Panazep 25 Tablet ER is a prescription medicine used to treat depression. It is a combination medicine that works by increasing the level of chemical messengers in the brain that improve mood. It also calms the brain by decreasing the abnormal and excessive activity of the nerve cells.
Panazep 25 Tablet ER can be taken with or without food. It is advised to take it at a fixed time each day to maintain a consistent level of medicine in the blood. Take this medicine in the dose and duration advised by your doctor, as it has habit-forming potential. Try to never skip any doses, but if you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important not to stop taking this medicine suddenly, as it may result in withdrawal symptoms.
Some common side effects of this medicine include nausea, vomiting, confusion, memory impairment, low sexual desire, and delayed ejaculation. It may cause dizziness and sleepiness. So, do not drive or do anything that requires mental focus until you know how this medicine affects you. It is important to inform your doctor if you develop any unusual changes in mood or depression, as this medicine may cause suicidal thoughts.
Take caution while taking medicine if you are suffering from liver disease. Your doctor should also know about all other medicines you are taking, as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.
Panazep 25 Tablet ER works by affecting the balance of certain chemicals (such as serotonin) in the brain. It helps improve mood and feelings of well-being, relieves anxiety and tension, helps you sleep better, and increases your energy level. It is an effective antidepressant but may cause drowsiness. You need to take it regularly as prescribed for it to be most effective, and should not stop taking it suddenly.
Side effects of Panazep Tablet ER
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Panazep
Nausea
Vomiting
Diarrhea
Confusion
Memory impairment
Uncoordinated body movements
Drowsiness
Tiredness
Anorgasmia (decreased orgasm)
Low sexual desire
Delayed ejaculation
Sleepiness
Dryness in mouth
Constipation
How to use Panazep Tablet ER
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Panazep 25 Tablet ER may be taken with or without food, but it is better to take it at a fixed time.
How Panazep Tablet ER works
Panazep 25 Tablet ER is a combination of two medicines, paroxetine and clonazepam, which have mood-enhancing and anxiety-lowering effects. Paroxetine is a selective serotonin reuptake inhibitor (SSRI), which increases the levels of serotonin, a chemical messenger that improves mood. Clonazepam is a benzodiazepine (BZD) that increases the action of GABA, a chemical messenger that suppresses the abnormal activity of the nerve cells in the brain.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Panazep 25 Tablet ER.
Pregnancy
UNSAFE
Panazep 25 Tablet ER is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.
Breast feeding
CONSULT YOUR DOCTOR
Panazep 25 Tablet ER is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Panazep 25 Tablet ER may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Panazep 25 Tablet ER is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Panazep 25 Tablet ER may not be needed in these patients. Please consult your doctor. Use of Panazep 25 Tablet ER can cause excessive sleepiness in patients with end stage kidney disease.
Liver
CAUTION
Panazep 25 Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Panazep 25 Tablet ER may be needed. Please consult your doctor.
What if you forget to take Panazep Tablet ER?
If you miss a dose of Panazep 25 Tablet ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Take Panazep 25 Tablet ER with a snack or just after eating breakfast, as this will help to reduce the likelihood of you feeling sick as a side effect.
It can take a week or two after starting this treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it after a week or two if you feel it is not helping.
Avoid taking antacids 2 hours before or after taking Panazep 25 Tablet ER, as they make it harder for your body to absorb the medicine.
Inform your doctor immediately if you have thoughts about harming yourself or ending your life.
If you have diabetes, you will be asked to monitor your blood glucose level regularly, as this medicine may affect the levels of sugar in your blood.
Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress.
Fact Box
Habit Forming
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Therapeutic Class
NEURO CNS
Patient concerns
Panazep tab kab tk le sakta hu isse anxity or social anxity ok ho sakti h
Dr. Jyoti Kapoor Madan
Psychiatry
Based in your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.
hai sir i am a pharmacist i am facing some deppression and consulted a doctor before 2 months and they prescribed PANAZEP 25 and LITHOSUN SR tablets that prescription i forgotted in home now i need the panazep tablet but this is a NRX product u know so know i need this tablet by u r prescription
i have problem in 3 year phobia Memory loss.anxiety, phobia Confusion, Dizziness,Headache, Impaired concentrationb plzzz and i have taking medicin 3 years panazep 25 melzep 0.25 qutaan 50 daily taking 3 years reguler
Dr. Jyoti Kapoor Madan
Psychiatry
Based on your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.
I am taking panazep from past 1year and i am experiencing restlessness and weakness. I dont know whether it is due to anti-depressant side effect or due to anxeity?
Dr. Jyoti Kapoor Madan
Psychiatry
Based on your clinical history, your doctor plans the type of medicine and it's dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To monitor side effects and take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.
Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
Depression, anexity less sleep Chasing depression since last almost 9 years. But first depression episode was in 1998 immediately after recovering from maleria
Dr. Kirti Tandel
Psychiatry
Hello Mr. PATIENT is one of the most leading cause of morbidity worldwide. It is more prevalent than what it is thought to be. So I appreciate your fight against depression and may you stay healthy physically and mentally as well. Visit your psychiatrist regularly and have a good compliance with your medicines as well. Take care.
What were the side-effects while using Panazep 25 Tablet ER?
No Side Effec*
26%
Confusion
16%
Nausea
16%
Diarrhea
11%
Vomiting
11%
*No Side Effect
How do you take Panazep Tablet ER?
With food
88%
With or witho*
12%
*With or without food
Please rate Panazep 25 Tablet ER on price
Average
43%
Expensive
31%
Not Expensive
26%
FAQs
Are there any important warnings associated with the use of Panazep 25 Tablet ER?
Panazep 25 Tablet ER may increase suicidal thoughts or actions in some patients in the first few months of the treatment. Patients with mood or behavioral disorders have a high risk of suicidal thoughts and actions. You should pay close attention and report to your doctor any changes in behavior or mood. Make sure that you visit the doctor for the follow-up appointments as scheduled.
Can I stop taking Panazep 25 Tablet ER when my symptoms are relieved?
No, you should continue taking Panazep 25 Tablet ER even if you feel well. If you stop Panazep 25 Tablet ER suddenly, serious withdrawal symptoms may occur. Your doctor will probably decrease your dose gradually.
How to manage weight gain associated with the use of Panazep 25 Tablet ER?
Some reports suggest that the use of Panazep 25 Tablet ER can cause weight gain. If you keep good eating habits and exercise regularly, you might not gain any weight. It is important to remember that it is easier to stop weight gain than to lose weight.
Can the use of Panazep 25 Tablet ER cause sleepiness?
Yes, Panazep 25 Tablet ER can make you feel sleepy. Avoid driving, operating machinery, working at heights, or participating in potentially dangerous activities until you know how this medicine affects you.
Can the use of Panazep 25 Tablet ER affect my sex life?
The use of Panazep 25 Tablet ER can affect the sexual life of both men and women. Different sexual problems can occur due to Panazep 25 Tablet ER, like decreased sexual desire, erectile dysfunction (inability to develop or maintain an erection during sexual activity), and inability to reach orgasm. It can also cause a decrease in satisfaction and discomfort during intercourse. If you experience these problems, discuss them with your doctor.
Can I drink alcohol while taking Panazep 25 Tablet ER?
No, do not drink alcohol while taking Panazep 25 Tablet ER. Drinking alcohol can increase the severity of drowsiness or sleepiness caused by Panazep 25 Tablet ER.
How long does Panazep 25 Tablet ER take to work?
Everybody responds differently to treatment. In general, it can take several weeks to feel the full benefits of Panazep 25 Tablet ER, although some people may start to feel better sooner. When taking Panazep 25 Tablet ER, it is important to give it time to work.
What are the instructions for the storage and disposal of Panazep 25 Tablet ER?
Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children, and other people.
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