Panex 20mg Tablet is a type of antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) group of medicines. It is widely prescribed to treat depression and anxiety-related conditions like obsessive-compulsive disorder, and panic disorder.

Panex 20mg Tablet helps many people to recover from depression by improving their mood and relieving anxiety and tension. It can be taken with or without food. The dose and how often you need it will be decided by your doctor so that you get the right amount to control your symptoms.

Your doctor may start you on a lower dose and increase it gradually. Do not change the dose or stop taking it without talking to your doctor, even if you feel well. Doing so may make your condition worse or you may suffer from unpleasant withdrawal symptoms (anxiety, restlessness, palpitations, dizziness, sleep disturbances, etc).

To get the most benefit, take this medicine regularly at the same time each day. Your doctor may advise you to take it in the morning if you have trouble sleeping. It may take a few weeks before you start feeling better. Let your doctor know if you do not see any improvement even after 4 weeks.

Some common side effects of Panex 20mg Tablet include nausea, fatigue, dry mouth, loss of appetite, increased sweating, dizziness, nervousness, tremors, insomnia (difficulty in sleeping), and constipation. Sexual side effects like decreased sexual drive, delayed ejaculation, and erectile dysfunction may also be seen. Let your doctor know straight away if you develop any sudden worsening of mood or any thoughts about harming yourself.

Before taking this medicine, you should tell your doctor if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, heart problems, or glaucoma. These may affect your treatment. Pregnant or breastfeeding women should also consult their doctor before taking it. Some other medicines may affect the way it works, especially other antidepressants and medicines called MAO inhibitors. Please tell your doctor about all the medicines you are taking to make sure you are safe.

Uses of Panex Tablet

Treatment of Depression
Treatment of Panic disorder
Treatment of Anxiety disorder

Benefits of Panex Tablet

In Treatment of Depression

Panex 20mg Tablet works by increasing the level of a chemical called serotonin in the brain. This improves your mood, relieves anxiety, tension, and helps you sleep better. It has fewer side effects than older antidepressants. It usually takes 4-6 weeks for this medicine to work so you need to keep taking it even if you feel it is not working. Do not stop taking it, even if you feel better unless your doctor advises you to.

In Treatment of Panic disorder

Panex 20mg Tablet can help relieve symptoms of many panic disorders including panic attacks. It can help you feel calmer and improve your ability to deal with problems. Do not stop taking it, even when you feel better, unless your doctor advises you to.

In Treatment of Anxiety disorder

Panex 20mg Tablet helps relieve symptoms of many anxiety disorders including obsessive-compulsive disorder and generalized anxiety disorder by increasing the level of a chemical called serotonin in your brain. It has fewer side effects than older antidepressants and is normally taken once a day. It helps you feel calm with a better ability to deal with problems. Exercise and a healthy diet can also improve your mood. Keep taking the medicine until your doctor advises you to stop.

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Side effects of Panex Tablet

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 Panex

Nausea
Fatigue
Dryness in mouth
Loss of appetite
Increased sweating
Dizziness
Nervousness
Tremors
Low sexual desire
Insomnia (difficulty in sleeping)
Confusion
Constipation
Erectile dysfunction
Delayed ejaculation
Decreased libido

How to use Panex Tablet

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. Panex 20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Panex Tablet works

Panex 20mg Tablet is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms of depression and also relieves symptoms of panic disorder, anxiety, and obsessive-compulsive disorder.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Panex 20mg Tablet.

Pregnancy

UNSAFE

Panex 20mg Tablet 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

Panex 20mg Tablet 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

Panex 20mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Panex 20mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Panex 20mg Tablet may be needed. Please consult your doctor.

Liver

CAUTION

Panex 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Panex 20mg Tablet may be needed. Please consult your doctor.

What if you forget to take Panex Tablet?

If you miss a dose of Panex 20mg Tablet, 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.

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Quick tips

It can take 2-3 weeks for Panex 20mg Tablet to start working.
Do not stop treatment suddenly as this may cause upset stomach, flu-like withdrawal symptoms and sleep disturbance.
If your doctor asks you to stop Panex 20mg Tablet, you should reduce the dose slowly over 4 weeks.
Avoid consuming alcohol when taking Panex 20mg Tablet, as it may cause excessive drowsiness and calmness.
The addiction/dependence potential of Panex 20mg Tablet is very less.

Fact Box

Chemical Class

Phenylpiperidine Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Selective Seretonin Reuptake inhibitors (SSRIs)

Interaction with drugs

Taking Panex with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Linezolid

Brand(s): Lizolan, Lidoford, Zenlid

LIFE-THREATENING

Moclobemide

Brand(s): Trima, Rimarex, Morex

LIFE-THREATENING

Rasagiline

Brand(s): Rasalect, Relgin, Rasipar

LIFE-THREATENING

Reboxetine

Brand(s): Rebotin

LIFE-THREATENING

View all interactions

Patient concerns

PANIC ATTACK ANXIETY DISORDER T

Dr. Jyoti Kapoor Madan

Psychiatry

Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, headaches, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.

panic disorder, hypochondria syndrome & anxiety neurosis

Dr. Jyoti Kapoor Madan

Psychiatry

Continue medicines as prescribed and follow up with your psychiatrist

Mental Depression , Anxiety disorder

Dr. Jyoti Kapoor Madan

Psychiatry

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.

I am suffering from acute anxiety disorder and panic attack kindly suggest me I am suffering from acute anxiety disorder and panic attack kindly suggest me

Dr. Manju Singh

Homeopathy

Dear PATIENT the basis of information you have provided you can consider following homeopathic medicine:Gelsemium 30, Dilution, ADEL Dosage: 4 drops in 1 teaspoon of water, 3 times a day. LINK: http://www.1mgayush.com/products/Gelsemium./Standard

Mixed anxiety depressive disorder

Dr. Jyoti Kapoor Madan

Psychiatry

What are possible physical symptoms of anxiety disorder and depression.

Dr. Subrata Naskar

Psychiatry

Hi PATIENT me clear that for you. Depression is usually associated with a lot of physical symptoms like increased fatigue, decreased amount of sleep or interrupted sleep, loss of appetite usually cause more than 5% body weight loss, loss of libido. But its effect is mainly psychological whivh causes persist low mood, inability to enjoy pleasurable activities, low self esteem, bleak view of the future, guilty feeling etc. These symptoms have to be present persistently for 2 weeks to be called depression. On the other hand, anxiety has two main components, worry and fear. The common physical complaints are extreme sweating, butterfly like feeling in stomach, fidgetiness, increased frequency of urination. If associated with panic attacks, there is often palpitation, respiratory distress, dryness of throat, a sense of doom. Anxiety disorders are of various types and each have varied specific set of symptoms, but these are usually in common.

I had sleep disorder due to panic disorder. Every day feeling discomfort of gastric die to not getting sound sleep

Dr. Jyoti Kapoor Madan

Psychiatry

Sleep problems are often caused by underlying physical and/ or psychological cause. This requires examination of the patient so that proper treatment can be initiated. Often stress/ anxiety/ depression or mood disorder needs to be dealt with and sleeping pills are not adequate treatment. Please go through the link below for further understanding- Sleep Disorders ? Demythifying http://drjyotikapoor.com/2015/01/26/sleep-disorders/

User feedback

Patients taking Panex 20mg Tablet

Once A Day

88%

Twice A Week

12%

What are you using Panex Tablet for?

Phobia

50%

Obsessive-com*

50%

*Obsessive-compulsive disorder

FAQs

Q. After how many days of taking Panex 20mg Tablet will I start feeling better?

You may start to see an improvement in your symptoms after 1-2 weeks of starting the treatment. In case you do not see any improvement, do not stop the medicine and consult your doctor. It may take around 4-6 weeks to see the full benefits of the medicine.

Q. I feel that my symptoms have worsened after having started taking Panex 20mg Tablet. Can I stop it on my own or do I need to consult the doctor?

No, do not stop taking Panex 20mg Tablet abruptly, without consulting your doctor. This is a common problem with Panex 20mg Tablet that initially you may feel that your symptoms have worsened but the benefits start appearing after 1-2 weeks. If the worsening does not improve even after 1-2 weeks, you must consult your doctor.

Q. Can Panex 20mg Tablet affect my sex life?

Yes, Panex 20mg Tablet use may affect your sex life. It can cause decreased sexual desire and inability to reach orgasm in both men and women. Additionally, men may even experience abnormal erection and ejaculation.

Q. What is the effect of Panex 20mg Tablet on children?

Panex 20mg Tablet should not be used in children under 18 years of age. The reason being, patients under 18 have an increased risk of experiencing side effects such as suicidal thoughts, aggression, oppositional behavior and anger when they take Panex 20mg Tablet. If your doctor has prescribed Panex 20mg Tablet for your child and you are worried about these side effects, discuss it with your doctor.

Q. I have been taking tamoxifen for breast cancer. Can I take Panex 20mg Tablet with it?

No, you should not take Panex 20mg Tablet if you are receiving tamoxifen. Tamoxifen often causes hot flashes (episodes of feeling extremely hot), which can be treated with Panex 20mg Tablet. But Panex 20mg Tablet may reduce the effectiveness of tamoxifen and can lead to recurrence of breast cancer.

Q. Do I need to be careful while taking Panex 20mg Tablet if I am a diabetic?

Yes, you need to be careful while taking this medicine if you are a diabetic. Panex 20mg Tablet may alter your blood sugar levels and your dose of insulin or antidiabetic medicines may need adjustment. Talk to your doctor regarding this and keep a regular check on your blood sugar levels.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Stahl SM, editor. Paroxetine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 513-19.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1060-69.
Paroxetine.Miami, Florida:Noven Therapeutics; 2003 [revised 06-2013]. [Accessed 25 Mar 2019] (online) Available from:
Chaves RG, Lamounier GA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 25 Mar. 2019] (online) Available from:
Paroxetine. South Ruislip, Middlesex: Aurobindo Pharma - Milpharm Ltd.; 2008 [revised 25 Nov. 2018]. [Accessed 25 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Paroxetine. [Updated 2019 Oct 23]. [Accessed 20 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:

Manufacturer/Marketer address

27, RACE COURSE ROAD, BANGALORE-560 001, INDIA

Country of origin: India

Expires on or after: August, 2022

A licensed vendor partner from your nearest location will deliver Panex 20mg Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

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