💡 Uses & Benefits
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Effectively treats Major Depressive Disorder, Generalized Anxiety Disorder, Social Anxiety, Panic Disorder, Obsessive‑Compulsive Disorder (OCD), Post‑Traumatic Stress Disorder (PTSD), and Premenstrual Dysphoric Disorder (PMDD)
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Enhances mood and reduces anxiety by increasing brain serotonin levels through selective serotonin reuptake inhibition
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Often effective within 1–2 weeks for initial improvement, with full effect around 4–6 weeks
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Usually taken once daily, with or without food
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Economical option in Bangladesh as a generic SSRI, available widely and produced by Square Pharmaceuticals
⚠️ Important Information
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Starting Dose: Typically 20 mg/day in the morning; dose may be increased gradually to a maximum of 50 mg/day depending on response and tolerance
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Common Side Effects: Nausea, insomnia, dry mouth, dizziness, fatigue, reduced libido, sexual dysfunction, sweating, tremor, and appetite changes
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Interactions & Precautions: Avoid concomitant use with MAO inhibitors, thioridazine, and be cautious when combining with lithium, warfarin, phenytoin, or alcohol. Serotonin syndrome risk if combined with tryptophan
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Contraindications: Not to be used in patients on MAOIs or thioridazine, or in those with hypersensitivity to paroxet
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Pregnancy & Lactation: Not advised during pregnancy or breastfeeding unless supervised by a healthcare professional
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Driving & Machinery: May impair alertness—patients should avoid driving or operating machinery if drowsiness or visual disturbances occur
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