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Panex-CR 25 Tablet

Prescription Required
Manufacturer
SALT COMPOSITION
Storage
Store at room temperature (10-30°C)
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Introduction

Panex-CR 25 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 panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder (PTSD).

Panex-CR 25 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-CR 25 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 PR

Benefits of Panex Tablet PR

In Depression

Panex-CR 25 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 Panic disorder

Panex-CR 25 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 Anxiety disorder

Panex-CR 25 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.

Side effects of Panex Tablet PR

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
  • Tremor
  • Insomnia (difficulty in sleeping)
  • Low sexual desire
  • Confusion
  • Constipation
  • Erectile dysfunction
  • Delayed ejaculation
  • Decreased libido

How to use Panex Tablet PR

Use it as advised by your doctor or check the label for directions before use. Panex-CR 25 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Panex Tablet PR works

Panex-CR 25 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 post traumatic stress disorder, panic disorder, anxiety and obsessive-compulsive disorder.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Panex-CR 25 Tablet.
Pregnancy
UNSAFE
Panex-CR 25 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.
Breastfeeding
CONSULT YOUR DOCTOR
Panex-CR 25 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-CR 25 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Panex-CR 25 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Panex-CR 25 Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Panex-CR 25 Tablet should be used with caution in patients with liver disease. Dose adjustment of Panex-CR 25 Tablet may be needed. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Panex-CR 25 Tablet
₹21.0/Tablet PR
₹17.2/Tablet PR
save 18%
Paxotus 25 Tablet PR
Emcure Pharmaceuticals Ltd
₹19.32/Tablet PR
save 8%
Paxidep CR 25 Tablet
Sun Pharmaceutical Industries Ltd
₹19.7/Tablet PR
save 6%
Paradise XR 25 Tablet
Torrent Pharmaceuticals Ltd
₹22.36/Tablet PR
6% costlier
Xet CR 25 Tablet
Zydus Cadila
₹24.57/Tablet PR
17% costlier

Quick Tips

  • It can take 2-3 weeks for Panex-CR 25 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-CR 25 Tablet, you should reduce the dose slowly over 4 weeks.
  • Avoid consuming alcohol when taking Panex-CR 25 Tablet, as it may cause excessive drowsiness and calmness.
  • The addiction/dependence potential of Panex-CR 25 Tablet is very less.

Fact Box

Chemical Class
Phenylpiperidine Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS

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
Brand(s): Lizolan, Lidoford, Mapzolide
LIFE-THREATENING
Brand(s): Trima, Rimarex, Morex
LIFE-THREATENING
Brand(s): Rasalect, Relgin, Rasipar
LIFE-THREATENING
Brand(s): Rebotin
LIFE-THREATENING

Patient Concerns

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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
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Do you have any questions related to Panex-CR 25 Tablet ?

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FAQs

Q. After how many days of taking Panex-CR 25 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-CR 25 Tablet. Can I stop it on my own or do I need to consult the doctor?

No, do not stop taking Panex-CR 25 Tablet abruptly, without consulting your doctor. This is a common problem with Panex-CR 25 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-CR 25 Tablet affect my sex life?

Yes, Panex-CR 25 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-CR 25 Tablet on children?

Panex-CR 25 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-CR 25 Tablet. If your doctor has prescribed Panex-CR 25 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-CR 25 Tablet with it?

No, you should not take Panex-CR 25 Tablet if you are receiving tamoxifen. Tamoxifen often causes hot flashes (episodes of feeling extremely hot), which can be treated with Panex-CR 25 Tablet. But Panex-CR 25 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-CR 25 Tablet if I am a diabetic?

Yes, you need to be careful while taking this medicine if you are a diabetic. Panex-CR 25 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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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 all possible side effects, drug interactions or warnings or alerts. 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

  1. 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.
  2. 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.
  3. Paroxetine.Miami, Florida:Noven Therapeutics; 2003 [revised 06-2013]. [Accessed 25 Mar 2019] (online) Available from:External Link
  4. 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:External Link
  5. Paroxetine. South Ruislip, Middlesex: Aurobindo Pharma - Milpharm Ltd.; 2008 [revised 25 Nov. 2018]. [Accessed 25 Mar. 2019] (online) Available from:External Link
  6. 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:External Link
  7. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

27, RACE COURSE ROAD, BANGALORE-560 001, INDIA
Expires on or after: January, 2022

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