XETANOR 20 mg. 30 tablets

ACTAVIS
XETANOR 20 mg. 30 tablets
€ 18.00
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WHAT XETANOR AND WHAT IT IS USED FOR?
Ksetanor be used for the treatment of adult patients with depression and / or anxiety disorders.
Anxiety disorders can be treated with Ksetanor are: major depressive disorder (major depression), obsessive komlulsivno disorder (repetitive intrusive thoughts with uncontrollable behavior), panic disorder (panic adopted, including those caused by agoraphobia, which is fear of open spaces), social anxiety disorder (fear or avoidance of social situations), post traumatic stress disorder (anxiety after a traumatic experience) and generalized anxiety disorder (chronic feelings of anxiety and nervousness).
Ksetanor belongs to a group of medicines called selective serotonin reuptake of serotonin (SSRIs). In the brain, each person has a substance called serotonin. People who are depressed or anxious have lower HI serotonin than others. It is not entirely clear how the Ksetanor and other inhibitors of serotonin reuptake, but they can help to increase levels of serotonin in the brain. Treating depression or anxiety disorders properly is important to help you better.
2. BEFORE YOU USE XETANOR
Do not take Xetanor
- If you are taking medicines called monoamine oxidase inhibitors - MAOIs (eg. Moclobemide, linezolid and metiltionin chloride / methylene blue) or so in the past two weeks. Your doctor will advise you on how to start taking Ksetanor after you stop taking MAOIs.
- If you take antipsychotic drug thioridazine, or pimozide.
- If you are allergic (hypersensitive) to paroxetine or any of the other ingredients of Ksetanor (listed below).
If any of the above statements apply to you, tell your doctor without taking Ksetanor.
Take special care with Ksetanor comment with your doctor:
- Are you taking any other medicines (see. Section Taking other medicines)?
- Do you have kidney problems, liver or heart?
- Do you have epilepsy and seizures have you had in the past?
- Did you have manic episodes (svrahreaktivno behavior or thoughts)?
- Do you apply electroconvulsive therapy (ECT)?
- Have you had problems with bleeding, or are taking any medicines that may increase the risk of bleeding (this includes drugs blood thinners such as warfarin, antipsychotics such as perphenazine or clozapine, tricyclic antidepressants, drugs used to treat pain and inflammation, called non -steroidal anti-inflammatory drugs or NSAIDs
such as aspirin, ibuprofen, celecoxib, etodolac, diclofenac, meloxicam)?
- Do you have diabetes?
- On a diet Do you limit salt (low sodium diet)?
- Do you have glaucoma (increased eye pressure)?
- Are you pregnant or planning to become pregnant (see. Point Pregnancy and nursed
- At the age of 18 you (see. Children and adolescents under the age of 18 years
If you answer YES to any of these questions, and yet you have not discussed this with your doctor, you go to him for advice on what to do in terms of taking Ksetanor.
Children and adolescents under the age of 18 years
Ksetanor should not be used in children and adolescents under 18 years. Also, patients under the age of 18 years is an increased risk of adverse reactions attempts and suicidal thoughts and hostility (predominantly aggression, oppositional behavior and rage) when they take Ksetanor. If your doctor has prescribed Ksetanor you (or your child) and you want to discuss this, please go back to him. You should tell your doctor if any of the above symptoms occur or worsen, while you (or your child) take Ksetanor. In addition, long-term effects Ksetanor safety in terms of growth, maturation and cognitive and behavioral development is not yet proven in this age group.
In studies of Ksetanor in children and adolescents under 18 years old often side effects affecting less than 1 in 10 patients were: increase of thoughts and suicide attempts, deliberately harming themselves, hostility, aggressiveness and unfriendliness, lack of appetite, tremors, abnormal sweating, hyperactivity (having too much energy), agitation, mood changes (including crying). Tests show that the same symptoms are affecting children and adolescents taking sugar tablets (placebo) instead Ksetanor although in this case were observed less frequently. Some patients aged under 18 years in these studies were reported withdrawal symptoms when they stop taking Ksetanor. These effects were similar to those observed in adults after discontinuation of Ksetanor (see. How to take Ksetanor in this leaflet). In addition, in patients under 18 also commonly (in less than 1 in 10 patients) were observed abdominal pain, nervousness and moodiness (including crying, thoughts and suicide attempts).
Thoughts of suicide and worsening of your depression or anxiety disorder
If you are depressed and / or have anxiety disorders can sometimes have thoughts of harming or killing themselves. These may be increased when first starting antidepressants, since these medicines all take time to start running - usually about two weeks but sometimes longer ^ You may be more likely to think like this:
- If you have previously had thoughts of suicide or harming yourself.
- If you are a young person. Data from clinical studies suggest an increased risk of behavior associated with suicide in young people (under 25 years) with psychiatric conditions who were treated with an antidepressant.
If at any time there you have thoughts of harming or killing contact your doctor or go to hospital. You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or are worried about changes in your povedeniett.
Important side effects seen with Ksetanor:
Some patients taking Ksetanor, develop a condition called akathisia, where they feel they can not find a place and can not sit or stand quietly. Other patients develop a condition called serotonin syndrome, in which some or all of the following symptoms: confusion, restlessness, sweating, shaking, shivering, hallucinations (strange images and sounds), sudden jerks of the muscles or fast heartbeat. Contact your doctor if you notice any of these symptoms. For more information on these or other side effects of Ksetanor see. Adverse reactions in this leaflet.
Withdrawal symptoms seen on discontinuation of treatment with Ksetanor Withdrawal symptoms are common, particularly if discontinuation of treatment is sharp. The risk for their appearance depends on several factors, including duration of treatment and the dose and the rate of dose reduction. Reported were dizziness, sensory disturbances (tinnitus, feeling electric current, numbness or tingling in the extremities), sleep disturbances (including restless dreams), agitation or anxiety, nausea, tremor, confusion, sweating, headache, diarrhea, palpitations, mood swings, irritability and visual disturbances. Generally, these symptoms are mild to moderate, however, in some patients they may be severe. Usually occur during the first few days after stopping treatment, but there are very rare reports of such symptoms in patients who have inadvertently missed a dose. Generally these symptoms usually resolve within two weeks, although some people may last 2-3 months or more. Therefore, when stopping treatment with Ksetanor, its dosage should be gradually reduced over a period of several weeks or months, according to the needs of the patient.
In patients taking Ksetanor an increased risk of fracture. This risk is greatest during the initial phase of treatment.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Some medicines may affect the way of Ksetanor, or increase the risk of side effects. Also, Ksetanor may affect the way some other medicines. These are;
- Medicines called monoamine oxidase inhibitors (MAOIs including moclobemide) - see. Do not take Ksetanor in this leaflet.
- Thioridazine or pimozide which are drugs angipsihotichni
- Pethidine and fentanyl (for treatment of moderate to severe pain).
- Aspirin, ibuprofen or other medicines called NSAIDs (nesgeroidni inflammatory drugs) such as celecoxib, etodolac, diclofenac, meloxicam, which apply to the pain and inflammation.
- Tramadol (a painkiller).
- Drugs called triptans, such as sumatriptan, which are used for the treatment of migraine.
- Other antidepressants, including other inhibitors of serotonin reuptake, and tricyclic antidepressants such as clomipramine, nortriptyline idezipramin.
- Nutritional supplement called trmpofan.
- Medications such as lithium, risperidone, perphenazine, clozapine (called
antipsychotic drugs!, which are used for the treatment of certain psychiatric conditions.
- A combination of ritonavir and fosamprenavir, which is used for the treatment of infection with HIV
- St. John's Wort (a herb that is used for depression).
- Phenobarbital, phenytoin, sodium valproate or karoamazepin used for the treatment of convulsions or epilepsy.
- Atomoxetine, which is used to treat hyperactivity disorder attention deficit.
- Procyclidine, which is used for the relief of tremor, mainly in Parkinson's disease
- Warfarin or other medicines (called anticoagulants), that are used to thin the blood.
- Propafenone, flecainide and medicines used to treat irregular heart rhythm.
- Metoprolol (a beta blocker to treat high blood pressure and heart problems).
- Rifampicin, used to treat tuberculosis and leprosy (leprosy).
- Tamoxifen (hormonal, anticancer drugs).
- Linezolid (antibiotic).
- Metiltionin chloride / methylene blue.
If you are taking or have recently taken any of the medicines in this list, and still you have not discussed this with your doctor, go back to him and ask him what to do. You may need dose adjustment or you are prescribed another drug.
Taking Ksetanorshrani and drinks
Do not consume alcohol while taking Ksetanor. Alcohol can worsen your symptoms or side effects. Taking Ksetanor morning with food will reduce the chance of nausea.
Pregnancy and lactation
If you already take Ksetanor and you have determined that you are pregnant, should immediately contact your doctor. Talk to your doctor if you are planning to become pregnant. This is because some studies have shown an increased risk of birth defects, especially Cardiovascular, in babies whose mothers took Ksetanor during the first few months of pregnancy. In these studies it was found that less than 2100 infants (2%), whose mothers have taken Ksetanor during the early stages of pregnancy, cardiac defect, compared with the normal level of 1 in 100 babies (1%) which is usually observed . You and your doctor may decide that it is better to go to another treatment or to gradually stop taking Ksetanor while pregnant. However; depending on the circumstances, your doctor may decide that for you is better to keep taking Ksetanor.
If you take this class of medicines (antidepressants) in the last three months of pregnancy and the date of birth, you should keep in mind that these symptoms may be seen in your baby after birth. These symptoms usually occur within the first 24 hours after birth. These include: inability to sleep or normal diet, problems with breathing, bluish skin or skin is too hot or cold, nausea, prolonged crying, stiff or floppy muscles, lethargy, tremors, twitches or convulsions. If your baby has any of these symptoms when it is born, and this is a concern, contact your doctor or midwife who will advise you what to do. If you take Ksetanor, you should tell the midwife and / or doctor. When taken during pregnancy, especially during the last 3 months of pregnancy, medicines like Ksetanor may increase the risk of serious complication in newborns, called persistent pulmonary hypertension in the newborn, leading to shortness of breath and blueness of the baby. These symptoms usually begin within the first 24 hours after birth. If this occurs in your child, contact your midwife and / or doctor. It is possible Ksetanor be given in very small quantities in breast milk. Therefore, paroxetine should not be used during breast-feeding, unless your doctor considers that the expected benefit to you justifies the potential risk to the child.

Driving and using machines
Possible side effects of Ksetanor include dizziness, confusion, drowsiness and blurred vision. Do not drive or operate machinery if you experience these side effects.

How to take Xetanor?
Always take Xetanor, exactly as advised by the doctor. If you are not sure, ask your doctor or pharmacist. Sometimes you may need to take more than one tablet or half tabletka.Podhodyashtite doses for different conditions are set out below:
Depression:
Initial dose - 20 ml / 1 tablet /
Recommended daily dose - 20 mg / 1 tablet /
Maximum daily dose - 50 mg / two and a half tablets /

Obsessive-compulsive disorder:
Initial dose - 20 ml / 1 tablet /
Recommended daily dose - 40 mg / 2 tablet /
Maximum daily dose - 60 mg / 3 tablets /

Panic disorder:
Initial dose - 10 ml / half tablet /
Recommended daily dose - 40 mg / 2 tablet /
Maximum daily dose - 60 mg / 3 tablets /

Social Anxiety Disorder:
Initial dose - 20 ml / 1 tablet /
Recommended daily dose - 20 mg / 1 tablet /
Maximum daily dose - 50 mg / 2 tablets and half /

PTSD:
Initial dose - 20 ml / 1 tablet /
Recommended daily dose - 20 mg / 1 tablet /
Maximum daily dose - 50 mg / 2 tablets and half /

Generalized anxiety disorder:
Initial dose - 20 ml / 1 tablet /
Recommended daily dose - 20 mg / 1 tablet /
Maximum daily dose - 50 mg / 2 tablets and half /

Most people start to feel better after a few weeks. If after this period not start to feel better, talk to your doctor, he will advise you what to do. The doctor may decide to gradually increase your dose to 10 mg, up to a maximum daily dose.
Take the tablets in the morning with food. Swallow with water. Do not chew.
Your doctor will tell you how long you need to take the tablets. This period may be several months or even more.
Elderly
The maximum dose for people over 65 years is 40 mg daily.
Patients with liver or kidney disease
If you have liver problems or have severe kidney disease, your doctor may decide that you need to take a lower dose than usual Ksetanor.
If you take more dose Ksetanor
Never take more tablets than your doctor has recommended you take too many tablets Ksetanor (or anyone else takes more tablets, tell your doctor or call the hospital;
If someone has an overdose of Ksetanor can get some of the symptoms listed in the "Possible side effects" or the following symptoms: nausea, fever, uncontrollable muscle tightness. If you forget to take Ksetanor take your medicine at the same time each day. If you miss a dose of this medicine and you remember before you go to bed, take it straight. Next day proceed as usual. If you remember the night or the next day, leave the missed dose. You may get withdrawal symptoms, but they have to pass, when the next dose at the usual time. What to do if you feel better
Ksetanor will not relieve your symptoms immediately - all antidepressants is' necessary time would act. Some people start feeling better a few weeks, but for others, this period may be longer.
€ 18.00
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