safety and effectiveness of Paxil have not been studied in children or adolescents.

DEPRESSION

Paxil

The usual starting dose is 20 mg a day, taken as a single dose, usually in the morning. At intervals of at least 1 week, your physician may increase your dosage by 10 mg a day, up to a maximum of 50 mg a day.

Paxil CR

The recommended starting dose is 25 mg a day, usually taken in the morning. At intervals of at least 1 week, the dosage may be increased by 12.5 mg a day, up to a maximum of 62.5 mg a day.

OBSESSIVE-COMPULSIVE DISORDER

The usual starting dose is 20 mg a day, typically taken in the morning. At intervals of at least 1 week, your doctor may increase the dosage by 10 mg a day. The recommended long-term dosage is 40 mg daily. The maximum is 60 mg a day.

PANIC DISORDER

Paxil

The usual starting dose is 10 mg a day, taken in the morning. At intervals of 1 week or more, the doctor may increase the dose by 10 mg a day. The target dose is 40 mg daily; dosage should never exceed 60 mg.

Paxil CR

The recommended starting dose is 12.5 mg a day, usually taken in the morning. At intervals of at least 1 week, the dosage may be increased by 12.5 mg a day, up to a maximum of 75 mg a day.

GENERALIZED ANXIETY DISORDER

The recommended dose is 20 mg taken once a day, usually in the morning.

SOCIAL ANXIETY DISORDER

Paxil

The recommended dose is 20 mg taken once a day, usually in the morning.

Paxil CR

The recommended starting dose is 12.5 mg a day, usually taken in the morning. At intervals of at least 1 week, the dosage may be increased by 12.5 mg a day, up to a maximum of 37.5 mg a day.

POST-TRAUMATIC STRESS DISORDER

The recommended dose is 20 mg taken once a day, usually in the morning.

PREMENSTRUAL DYSPHORIC DISORDER

Paxil CR

The recommended starting dose is 12.5 mg a day, usually taken in the morning. The doctor will instruct the patient to take the dose either every day of the month or only during the 2 weeks before menstruation begins (the luteal phase of their cycle). If needed, the dose can be increased to 25 mg a day.

DOSAGE ADJUSTMENT

For older adults, the weak, and those with severe kidney or liver disease, starting doses are reduced to 10 mg daily, and later doses are limited to no more than 40 mg a day. Starting doses of Paxil CR are limited to 12.5 mg daily, and later doses are limited to no more than 50 mg a day.

Side Effects.

The most commonly noted side effects associated with Paxil are:
- Sweating;
- Somnolence (sleepiness);
- Nausea;
- Male sexual disturbances;
- Insomnia;
- Dizziness;
- Decreased;
- Appetite;
- Anxiety;

Dry mouth occurs in about 18% of patients taking Paxil.

The withdrawal of treatment with many anti-depressants has been associated with troublesome symptoms. Symptoms have been particularly frequent with anti-depressants, like Paxil, classified as SSRI's. Specifically, the incidence of symptoms upon withdrawal is between 17% and 30% with Paxil and fluvoxamine (Luvox), but less than 5% with other SSRI's.

The most common symptoms of withdrawal have been:
- Dizziness;
- Irritability poor mood;
- Nausea;
- Tingling of the extremities;
- Tiredness;
- Vivid dreams;

Other symptoms have included visual disturbances and headaches.

Paxil side effects that you should report to your health care professional or doctor as soon as possible:
- Weakness;
- Vertigo;
- Tremor;
- Sweating;
- Sleeplessness;
- Nervousness;
- Nausea;
- Male And Female Genital Disorders;
- Impotence;
- Gas;
- Dry Mouth;
- Drowsiness;
- Dizziness;
- Diarrhea;
- Decreased Sex Drive;
- Decreased Appetite;
- Constipation;
- Abnormal Orgasm;
- Abnormal Ejaculation;
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