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Paroxetine

Seroxat

Take paroxetine in the morning with your breakfast or a snack.

It may take a few weeks after starting the treatment for paroxetine to work. Do not stop taking it, even if you feel like it is not helping.

Common side effects of paroxetine include feeling sick (nausea), headache, diarrhoea, feeling sleepy, dizzy or weak, and trouble sleeping.

Tell your doctor if you feel that you are not getting any better, or if you experience any troublesome side effects.

Överblick

  • Paroxetine is an antidepressant used to treat depression, anxiety disorders, and OCD.

  • It is usually taken once daily in the morning, with food.

  • Common side effects include feeling sick, diarrhoea, headache, and sleep problems.

  • It can take 1-2 weeks for effects to build up, and 4-6 weeks for full benefit.

  • Do not stop taking paroxetine suddenly; your doctor will advise on gradual reduction.

  • Tell your doctor if you have thoughts of harming yourself or feel suicidal.

  • Do not take St John's wort or certain painkillers without checking with a pharmacist.

About paroxetine

Typ av medicin

A selective serotonin reuptake inhibitor (SSRI) antidepressant

Används för

Adults with depression, anxiety disorders, or obsessive-compulsive disorder (OCD)

Även kallad

Seroxat®

Tillgänglig som

Tabletter och flytande medicin för oral användning

What is paroxetine used for?

Paroxetine is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). It is used to treat depression, anxiety disorders, and obsessive-compulsive disorder.

Selective serotonin reuptake inhibitors (SSRIs) like paroxetine increase the amount of circulating serotonin available in your brain. Altering the balance of the chemicals in the brain can help improve symptoms of depression, anxiety disorders, and OCD.

Depression can develop for no apparent reason, or it can be triggered by a life event such as a relationship problem, a bereavement, or an illness. An anxiety disorder is a condition where anxiety is a major symptom. Panikstörning, social anxiety disorder, och post-traumatic stress disorder are all anxiety disorders. Tvångssyndrom is a condition where you have recurring and persistent ideas that make you do repetitive actions.

Side effects of paroxetine

The most common side effects of paroxetine are:

  • Illamående.

  • Kräkningar.

  • Diarré.

  • Förstoppning.

  • Blurred vision.

  • Feeling dizzy, sleepy or weak.

  • Torr mun.

  • Huvudvärk.

  • Feeling anxious, nervous or agitated.

  • Feeling restless and shaky.

  • Svettas.

  • Yawning.

  • Trouble sleeping.

  • Reduced sex drive (libido).

You will find a full list in the manufacturer's information leaflet supplied with your medicine.

The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

How to manage paroxetine side effects

Common paroxetine side effects


Vad kan jag göra om jag upplever detta?

Feeling sick or being sick, diarrhoea or constipation

Håll dig till enkel mat och drick mycket vatten

Blurred vision, lack of concentration, feeling dizzy, sleepy or weak

If this happens, do not drive and do not use tools or machines until you feel better

Torr mun

Försök tugga sockerfritt tuggummi eller suga på sockerfria karameller

Huvudvärk

Drick mycket vatten och be din apotekare rekommendera en lämplig smärtstillande. Om huvudvärken fortsätter, informera din läkare

Mood changes such as feeling anxious, nervous, or agitated. Feeling restless or shaky

These usually settle within a few days. If any become troublesome or severe, speak with your doctor

Sweating, yawning, difficulty sleeping, abnormal dreams, increased weight, reduced sexual drive or ability

Om något av dessa blir besvärligt, tala med din läkare

Viktigt: a few people taking paroxetine have developed an allergic-type reaction. You should contact your doctor straightaway if you develop any swelling around your face, any difficulties breathing, or a severe rash.

On rare occasions, medicines that affect the level of serotonin in the brain can cause it to go too high and cause problems. The risk is higher if you are taking more than one medicine with this effect. Seek medical attention if you develop any combination of the following:

  • Stiff muscles or 'jerky' movements.

  • Unusually fast heartbeat.

  • High temperature (fever), feeling sick (nausea) or being sick (vomiting), diarrhoea.

  • Feeling delirious or seeing visions (hallucinating).

If you experience any other symptoms that you think may be due to this medicine, speak with your doctor or pharmacist for further advice.

Who should not take paroxetine?

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking paroxetine it is important that your doctor knows:

  • Om du är gravid, försöker bli gravid eller ammar.

  • If you have any problems with the way your liver works, or with the way your kidneys work.

  • Om du har en hjärtsjukdom.

  • If you have epilepsy.

  • If you have high blood sugar levels (diabetes mellitus).

  • If you have an eye problem called glaucoma.

  • If you have ever had a bleeding disorder.

  • If you have ever had abnormally 'high' moods, called mania.

  • If you are being treated with electroconvulsive therapy (ECT).

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

  • If you have taken an antidepressant known as a monoamine-oxidase inhibitor (MAOI) within the previous two weeks.

  • Om du tar några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

How to take paroxetine

  • Read the manufacturer's printed information leaflet from inside the pack. It will give you more information about paroxetine and will provide you with a full list of the side effects which you may experience from taking it.

  • Take paroxetine exactly as your doctor tells you to. It is prescribed as a once-daily dose, to be taken in the morning.

    • There are several strengths of paroxetine tablets - 10 mg, 20 mg, and 30 mg. Your doctor will tell you which strength is right for you.

  • If you are being treated for a panic disorder, your doctor may prescribe a low dose for you to begin with, and then increase it. This is because some people feel anxious during the first two weeks, and slowly increasing the dose helps to reduce this.

  • Take paroxetine with a snack or just after eating breakfast, as this will help to reduce the likelihood of you feeling sick as a side effect. Swallow the tablets with a drink of water.

  • If you are taking liquid medicine, it is recommended that you do not take indigestion remedies during the two hours before or during the two hours after you take paroxetine liquid. This is because antacids can reduce the amount of paroxetine your body absorbs.

  • If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the missed dose. Do not take two doses together to make up for a forgotten dose.

Få ut det mesta av din behandling

  • You may feel that paroxetine is not working for you straightaway. It can take a week or two after starting the treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it even if you feel like it is not helping.

  • Försök att hålla dina regelbundna möten med din läkare. Detta är så att din läkare kan följa upp din utveckling.

  • While you are taking paroxetine, you may have thoughts about harming yourself or ending your life. These thoughts may also be associated with your condition. It is very important that you tell your doctor about this if it happens.

  • Do not stop taking paroxetine unless your doctor tells you to do so. Stopping treatment suddenly can cause problems and your doctor will probably want you to reduce your dose gradually when this becomes necessary.

    • You should expect that a course of treatment will last for several months. This is normal and helps to prevent your symptoms from recurring.

  • If you drink alcohol, ask your doctor for advice. Your doctor is likely to recommend that you do not drink alcohol while you are on paroxetine.

  • If you have diabetes, you may need to check your blood glucose more frequently, as paroxetine may affect the levels of sugar in your blood. Your doctor will advise you about this.

  • If you buy any medicines, check with a pharmacist that they are safe to take with paroxetine. This is because several medicines which are available from general retail outlets can interfere with the treatment.

    • In particular, do not take the herbal remedy St John's wort, and ask for advice before buying any anti-inflammatory painkillers.

  • A few people taking paroxetine find that their skin is more sensitive to sunlight than normal. Until you know how your skin reacts, use a sun cream with a high sun protection factor (SPF) in strong sunlight.

  • There are several types of antidepressants and they differ in their possible side effects. If you find that paroxetine does not suit you then let your doctor know, as another may be found that will.

How to store paroxetine

  • Förvara alla läkemedel utom räckhåll och synhåll för barn.

  • Förvara på en sval, torr plats, borta från direkt värme och ljus.

  • Once a bottle of Seroxat® Oral Suspension has been opened it will keep for one month - after this time, make sure you have a fresh supply.

Viktig information om alla läkemedel

Viktig information om alla läkemedel

Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

Om du ska genomgå en operation eller någon tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

Rapportera biverkningar av ett läkemedel eller vaccin

Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

Vanliga frågor

Is paroxetine a strong antidepressant?

Paroxetine is an antidepressant that is effective in improving the symptoms of depression and anxiety. How 'strong' it feels depends on the person.

Can paroxetine cause night sweats?

Paroxetine can sometimes cause side effects such as night sweats when you first start treatment or if your dose changes. Speak to your doctor if night sweats become bothersome or affect your sleep.

Does paroxetine cause weight gain?

Paroxetine may cause weight gain in some people. If you notice changes in weight, speak with your doctor for advice on managing or adjusting treatment.

symptomkontroll

Osäker på att blanda mediciner?

Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.

Vanliga frågor

When is the best time to take paroxetine?

Paroxetine is prescribed as a once-daily dose, and it should be taken in the morning. Taking it with a snack or just after breakfast can help reduce the likelihood of feeling sick as a side effect.

Can I take paroxetine if I have diabetes?

If you have diabetes, your doctor might ask you to check your blood glucose levels more frequently while taking paroxetine. This is because paroxetine can affect blood sugar levels, and your doctor will advise you on how to manage this.

What if paroxetine doesn't seem to be working for me?

It can take a week or two for the treatment effect to begin and 4-6 weeks to feel the full benefit. It's important not to stop taking it even if you don't feel it's helping right away. If after this period you still feel it's not working, speak with your doctor, as there are different types of antidepressants, and another might suit you better.

Is it safe to drink alcohol while taking paroxetine?

If you drink alcohol, it's best to ask your doctor for advice. They will likely recommend that you do not consume alcohol while you are taking paroxetine.

How should I store paroxetine?

Keep paroxetine out of the reach and sight of children, and store it in a cool, dry place away from direct heat and light. If you are using Seroxat Oral Suspension, once the bottle is opened, it will keep for one month, so ensure you have a fresh supply after this time.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Michael Stewart, MRPharmS

Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare

BPharm (Hons), MRPharmS

Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.

Om recensentenVisa fullständig biografi

Författarbild

Dr Colin Tidy, MRCGP

Allmänläkare, Medicinsk Författare

MBBS, MRCGP, MRCP (Paediatrics), DCH

Dr Colin Tidy är en NHS-läkare, baserad i Oxfordshire.

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