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Panex-CR 25 Tablet
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Panex-CR 25 Tablet

Manufactured byMicro Labs Ltd.
ContainsParoxetine
Description
Panex-CR 25 Tablet is an antidepressant medicine. It is used in the treatment of depression, obsessive-compulsive disorder (a condition that causes uncontrollable, reoccurring, and obsessive thoughts that lead you to perform repetitive behaviours), panic disorder (a condition that causes sudden feelings of terror and anxiousness when there is no real danger or apparent cause), post-traumatic stress disorder (anxiety caused after experiencing a traumatic event), and other anxiety disorders (mental conditions characterised by an uncontrollable feeling of anxiety and fear). Panex-CR 25 Tablet may cause some side effects like confusion, headache, nausea, dizziness, etc. Consult your doctor if these symptoms persist or worsen. Do not stop taking this medicine suddenly as it may cause withdrawal symptoms like mood changes, irritability, dizziness, confusion, difficulty in falling asleep, etc. Panex-CR 25 Tablet may be taken in the morning, preferably with food so it does not upset your stomach. The dose and duration of treatment will be decided by your doctor based on the severity of your condition. Take this medicine exactly as prescribed by your doctor. It may take several weeks or longer before you feel the effect of this medicine. Hence, continue taking Panex-CR 25 Tablet for the prescribed duration. Panex-CR 25 Tablet is not recommended for use if you are allergic to it. Inform your doctor if you have diabetes, liver or kidney problems, or any other medical conditions before taking this medicine. Inform your doctor about all of your current medicines to avoid any undesired effects. Consult your doctor if you are pregnant, planning a pregnancy, or are breastfeeding before taking this medication. Panex-CR 25 Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data are not available.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Panex-CR 25 Tablet

  • Suicidal thinking and behaviour
  • Irregular heartbeat
  • Shaking of the hands or feet
  • Dizziness
  • Blurred vision
  • Nausea and Vomiting
  • Dry mouth
  • Constipation
  • Muscle stiffness
  • Decreased sexual urge
  • Photosensitivity
  • Unusual bleeding or bruising
  • Difficulty in passing urine

Uses of Panex-CR 25 Tablet

What is it prescribed for?

  • Depression
  • Social Anxiety Disorder
  • Panic disorder
  • Premenstrual Dysphoric Disorder
  • Obsessive Compulsive Disorder
  • Post traumatic stress disorder
  • Generalized anxiety disorder
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The amount of time required for Panex-CR 25 Tablet to show its action is not clinically established.
  • How long do the effects of this medicine last?
    The amount of time for which Panex-CR 25 Tablet remains active in your body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with Panex-CR 25 Tablet due to the increased risk of side effects like dizziness, drowsiness, difficulty concentrating, etc. Avoid performing activities that need high mental alertness like driving vehicles or operating heavy machines if you experience any of these symptoms.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported for Panex-CR 25 Tablet.
  • Can this medicine be taken during pregnancy?
    Panex-CR 25 Tablet is unsafe for use during pregnancy as it may harm your foetus. Consult your doctor if you are pregnant.
  • Can this medicine be taken while breast-feeding?
    Panex-CR 25 Tablet is not recommended for use while breastfeeding unless necessary. Consult your doctor if you are breastfeeding.

Monoamine oxidase inhibitors (MAOI)

Monoamine oxidase inhibitors (MAOIs) are a class of medicines used to treat depression. Panex-CR 25 Tablet is not recommended for use if you have taken MAOIs within the last 14 days due to the increased risk of serious side effects.

Thioridazine

Panex-CR 25 Tablet is not recommended for use if you are taking Thioridazine (a medicine used to treat schizophrenia, a mental condition that may interfere with a person's ability to think clearly, manage emotions, and perceive reality) as it may increase the risk of side effects.

Pimozide

Panex-CR 25 Tablet is not recommended for use if you are taking Pimozide (a medicine used to treat mental illness) as it may increase the risk of side effects.

Allergy

Panex-CR 25 Tablet is not recommended for use if you are allergic to it. Seek immediate medical attention if you experience symptoms like skin rash, hives (itchy, painful eruptions that sting), itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing, etc.
Warnings for special population

Pregnancy

Panex-CR 25 Tablet is unsafe for use during pregnancy as it may harm your foetus. Consult your doctor if you are pregnant.

Breast-feeding

Panex-CR 25 Tablet is not recommended for use while breastfeeding unless necessary. Consult your doctor if you are breastfeeding.
General warnings

Suicidal thinking and behaviour

Use of Panex-CR 25 Tablet may cause suicidal thoughts and behaviourial changes. Hence, if you experience any change in behaviour or suicidal thoughts, consult your doctor immediately.

Serotonin syndrome

Serotonin syndrome is a life-threatening condition when your body has too much of a chemical called serotonin. Panex-CR 25 Tablet should be used with caution as it may cause serotonin syndrome, especially if used along with other medicines to treat depression.

Bleeding disorders

Use of Panex-CR 25 Tablet may cause unusual bleeding and bruising. Hence this medicine should be used with caution if you have severe active bleeding or a hemorrhagic diathesis (tendency to bleed easily).

Seizure disorder

Seizure disorder is a neurological condition in which your brain activity becomes abnormal causing uncontrolled jerking of the body. Panex-CR 25 Tablet should be used with caution if you have seizures as it may worsen your condition.

Manic episodes

Mania is a mental health condition that involves a state of high energy and elevated or irritated mood. Panex-CR 25 Tablet may occasionally cause or activate mania. Hence it should be used with caution if you have a history of mania.

Hyponatraemia

Hyponatraemia refers to low blood sodium levels. Panex-CR 25 Tablet may cause hyponatraemia in some cases. The risk is especially high in the elderly or if you are taking diuretics (medicines used to remove excess salt and water from the body). Your doctor may monitor your blood pressure and sodium levels regularly while you are taking this medicine.

Bone fractures

Panex-CR 25 Tablet should be used with caution as it may cause bone fracture if you have decreased bone mineral density. Hence, inform your doctor if you experience symptoms like unexplained bone pain, tenderness, swelling, or bruising.

Driving vehicles or operating machines

Panex-CR 25 Tablet may cause dizziness or drowsiness in some cases. Avoid performing activities that require high mental alertness like driving vehicles or operating machines if you experience any of these symptoms.

Sexual dysfunction

Use of Panex-CR 25 Tablet may cause sexual dysfunction such as decreased sexual desire, delayed ejaculation, erectile dysfunction (inability to get and maintain an erection firm enough for sexual intercourse), etc. Consult your doctor if you have any concerns.

Withdrawal symptoms

Panex-CR 25 Tablet may cause withdrawal symptoms if this medicine is discontinued abruptly. Hence, your doctor will gradually lower your dose over a period of several weeks or months. Do not stop taking the medicine without consulting your doctor.

Use in Children

Panex-CR 25 Tablet is not recommended for use in children below 18 years of age as the safety and efficacy data are not clinically established.

Missed Dose

Take the missed dose of Panex-CR 25 Tablet as soon as you remember. If it is time for your next scheduled dose, skip the missed dose. Do not take a double dose to make up for the missed one.

Overdose

Never take more than the prescribed dose of Panex-CR 25 Tablet. Seek emergency medical treatment in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with Panex-CR 25 Tablet due to the increased risk of side effects like dizziness, drowsiness, difficulty concentrating, etc. Avoid performing activities that need high mental alertness like driving vehicles or operating heavy machines if you experience any of these symptoms.
Interaction with Medicine

Linezolid

Lithium

Ondansetron

Warfarin

Aspirin

Disease interactions

Kidney Disease

Panex-CR 25 Tablet should be used with caution if you have kidney problems as it may increase the risk of side effects. Your doctor may recommend tests to monitor your kidney function and recommend appropriate dose adjustments based on your clinical condition.

Glaucoma

Glaucoma is an eye condition characterised by an increase in the pressure inside your eyes which can lead to loss of vision. Panex-CR 25 Tablet should be used with caution if you have glaucoma as it may worsen your condition.

Liver Disease

Panex-CR 25 Tablet should be used with caution if you have impaired liver function as it may lead to the accumulation of this medicine in your body and increase the risk of side effects. Your doctor may recommend suitable dose adjustments based on your clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Take Panex-CR 25 Tablet as instructed by your doctor. Do not break, chew, or crush the tablet in your mouth. Swallow as a whole with plenty of water. Follow all the instructions given on the prescription label or packing insert. Avoid taking more or less than the recommended dose. Take Panex-CR 25 Tablet for the recommended duration. Do not discontinue this medication abruptly without consulting your doctor as it may cause withdrawal symptoms. Take Panex-CR 25 Tablet at the same time every day for the ease of remembering. Consult your doctor immediately if you experience any change in behaviour or thoughts of self-harm. Avoid driving vehicles or operating machines after taking Panex-CR 25 Tablet as it may cause dizziness. Keep away from the reach of children and pets. Ensure that the unused or expired medicine is disposed of properly.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Panex-CR 25 Tablet works by increasing the level of a certain chemical (serotonin) in your brain. Thus it improves your mood and decreases fear, anxiety, or unwanted thoughts.
Legal Status

Approved

Unknown

Unknown

Unknown

Classification

Category

Selective serotonin reuptake inhibitors, Antidepressants

Schedule

Schedule H

Accessdata.fda.gov. 2021. PAXIL CR (paroxetine) extended-release tablets, for oral use. [online] Available at: < [Accessed 22 December 2021].

https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/020936s047lbl.pdf>

Medlineplus.gov. 2021. Paroxetine: MedlinePlus Drug Information. [online] Available at: < [Accessed 22 December 2021].

https://medlineplus.gov/druginfo/meds/a698032.html>

Dailymed.nlm.nih.gov. 2021. DailyMed - PAROXETINE tablet, film coated, extended release. [online] Available at: < [Accessed 22 December 2021].

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d315e0da-f829-408b-be5d-2bca2e06913c>

Medicines.org.uk. 2021. Paroxetine 20mg Tablets - Summary of Product Characteristics (SmPC) - (emc). [online] Available at: < [Accessed 22 December 2021].

https://www.medicines.org.uk/emc/medicine/23046/SPC/Paroxetine+20mg+Tablets/#PRODUCTINFO>

2021. [online] Available at: < [Accessed 28 December 2021].

https://gskpro.com/content/dam/global/hcpportal/en_NA/PI/aropax_cr_pi_pil_ipiv23.pdf>
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Information on this page was last updated on 28 Dec 2021

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