PAXIL CR
Generic Name for PAXIL CR
Paroxetine (as HCl) 12.5mg, 25mg, 37.5mg; controlled-release e-c tabs.
Legal Classification:
Rx
Pharmacological Class for PAXIL CR
SSRI.
Manufacturer of PAXIL CR
GlaxoSmithKline Pharmaceuticals
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Indications for PAXIL CR
Depression. Premenstrual dysphoric disorder (PMDD).
Adult dose for PAXIL CR
Swallow whole. Give once daily, usually in the AM, adjust by 12.5mg/day at 1-week intervals. Depression: initially 25mg/day; max 62.5mg/day. PMDD: Give daily throughout menstrual cycle or intermittently (start 14 days before expected menses onset through 1st full day of menses): initially 12.5mg/day; usual max 25mg/day. Elderly, debilitated, severe hepatic or renal impairment: initially 12.5mg/day; max 50mg/day.
Children's dosing for PAXIL CR
Not recommended.
Also:
Contraindications for PAXIL CR
Concomitant pimozide, thioridazine (may cause QTc prolongation). During or within 14 days of MAOIs (including linezolid).
Precautions for PAXIL CR
History of seizures (discontinue if occurs), mania/hypomania. Monitor for serotonin syndrome or neuroleptic malignant syndrome-like signs and symptoms; discontinue if occurs. Conditions that affect metabolism or hemodynamic response. Cardiac disease. ECT. Narrow angle glaucoma. Suicidal tendencies (monitor). Write ℞ for smallest practical amount. Avoid abrupt cessation; reduce dose gradually. Reevaluate periodically. Elderly. Labor & delivery. Pregnancy (Cat.D); avoid use. Nursing mothers.
Interactions for PAXIL CR
See Contraindications. Do not start MAOI until at least 2 weeks after discontinuing paroxetine. Concomitant SSRIs, SNRIs, tryptophan: not recommended. Avoid alcohol. Potentiation with other protein bound drugs. Caution with drugs that affect coagulation (eg, warfarin, NSAIDs). Potentiated by cimetidine. Antagonized by fosamprenavir/ritonavir. May affect, or be affected by, drugs metabolized by CYP2D6, including tricyclic antidepressants, fluoxetine, phenothiazines, risperidone, atomoxetine, tamoxifen, Class 1C antiarrhythmics, quinidine. Monitor digoxin, phenytoin, phenobarbital, theophylline, warfarin. Reduce procyclidine dose if anticholinergic effects occur. Caution with triptans, linezolid, lithium, tramadol, St. John's wort or dopamine antagonists; may cause serotonin syndrome (eg, agitation, tachycardia, incoordination, hyperreflexia). Hormonal contraceptives and PMDD treatment: see literature.
Adverse Reactions for PAXIL CR
GI upset, asthenia, sweating, decreased appetite, somnolence, dizziness, insomnia, nervousness, headache, decreased libido, tremor, akathisia, dry mouth, abnormal ejaculation, genital disorders, impotence, hyponatremia, abnormal bleeding, others; serious discontinuation symptoms (monitor); rare: neuroleptic malignant syndrome.
How is PAXIL CR supplied?
CR—30
Tabs 10mg, 30mg, 40mg—30
20mg—30, 90
Susp—250mL
Related Disease:
Depression
Premenstrual dysphoric disorder