Paxil treats depression symptoms, e.g., sleeping problems, feeling worthless, low energy level, having suicide thoughts, and inability to concentrate. The medicine influences serotonin, a chemical that’s responsible for moods, healing, blood clotting, and other life functions. Depression is related to low serotonin, but Paxil increases it to restore balance.  

Paroxetinel treats other medical conditions like panic disorder, PTSD, OCD, and social anxiety disorder.

Doses & Administration

Patients must consume Paxil as prescribed by a physician. Usually, the prescription is based on age, symptoms, and whether the patient is consuming other medicines. If anything seems unclear in the drug instruction leaflet, contact a physician.

Paxil is ingested by mouth. It comes in these forms:

  • Liquid suspension
  • Immediate release
  • Controlled release (CR)

Swallow the tablets instead of chewing them. Also, utilize a medical measuring device to ascertain the correct measurement of the liquid suspension. Doctors should start by administering a low dose of Paxil and then increase it gradually. Avoid discontinuing this drug abruptly. You would be weaned off gradually when the consultant deems it fit to discontinue the therapy.

Dose for Major Depressive Disorder

Patients usually commence therapy with 20 milligrams of immediate release tablets per day. A specialist may increase it by 10 milligrams after seven days. Elderly patients will begin therapy with 10 milligrams. However, the max dose is 50 milligrams for adult patients and 40 milligrams for elderly persons.

MDD patients may also utilize CR. Adult patients should commence therapy with 25 milligrams, while elderly persons should consume 12.5 milligrams. A specialist may add 12.5 milligrams weekly. The max for adult patients is 62.5 milligrams, while that of older patients is 50 milligrams.

Dose for GAD

Patients can utilize 20 milligrams immediate release tablets once per day. Increasing the dose won’t be beneficial, but a physician can add 10 milligrams daily for one week. However, this is subject to the tolerance level of the patient.

Dose for OCD

Adults should commence therapy with 20 milligrams of immediate release tabs once per day. The max dosage is 60 milligrams. This medicine isn’t suitable for pediatrics. However, a consultant can prescribe 10 milligrams for 7-year-olds and teenagers. 

Dose for PD

People suffering from panic disorder should commence therapy using 12.5 milligrams of CR daily. Also, they can utilize 10 milligrams of immediate release once per day. A consultant can add 10 milligrams to the dose after a week, but it shouldn’t go higher than 60 milligrams.

Dose for PTSD

Adult patients can utilize 20 milligrams of immediate release once per day, while elderly persons should ingest 10 milligrams. Adults should ingest a max dose of 50 milligrams, while older persons should ingest 40 milligrams.

Dosage for PDD

Some people experience depression while menstruating. Such persons can ingest 12.5 milligrams of CR or 5 milligrams of Paxil immediate release.

Dose for SAD

  • Adult patients should consume 12.5 milligrams of Paxil CR but not more than 37.5 milligrams. 20 milligrams of Paxil immediate release can be consumed but not more than 60 milligrams.
  • Elderly patients should consume 10 milligrams of Paxil immediate release but shouldn’t exceed 40 milligrams.
  • Children (eight years & above) should utilize 10 milligrams of Paxil immediate release but shouldn’t exceed 50 milligrams. 

Precautions

  • To assure safety of patients, inform a physician if you’ve experienced:
    • Hypertension
    • Stroke
    • Renal or hepatic issues
    • Sexual dysfunction
    • Epilepsy
    • Bipolar disorder
    • Low sodium
    • Glaucoma (narrow-angle)
    • Blood clotting problems
  • Paroxetine could make you feel drowsy. Avoid ingesting the medicine with alcoholic drinks & beverages or cannabis.
  • The Food and Drug Agency warns that antidepressants could trigger harmful thoughts in young people. Therefore, close monitoring is mandatory.
  • Pregnant women should avoid ingesting Paroxetine.
  • This medicine can flow into breast milk. Hence, lactating women shouldn’t ingest it.
  • Elderly patients, especially those on diuretics, are prone to certain side effects. Hence, a consultant must apply caution when administering Paxil.

Side Effects

Below are some common Paxil side effects.

  • Vision problems
  • Insomnia
  • Low appetite
  • Sexual dysfunction
  • Constipation
  • Weakness

Contact a physician if you experience:

  • Weight changes
  • Abnormal bleeding
  • Profuse sweating
  • Bruising
  • High fever
  • Hallucination
  • Imbalance 

Missed Dosage

Skip missed doses if your next dosing schedule is approaching. Otherwise, consume it.

Overdose

If a person consumes excess Paroxetine, contact the hospital immediately. Symptoms of overdose include:

  • Confusion
  • Irregular heartbeat
  • Unconsciousness
  • Dizziness
  • Vomiting
  • Involuntary shaking

Interactions

Paxil will interact with these drugs:

  • Diuretics
  • Narcotics, e.g., Tramadol
  • Antipsychotics
  • Medications for migraine headaches, e.g., Sumatriptan
  • Anti Seizures, e.g., Phenytoin
  • Warfarin
  • Tryptophan
  • Cimetidine
  • Antiretroviral drugs

Paxil could make you feel drowsy. Therefore, avoid consuming other medicines that produce a similar effect. These include opioids, sleeping tablets, and muscle relaxation pills.