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Paradise 25 MG Tablet XR

Manufactured byTorrent Pharmaceuticals Ltd.
ContainsParoxetine
Description
Paradise 25 MG Tablet XR is a medicine that belongs to the selective serotonin reuptake inhibitors (SSRI) drug class. It is used for the treatment of depression, obsessive-compulsive disorder (OCD), panic disorder, and other anxiety disorders. Do not stop taking this medicine suddenly as it may cause withdrawal symptoms like mood changes, irritability, dizziness, numbness in the hands or feet, and difficulty in falling asleep.

Side effects

Major & minor side effects for Paradise 25 MG Tablet XR

  • Suicidal thinking and behaviour
  • Irregular heartbeat
  • Shaking of the hands or feet
  • Dizziness when getting up suddenly from a sitting position
  • Chills or cold sweats
  • Blurred vision
  • Nausea and Vomiting
  • Dry mouth and lips
  • Constipation
  • Muscle stiffness
  • Decreased sexual urge
  • Difficulty in passing urine
  • Rapid weight gain/loss
  • Photosensitivity
  • Unusual bleeding or bruising
  • Racing thoughts
  • Reckless behavior
  • Unusual tiredness and weakness

Uses of Paradise 25 MG Tablet XR

What is it prescribed for?

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

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The amount of time required for this medicine to show its action is not clinically established.
  • How long do the effects of this medicine last?
    The amount of time for which this medicine remains active in the body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of serious adverse effects. These side effects may include dizziness, drowsiness, difficulty concentrating, breathing difficulties, etc. Avoid performing activities that need high mental alertness like driving a vehicle or operating heavy machinery if alcohol and this medicine are used together.
  • Is this a habit forming medicine?
    No habit forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.

Monoamine oxidase inhibitors (MAOI)

This medicine is not recommended for use while a MAOI medicine (Rasagiline/Selegiline/methylene blue etc.) is being consumed. This medicine should be consumed at least 14 days after stopping the use of MAOI medicines.

Thioridazine

This medicine is not recommended for use if the patient is taking Thioridazine (a medicine used to treat schizophrenia) due to the increased risk of adverse effects.

Pimozide

This medicine is not recommended for use if the patient is taking Pimozide (anti-psychotic medicine) due to the increased risk of adverse effects.

Allergy

This medicine is not recommended for use if you a known history of allergy to Paroxetine or any other inactive ingredients present in the formulation.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. The risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Suicidal thinking and behavior

Use of this medicine may cause suicidal thought and change the behavior of the user. This risk is increasingly high in young patients. It is recommended to screen the patient for such behavior before starting the treatment. Any change in behavior and thought process after taking this medicine should be reported to the doctor immediately.

Serotonin syndrome

Use of this medicine with other medicines to treat depression may cause nausea, agitation, seizures and hallucinations (symptoms of serotonin syndrome)

Neuroleptic malignant syndrome

Use of this medicine may cause Neuroleptic malignant syndrome characterized by high fever, muscle stiffness, extreme changes in blood pressure, excessive sweating and salivation. The use of this medicine should be stopped as soon as these side effects are experienced.

Hypertension

Use of this medicine is associated with a sharp increase in blood pressure levels. Regular monitoring of blood pressure levels is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Bleeding disorders

Use of this medicine may cause unusual bleeding and bruising and hence should be used with caution in patients suffering from bleeding disorders. Use of medicines that are known to cause gastrointestinal bleeding, (example: aspirin, paracetamol, ibuprofen etc), should be avoided while taking paroxetine.

Glaucoma

This medicine should be used with caution in patients suffering from angle closure glaucoma. The symptoms of this disease may worsen upon using paroxetine and hence caution is advised.

Seizure disorder

This medicine should be used with caution in patients with a known history of seizures due to the increased risk of worsening of the patient's condition.

Manic episodes

Use of this medicine may cause agitation and aggressive behavior in some patients. The patient should be screened for bipolar disorder before starting the treatment course with this medicine.

Heart disease

This medicine should be used with caution in patients suffering from a heart or blood vessel disorder. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Hyponatremia

This medicine may cause hyponatremia in some patients. This risk is especially high in the elderly population and in patients who are volume-depleted or taking diuretics. Close monitoring of blood pressure and sodium levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Bone fractures

Use of this medicine has been associated with an increase in the incidence of bone fractures. Report any incidence of bone pain to the doctor while taking paroxetine.

Driving or Operating machinery

This medicine may cause dizziness or drowsiness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Sexual dysfunction

Use of this medicine may cause sexual dysfunction. These dysfunctions may include a decrease in libido, erectile disorders, or painful orgasm.

Withdrawal symptoms

This medicine may cause withdrawal symptoms if the usage is stopped abruptly. This risk is especially higher after prolonged usage of this medicine. The treatment should be withdrawn gradually under the close supervision of your doctor. Do not stop the use of this medicine without consulting your doctor.

Pediatric use

This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.

Use in elderly

This medicine should be used with extreme caution in the elderly population due to the increased risk of unusual adverse effects.

Missed Dose

Take the missed dose as soon as you remember. If the next scheduled dose is less than 4 hours away, then the missed dose should be skipped.

Overdose

Seek emergency medical treatment or contact the doctor 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 this medicine due to the increased risk of serious adverse effects. These side effects may include dizziness, drowsiness, difficulty concentrating, breathing difficulties, etc. Avoid performing activities that need high mental alertness like driving a vehicle or operating heavy machinery if alcohol and this medicine are used together.
Interaction with Medicine

Linezolid

Lithium

Ondansetron

Warfarin

Aspirin

Disease interactions

Kidney Disease

This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Glaucoma

This medicine should be used with caution in patients with a known history of glaucoma due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered based on the clinical condition of the patient.

Hypertension

This medicine may cause an increase in the blood pressure levels and hence should be used with caution in patients with hypertension. The blood pressure level should be constantly monitored before and during the course of treatment.

Liver Disease

This medicine should be used with caution in patients with an impaired liver function. Suitable dose adjustments should be made based on the severity of impairment.
Food interactions
Information not available.
Lab interactions
Information not available.
Take this medicine as instructed by the doctor. Do not use in smaller or larger than the recommended dose. The dose is likely to change over time based on your response and hence adherence to the changes is a must. Do not stop the use of this medicine abruptly.
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
This medicine works by affecting the level of certain specific chemicals that are imbalanced in people with depression and other anxiety disorders.
Legal Status

Approved

Unknown

Unknown

Unknown

Classification

Category

Selective serotonin reuptake inhibitors

Schedule

Schedule H

Paroxetine - DrugBank [Internet]. Drugbank.ca. 2017 [cited 4 May 2017]. Available from:

https://www.drugbank.ca/drugs/DB00715

Paroxetine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 21 April 2020]. Available from:

https://medlineplus.gov/druginfo/meds/a698032.html
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Information on this page was last updated on 22 Apr 2020

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