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Composition :

PAROXETINE-40MG

Manufacturer/Marketer :

D D Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Paro 40 mg Tablet

Paro 40 mg Tablet belongs to a group of medicines called antidepressants used to treat a major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, social anxiety disorder, post-traumatic stress disorder, premenstrual dysphoria disorder and generalised anxiety disorder. Depression is a mood disorder characterised by sadness, unhappiness, anger, hopelessness or loss that interferes with a person’s daily activities.

Paro 40 mg Tablet contains ‘Paroxetine’, which is a selective serotonin reuptake inhibitor. It works by inhibiting serotonin's reuptake, a mood-enhancing chemical messenger in the brain that communicates between brain cells. This helps increase serotonin concentrations in the nerve synapse, thereby regulating mood and treating depression and anxiety disorders.

Take Paro 40 mg Tablet as prescribed. You are advised to take Paro 40 mg Tablet for as long as your doctor has prescribed it for you depending on your medical condition and response to the treatment. In some cases, you may experience certain common side-effects such as insomnia (difficulty sleeping), dizziness, headache, diarrhoea, nausea, fatigue, dry mouth, loss of appetite, and sexual disturbances. You are advised to talk to your doctor if the side effects persist or worsen.

Do not take Paro 40 mg Tablet if you are pregnant, as it may cause harm to the foetus. Consult your doctor before taking Paro 40 mg Tablet if you are breastfeeding. Avoid driving or operating machinery as Paro 40 mg Tablet may cause dizziness, confusion, sleepiness and blurred vision. Paro 40 mg Tablet is not recommended for children below 18 years as the safety and effectiveness have not been established. Avoid consumption of alcohol while taking Paro 40 mg Tablet as it may make your symptoms or side-effects worse. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of Paro 40 mg Tablet

Major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, social anxiety disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and generalised anxiety disorder.

Directions for Use

Take Paro 40 mg Tablet in the morning with food to prevent stomach upset.Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew or crush the tablet/capsule.Liquid: Take the prescribed dose/quantity using the measuring cup/dosing syringe/dropper provided by the pack; shake the bottle well before use.

Medicinal Benefits

Paro 40 mg Tablet belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors. Paro 40 mg Tablet is used to treat major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, social anxiety disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and generalised anxiety disorder. Paro 40 mg Tablet works by inhibiting serotonin's reuptake by nerves, a mood-enhancing chemical messenger in the brain that communicates between brain cells. This helps increase serotonin concentrations in the nerve synapse, thereby regulating mood and treating depression and anxiety disorders. Paro 40 mg Tablet has fewer unwanted side effects than older antidepressants and helps people recover from depression.

Storage

Store in a cool and dry place away from sunlight
Side effects of Paro 40 mg Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Focus on eating nutrient-rich foods such as citrus fruits, spinach, ginger, garlic, turmeric, and fermented foods to improve immunity and general health.
  • Drink plenty of water to stay hydrated, and think about taking probiotics, zinc, vitamin C, and vitamin D supplements.
  • Adopt healthful practices such as leading a balanced lifestyle and remaining at home when necessary.
  • Avoid smoking and drinking alcohol as it can worsen your condition.
  • Drink warm fluids such as warm water with honey, broth or herbal tea to soothe sore throat.
  • Gargle with warm salt water to decrease inflammation.
  • Suck on hard candies or lozenges to increase the production of saliva and soothe your throat.
  • Avoid smoking, spicy foods, and extremely hot fluids.
  • Rest your voice and get enough sleep.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Here are the steps to manage the medication-triggered Cough:
  • Tell your doctor about the cough symptoms you're experiencing, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your cough symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids, such as water, tea, or soup, to help thin out mucus and soothe your throat.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your cough persists or worsens, consult your doctor for further guidance.
  • A blocked nose can be relieved by drinking more water, which helps clear fluids.
  • Use saline nasal spray available over the counter to relieve blockage or blow harder to remove the mucus.
  • Use nasal strips that can be placed on the nose to widen nostrils and increase airflow.
  • Keep a humidifier around to moisten air at home/workplace.
  • Drink warm fluids such as warm water with honey, broth, soup or herbal tea to soothe sore throat.
  • Gargle with warm salt water.
  • Suck on lozenges to increase the production of saliva and soothe your throat.
  • Use a humidifier to soothe sore throat as it adds moisture to the air and makes breathing easier.

Drug Warnings

Do not take Paro 40 mg Tablet if you are allergic to any of its contents; if you are taking monoamine oxidase inhibitors (MAOI) or have taken them in the last 14 days, or if you are taking antipsychotic medicines such as thioridazine or pimozide. Consult your doctor immediately if you have suicidal thoughts, such as killing or harming yourself. Inform your doctor if you have/had epilepsy, mania, diabetes, low sodium levels in blood, glaucoma, or are undergoing treatment for severe depression called electro-convulsive therapy. Do not take Paro 40 mg Tablet if you are pregnant, as it may cause harm to the foetus. Consult your doctor before taking Paro 40 mg Tablet if you are breastfeeding. Avoid driving or operating machinery as Paro 40 mg Tablet may cause dizziness, confusion, sleepiness and blurred vision. Paro 40 mg Tablet is not recommended for children below 18 years as the safety and effectiveness have not been established. Avoid consumption of alcohol while taking Paro 40 mg Tablet as it may make your symptoms or side-effects worse.

Drug-Drug Interactions

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PantoprazoleRilpivirine
Critical

Drug-Drug Interactions

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PantoprazoleRilpivirine
Critical
How does the drug interact with Paro 40 mg Tablet:
Co-administration of Rilpivirine is taken with Paro 40 mg Tablet, can decrease the absorption and blood levels of Rilpivirine and make the medication less effective.

How to manage the interaction:
Taking Paro 40 mg Tablet with Rilpivirine can lead to an interaction, please consult a doctor before taking it. Do not stop using any medications without talking to a doctor.
How does the drug interact with Paro 40 mg Tablet:
Taking Paro 40 mg Tablet can make Dacomitinib less effective by reducing its absorption in the body.

How to manage the interaction:
Taking Paro 40 mg Tablet with Dacomitinib together can possibly result in an interaction, but it can be taken if a doctor has advised it. A doctor can recommend other options that won't cause any problems when taken together. Do not stop using any medications without a doctor's advice.
PantoprazoleNelfinavir
Severe
How does the drug interact with Paro 40 mg Tablet:
Taking Nelfinavir with Paro 40 mg Tablet may decrease the absorption and blood levels of Nelfinavir and reduce its effectiveness.

How to manage the interaction:
Taking Paro 40 mg Tablet with Nelfinavir together can possibly result in an interaction, but it can be taken if a doctor has advised it. A doctor can recommend other options that won't cause any problems when taken together. Do not stop using any medications without a doctor's advice.
How does the drug interact with Paro 40 mg Tablet:
Taking Paro 40 mg Tablet with Pazopanib may reduce the effectiveness of pazopanib.

How to manage the interaction:
If you are supposed to take Paro 40 mg Tablet and Pazopanib together, but can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Paro 40 mg Tablet:
Taking Erlotinib with Paro 40 mg Tablet may interfere with the absorption of Erlotinib into the bloodstream, and reduce its effectiveness.

How to manage the interaction:
Taking Paro 40 mg Tablet with Erlotinib together can possibly result in an interaction, but it can be taken if a doctor has advised it. A doctor can recommend other options that won't cause any problems when taken together. Do not stop using any medications without a doctor's advice.
How does the drug interact with Paro 40 mg Tablet:
Taking Gefitinib with Paro 40 mg Tablet reduces the acidity level in the stomach and may interfere with the absorption of Gefitinib and reduce its effectiveness.

How to manage the interaction:
Taking Paro 40 mg Tablet with Gefitinib together can possibly result in an interaction, it can be taken if your doctor has advised it. You are recommended to take gefitinib 12 hours before or 12 hours after Paro 40 mg Tablet to help minimize the impact of the interaction. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Paro 40 mg Tablet:
Co-administration of Paro 40 mg Tablet reduces stomach acid, decreases the absorption and blood levels of Atazanavir, and reduces its effectiveness.

How to manage the interaction:
Taking Paro 40 mg Tablet with Atazanavir together can possibly result in an interaction, but it can be taken if a doctor has advised it. A doctor can recommend other options that won't cause any problems when taken together. Do not stop using any medications without a doctor's advice.
How does the drug interact with Paro 40 mg Tablet:
Taking Dasatinib with Paro 40 mg Tablet may decrease the blood levels of Dasatinib and reduce its effectiveness.

How to manage the interaction:
Taking Paro 40 mg Tablet with Dasatinib together can result in an interaction, but it can be taken if a doctor has advised it. In case of any unusual side effects, contact a doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Paro 40 mg Tablet:
Co-administration of Methotrexate with Paro 40 mg Tablet can increase the levels and side effects of Methotrexate.

How to manage the interaction:
Although there is a possible interaction between Paro 40 mg Tablet and methotrexate, you can take these medicines together if prescribed by a doctor. However, if you experience any symptoms such as nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, fluid retention, swelling, shortness of breath, tiredness, weakness, or dizziness, consult a doctor. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Maintain a healthy diet and exercise regularly as it helps in improving overall health and boosts self-esteem.
  • Regularly attend therapy sessions.
  • Perform meditation and yoga. This helps in relieving stress and provides relaxation.
  • Follow a regular sleep pattern to improve the amount and quality of sleep you get.
  • Include foods rich in omega fatty acids such as fish, nuts, fresh fruits, vegetables and olive oils.
  • Neurotransmitters are made up of amino acids. Amino acid-rich foods such as meat, dairy products, and certain fruits and vegetables help in the proper maintenance of neurotransmitters. 
  • Complex carbohydrates help in stimulating serotonin (a feel-good neurotransmitter). These include whole grains, legumes, spinach, broccoli, oranges and pears.
  • Exercising helps in the production of the body’s natural antidepressants. It also helps in relieving stress, improving mood, boosting self-esteem, and providing restful sleep.
  • Avoid smoking and alcohol consumption.
  • Learn about your condition, understand the risk factors and follow the doctor’s treatment plan.

Habit Forming

No

Therapeutic Class

PSYCHOTHERAPEUTICS

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Drug-Diseases Interactions

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PAROXETINE-40MGOther bacterial intestinal infections
Severe

Drug-Diseases Interactions

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PAROXETINE-40MGOther bacterial intestinal infections
Severe
How does the disease interact with Paro 40 mg Tablet:
Use of proton pump inhibitors, particularly in hospitalised patients, may increase the incidence of Clostridium difficile-associated diarrhoea. Monitor closely. Prefer lower dose of PPI for short duration.

How to manage the interaction:
The doctor may recommend the lowest dose and shortest duration of Paro 40 mg Tablet in hospitalized patients. Close monitoring is recommended in patients with diarrhoea and in those taking antibacterial agents.

FAQs

Paro 40 mg Tablet works by inhibiting serotonin's reuptake by nerves, a mood-enhancing chemical messenger in the brain that communicates between brain cells. This increases serotonin concentrations in the nerve synapse, thereby helping in regulating mood.

Paro 40 mg Tablet is used to treat anxiety disorders such as obsessive-compulsive disorder (OCD), panic disorder, social anxiety disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and generalised anxiety disorder.

Do not discontinue Paro 40 mg Tablet without consulting your doctor as it could lead to withdrawal effects. To treat your condition effectually, continue taking Paro 40 mg Tablet for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Paro 40 mg Tablet ; the doctor may reduce the dose gradually.

Paro 40 mg Tablet may cause decreased libido (sex drive), impotence (erectile dysfunction), abnormal ejaculation and problems with orgasm. Consult your doctor if you have any concerns regarding this.

Dry mouth could be a side-effect of Paro 40 mg Tablet . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.

Please consult your doctor before taking Paro 40 mg Tablet if you have glaucoma as Paro 40 mg Tablet might cause increased pressure in the eye.

Consult your doctor before taking Paro 40 mg Tablet if you have diabetes as Paro 40 mg Tablet might fluctuate blood glucose levels. Regular monitoring of blood sugar levels is advised if you are taking Paro 40 mg Tablet . Talk to your doctor if your blood sugar levels are unstable.

People taking antidepressants such as Paro 40 mg Tablet are more likely at risk of developing suicidal thoughts. Talk to your doctor immediately if you have thoughts of harming or killing yourself.

Consult your doctor before taking tamoxifen (used to treat cancer) along with Paro 40 mg Tablet as Paro 40 mg Tablet might make tamoxifen less effective.

Paro 40 mg Tablet may cause unusual bleeding or bruising such as vomiting blood or passing blood in stools. Therefore, talk to your doctor before taking Paro 40 mg Tablet if you have a history of bleeding disorders or if you are taking medicines that might increase the risk of bleeding such as blood thinners (warfarin), anti-psychotics (perphenazine or clozapine), tricyclic antidepressants (clomipramine), or NSAID’s (acetylsalicylic acid, ibuprofen, celecoxib, etodolac, diclofenac, meloxicam).

Drug-Drug Interactions Checker List

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  • SUXAMETHONIUM

Special Advise

  • Close monitoring of patients taking Paro 40 mg Tablet for suicidal behaviour is advised. Talk to your doctor immediately if you have thoughts of harming or killing yourself.

Disease/Condition Glossary

Major depressive disorder: Major depressive disorder, also known as clinical depression, is a mental health disorder characterised by a persistent and intense feeling of sadness for an extended duration of time. It mainly impacts mood, behaviour, and other physical functions, such as sleep and appetite. Symptoms include sadness, loss of interest, appetite changes, sleep problems, restlessness, lack of energy, feeling worthless or guilty, thoughts of harming oneself, difficulty in concentrating, making decisions, and thinking. The exact cause of depression is unknown. However, factors such as stress, changes in hormone levels, alcohol or drug abuse, abuse during childhood, certain medical conditions and medications might increase the risk of developing depression. 

Obsessive-Compulsive Disorder (OCD): It is a mental disorder that is associated with repetitive thoughts (obsessions) and the urge to do things over and again (compulsions). Symptoms include fear of germs or the need to arrange objects in a specific manner.

Panic disorder: It is a type of anxiety disorder that causes panic attacks. In this condition, a person experiences a sudden feeling of fear, when, in reality, there is no danger. Symptoms include fast heartbeat, breathing difficulty, chest or stomach pain, weakness or dizziness, and sweating.

Social anxiety disorder: It is a chronic mental health condition that causes extreme fear, anxiety, embarrassment, and self-consciousness in social gatherings. Symptoms include excessive fear, worry about humiliation or embarrassment, concern about offending someone, and fear about being judged. 

Post-traumatic stress disorder (PTSD): It is a disorder that is characterised by failure to recover after witnessing or experiencing a terrifying event. This condition may last for a few months or years with triggers that could bring back the memories of trauma accompanied by intense physical and emotional reactions. Symptoms include nightmares, flashbacks, anxiety or depressed mood, heightened reactivity to a stimulus, and avoidance of situations that can bring back trauma. 

Generalised anxiety disorder: It is a mental health disorder characterised by feelings of anxiety, worry or fear that are strong enough to interfere with one’s daily activities. Anxiety is the body’s natural response to stress, in which the feeling of fear may be intense and debilitating. It is the most common form of emotional disorder and can affect anyone at any age. Symptoms of anxiety include rapid breathing, increased heart rate, restlessness, trouble concentrating, and difficulty falling asleep.

Premenstrual dysphoric disorder: It is a severe form of premenstrual syndrome, which includes physical and behavioural symptoms that usually resolve after the period's onset. Premenstrual dysphoric disorder causes extreme mood shifts that can disrupt work and relationships. Symptoms include irritability, anger, hopelessness, sadness, bloating, and breast tenderness.

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