What treats Paxil?
Paxil is one of the Selective Serotonin Reuptake Inhibitors (SSRIs) and it is used to treat a range of psychiatric disorders, including:
Major depressive disorder (DSM-III) — this is a more persistent state of depression that significantly disrupts your everyday life over a period of not less than two weeks at a time. It will include a majority of the following symptoms:
• your appetite changes significantly;
• your sleep patterns changes significantly;
• you feel increasingly tired;
• both physically and psychologically you may become agitated, or alienated and passive;
• your thinking slows or you find it difficult to maintain concentration;
• you lose interest in your everyday activities and/or lose interest in sex;
• you will feel guilty or worthless; and
• you begin to consider suicide or actually attempt it.
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Obsessive Compulsive Disorder (DSM-IV) where you become obsessed by particular ideas or feel compelled to repeat particular actions to an unreasonable and excessive extent. This distracts you from everyday activities to such an extent that you find it difficult to retain work or complete everyday tasks efficiently. The clinical data suggests that the short-term use of Paxil is more likely to ease you out of the obsessional and compulsive cycles, and prevent relapse.
Panic Disorder (with or without agoraphobia) (DSM-IV) where you are suddenly and unexpected overwhelmed by a sense of fear and panic. In turn, this makes you anxious about the possibility of further attacks and their effect on your ability to maintain your employment and relationships. As a result, you begin to change your life significantly to avoid situations you fear may trigger another attack. Paxil has been shown to relieve the symptoms in the short term and prevent relapse.
Social Anxiety Disorder (or social phobia) (DSM-IV (300.23) is a persistent fear that when called on to do something in public, an embarrassing mistake will be made. This causes you increasing anxiety as the need to appear in public approaches and leads you to both avoid social situations and to be distressed if the situations cannot be avoided. In adults, Paxil has proved an effective short-term treatment, but there is no clinical evidence of its safety in treating children or young adults.
Generalised Anxiety Disorder (DSM-IV) is an extreme form of anxiety and stress arising out of everyday life which persists for not less than six months. You may feel restless or permanently on edge, find yourself easily tired and irritable. Your normal sleep cycle may also be disturbed. Over the short-term, Paxil has been shown to relieve the more serious symptoms.
Post-traumatic Stress Disorder (DSM-IV) which follows your traumatic experiences when someone died or was seriously injured, or you were threatened with serious injury. As a result, you become transfixed by fear that it will happen again.
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Dosage and things to watch out for
Paxil is supplied both as tablets and as a suspension for drinking (flavoured with orange). As one of the SSRIs, Paxil should be approached with caution. You should not exceed a daily dose of 40mg and you should not take it for more than a few weeks at a time. Do not mix Paxil with alcohol. You should also take particular care if you have kidney or liver problems, epilepsy or bi-polar disorder, and its use should be carefully considered if you are pregnant — Paxil may cause heart defects or life-threatening lung problems in new-born babies. Should you also be taking one of the Monoamine Oxidase Inhibitors, you should allow at least a fourteen day washout period when changing to Paxil, or vice versa.
There are very real problems of physical and psychological dependence if you exceed the dosage recommended by your physician, or take Paxil for too long. The withdrawal symptoms are unpleasant and relapse to taking Paxil is common. If you have any history of alcohol or drug dependence, you should not begin to take Paxil.
There is also evidence of an increased risk that you will be seduced by the idea of suicide if you begin taking Paxil. For this reason, you should only take this medication if you are aged 25 years and over or you can be monitored by your family during the first weeks of your treatment. If you have ever considered suicide before, do not take Paxil.