Paxil CR is an agent in a newer class of antidepressant medication
known as selective serotonin reuptake inhibitors (SSRIs). Depression
and anxiety disorders might be caused by a chemical imbalance in
the brain. One of these chemicals is serotonin, which helps send
electrical signals from one nerve cell to another. In the process,
serotonin is released from one nerve cell (the sender) and travels
to the next (the receiver), where it is either absorbed or returns
back to the original sender cell.
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Paroxetine is an anti-depressant drug that affects the chemicals
that nerves in the brain use to communicate with one another. These
chemical messengers, called neurotransmitters, are released by one
nerve and taken up by other nerves. Neurotransmitters that are released
but not taken up by other nerves are taken up by the nerves that
release them ("reuptake"). Many experts believe that it
is an imbalance among the amounts of the different neurotransmitters
that are released that causes depression. Paroxetine works by inhibiting
the reuptake of serotonin by the nerves that release it, an action
which allows more serotonin to be available to be taken up by other
nerves. Paroxetine is in a class of drugs called selective serotonin
reuptake inhibitors (SSRIs), a class that also contains fluoxetine
(Prozac) and sertraline (Zoloft).
Paroxetine is primarily used to treat the symptoms of depression,
obsessive-compulsive disorder (OCD), post-traumatic stress disorder
(PTSD), panic disorder,It was the first antidepressant formally
approved in the United States for the treatment of social anxiety
disorder.[5]
According to the prescribing information provided by the manufacturer
of Paxil brand of paroxetine GlaxoSmithKline and approved by the
FDA[6], the effectiveness of paroxetine in major depressive disorder
has been proven by six placebo-controlled clinical trials. For panic
disorder, three 10-12-week studies indicated paroxetine superiority
to placebo.[6] Similarly, three 12-week trials for adult outpatients
with social anxiety disorder demonstrated better response to paroxetine
than to placebo
If you experience any of the following serious side effects, stop
taking Paxil and contact your doctor immediately or seek emergency
medical treatment: an allergic reaction (difficulty breathing; closing
of the throat; swelling of the lips, tongue, or face; or hives);
an irregular heartbeat or pulse; low blood pressure (dizziness,
weakness); high blood pressure (severe headache, blurred vision);
unusual bleeding or bruising; or fever or chills. Less serious side
effects may be more likely to occur. Continue to take Paxil and
talk to your doctor if you experience headache; tremor, nervousness,
or anxiety; nausea, diarrhea, dry mouth, or changes in appetite
or weight; sleepiness or insomnia; or decreased sex drive, impotence,
or difficulty having an orgasm. Side effects other than those listed
here may also occur. Talk to your doctor about any side effect that
seems unusual or that is especially bothersome.
Seek emergency medical attention if an overdose is suspected. Symptoms
of a Paxil overdose include nausea, vomiting, tremor, seizures,
agitation, drowsiness, hyperactivity, and enlarged pupils.