Pexep Plus 25 Capsule IR 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.
Pexep Plus 25 Capsule IR 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.
Pexep Plus 25 Capsule IR works by affecting the balance of certain chemicals (such as serotonin) in the brain. It helps improve mood and feelings of wellbeing, relieve anxiety and tension, helps you sleep better, and increase your energy level. It is an effective antidepressant but may cause drowsiness. You need to take it regularly as it is prescribed for it to be most effective and should not stop taking it suddenly.
Side effects of Pexep Plus Capsule 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 Pexep Plus
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 Pexep Plus Capsule 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. Pexep Plus 25 Capsule IR may be taken with or without food, but it is better to take it at a fixed time.
How Pexep Plus Capsule ER works
Pexep Plus 25 Capsule IR 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 Pexep Plus 25 Capsule IR.
Pregnancy
UNSAFE
Pexep Plus 25 Capsule IR 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
Pexep Plus 25 Capsule IR 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
Pexep Plus 25 Capsule IR may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Pexep Plus 25 Capsule IR is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Pexep Plus 25 Capsule IR may not be needed in these patients. Please consult your doctor. Use of Pexep Plus 25 Capsule IR can cause excessive sleepiness in patients with end stage kidney disease.
Liver
CAUTION
Pexep Plus 25 Capsule IR should be used with caution in patients with liver disease. Dose adjustment of Pexep Plus 25 Capsule IR may be needed. Please consult your doctor.
What if you forget to take Pexep Plus Capsule ER?
If you miss a dose of Pexep Plus 25 Capsule IR, 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 Pexep Plus 25 Capsule IR 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 Pexep Plus 25 Capsule IR, 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
Yes
Therapeutic Class
NEURO CNS
Patient concerns
I am suffering from anxiety and consulting a psychiatrist,for the past 1 year I am having ,pexep CR 37.5 mg,my weight has got increased 20 kg in the last 1year .Is it safe to take pexep cr.how long will I have to take this medicine.
Dr. Jyoti Kapoor Madan
Psychiatry
If your weight gain is associated with use of pexep, you should discuss with your doctor. There are ways of controlling your weight. If that doesn't work, there are other anti depressants with low weight gain potential like desvenlafaxin or bupropion. SSRIs may need to continue for long periods and have been ft to be generally safe.
I am taking pexep Cr 25 one tab in night, one cap betacap40 in morning, and tofizopam50 mg twice daily. I want to get out of these medicines. How should I reduce the doses of these medicines.
Dr. Varun Mehta
Psychiatry
You will have to consult the doctor who prescribed you these medications to reduce the doses
I have been taking pexep cr 25 for one year then reduced to 12.5 1 month and now taking half of 12.5 since last one month. This medicine has shown side effects such as weight gain by 15 kg and swelling in ankles. Withdrawal causes headache. Please suggest some brain relaxant which has minimum side effects.
Dr. Vikas Sharma
Neurology
U can try nexito 5 mg od Better to visit psychiatrist
Hi, I have been suffering from anexiety and social awkwardness for a long time when i visited doctor he suggested me medicines Pexep cr 12.5 AND CLONOTRIL .25 MG both OD.I have had kidney surgeries in the past and now i have less kidney function Creatinine is 1.8 . Can you please guide me if above prescribe medicines will be harmful for kidney function. I am takng 5 mg amlogard for BP manangement . Regards PATIENT
Dr. Pushkar Mani
Physician
When doctor has prescribed did u mentioned about ur previous kidney diseaseAnd better u should consult neurophysician
Anxiety disorder, panic attacks. I am currently consulting a psychiatrist named Sudeshna Biswa. She prescribed me the pexep 37mg. If ever I miss it even for a day or 2 I get these weird dizzy feeling. I can actually feel my heart beat on my head. More like when someone catches you offguard and you get shocked you get that sudden yank to your body that's how I feel every minute if I miss the medicine.
Dr. Ambrish Dharmadhikari
Psychiatry
Please don't miss your medicine. That's not good. If you take regularly, these symptoms will subside and then your psychiatrist would reduce medications. Good luck!
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'm dealing depression since 3 months. I was literally Insomniac then. Firstly consulted a psychiatrist and prescribed PETRIL 0.5 mg. I started feeling very lethargic n worthless whole day. The depression was showing it's real face now. I dnt want to any thing. Dnt want talk to anyone, just switch off lights of room listen music n sleep. After 2 months I again consulted with the doc. She is a nice listens all problems and feelings very patiently. Now as there was no significant improvement m now prescribed (on 28th march) following meds: PETRIL 0.5mg RAMITAX 8mg PEXEP CR 25mg BUPRON 300 mg MODALERT 100mg Now my sleep pattern is quite ok but still I feel worthless, and disgrace to my family. I always feel guilty of everything n tend to say SORRY every time even if the mistake is not mine. Since last month I dint have any sexual desire and also my performance is recognisably decreased. Family is pressurising for marriage. I was in suicidal impulse day before yesterday controlled by help of a friend. talked for 26 minutes. feel lonely & worthless. What shld I do? I was in suicidal impulse day before yesterday controlled by help of a friend. talked to her for 26 minutes at around 1:30PM. I would had cut my wrist of dint got call frm her at that time. feel lonely & worthless. What shld I do?
Dr. Ambrish Dharmadhikari
Psychiatry
Please see psychiatrist again, as there is lot of scope to increase medication. In early phase of improvement sleep n appetite gets improved. Same happened with you. But total improvement might take time. Hence there is need to increase dosage. Please consult same or other psychiatrist immediately- Dr. Ambrish Dharmadhikari Consultant Psychiatrist
What were the side-effects while using Pexep Plus 25 Capsule IR?
No Side Effec*
80%
Confusion
20%
*No Side Effect
How do you take Pexep Plus Capsule ER?
With food
100%
Please rate Pexep Plus 25 Capsule IR on price
Expensive
42%
Average
42%
Not Expensive
17%
FAQs
Are there any important warnings associated with the use of Pexep Plus 25 Capsule IR?
Pexep Plus 25 Capsule IR 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 Pexep Plus 25 Capsule IR when my symptoms are relieved?
No, you should continue taking Pexep Plus 25 Capsule IR even if you feel well. If you stop Pexep Plus 25 Capsule IR suddenly, serious withdrawal symptoms may occur. Your doctor will probably decrease your dose gradually.
How to manage weight gain associated with the use of Pexep Plus 25 Capsule IR?
Some reports suggest that the use of Pexep Plus 25 Capsule IR 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 Pexep Plus 25 Capsule IR cause sleepiness?
Yes, Pexep Plus 25 Capsule IR 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 Pexep Plus 25 Capsule IR affect my sex life?
The use of Pexep Plus 25 Capsule IR can affect the sexual life of both men and women. Different sexual problems can occur due to Pexep Plus 25 Capsule IR, 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 Pexep Plus 25 Capsule IR?
No, do not drink alcohol while taking Pexep Plus 25 Capsule IR. Drinking alcohol can increase the severity of drowsiness or sleepiness caused by Pexep Plus 25 Capsule IR.
How long does Pexep Plus 25 Capsule IR take to work?
Everybody responds differently to treatment. In general, it can take several weeks to feel the full benefits of Pexep Plus 25 Capsule IR, although some people may start to feel better sooner. When taking Pexep Plus 25 Capsule IR, it is important to give it time to work.
What are the instructions for the storage and disposal of Pexep Plus 25 Capsule IR?
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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