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Parokey is a drug containing the main ingredient Paroxetine 20mg, which promotes good effectiveness in the treatment of depression, anxiety, stress, and psychological trauma. However, to ensure safety, patients only use the drug when prescribed by a specialist.1. What is Parokey? What's the use?
Parokey contains the main ingredient Paroxetine hydrochloride hemihydrate, equivalent to Paroxetine 20mg.With the above ingredients, does using Parokey have any effect? According to experts, one of the causes of depression is a lack of Serotonin in the body. Meanwhile, Parokey has selective serotonin reuptake inhibitory effect in CNS. From here, the concentration of this substance in the free form is enhanced and effective on the nervous system. Therefore, using Parokey has anti-depressant effects, enhances activity and enhances the brain's spirit.
2. Indications and contraindications to the drug Parokey
2.1. Indications After learning what Parokey does, let's refer to the specific indications of the drug as follows:
People with depressive disorders, panic disorders, anxiety disorders. People with traumatic stress disorder due to severe trauma. Suitable for patients with obsessive-compulsive disorder. 2.2. Contraindications Absolutely do not use Parokey if in one of the following cases:
Allergy to Paroxetine and its ingredients. Are using or have taken an MAO drug in the last 14 days. The patient is taking Thioridazine and Pimozide. Children under 18 years old should not use Parokey. In addition, some of the following people need to be careful when using drugs:
People with hyperactivity, ever having suicidal thoughts. The patient has a history of epilepsy. Patient has diabetes. Patients with coagulopathy Patients with glaucoma.
3. Usage and dosage of Parokey
For Parokey to promote its effectiveness in the treatment of diseases, you need to take the medicine as directed by your doctor, pharmacist or refer to the manufacturer's instructions as follows:
3.1. How to use Take Parokey once in the morning of the day, before or after eating. When taking Parokey, use a glass of water about 100-150 ml, if necessary, you can break the tablet but absolutely do not chew or crush it. 3.2. Dosage Patients can refer to the dosage of Parokey as follows:
Adult dosage
Treatment of depressive disorders: Use Parokey with an initial dose of 20 mg/day, the dose can be increased by 10 mg per week. but not to exceed 50 mg/day. Treatment of obsessive-compulsive disorder: Use with an initial dose of 20 mg/day. After at least 1 week, it can be increased by 10 mg/day and used to the recommended dose of 40 mg/day. Absolutely do not take more than 60 mg/day. Treatment of panic disorder: Use with an initial dose of 10 mg/day. After 1 week, the dose can be increased by 10 mg/day and maintained at the recommended dose of 40 mg/day. Treatment of anxiety disorders and post-traumatic stress disorder: Use Parokey with an initial dose of 20 mg/day. After each week increase by 10 mg/day and maintain the maximum dose of 50 mg/day. Parokey Dosage for the Elderly
Use the initial dose of Parokey to treat the same conditions as in adults. However, the maximum allowable dose in the elderly is 40 mg/day.
Dosage for patients with liver or kidney failure
It is necessary to reduce the dose of Parokey for this subject, using a maximum dose of 20 mg/day.
4. Parokey drug side effects
When using Parokey 20mg, some common side effects include:
Common: Nausea, constipation, diarrhea, dry mouth, reduced ability to concentrate at work, decreased desire for sex. Sometimes the patient feels sleepy or insomnia, delirium, uncontrolled speech in dreams. Daytime or dizziness, dizziness, headache, or yawning, sweating. Uncommon: Rash, rash, hallucinations, urinary incontinence. In some cases, tachycardia, chest pain, orthostatic elevation or hypotension. Rare: Bradycardia, convulsions, musculoskeletal pain, hyponatremia, elevated liver enzymes, hyperprolactinemia, gynecomastia appear in men. Very rare : Parokey can cause Serotonin syndrome, gastric bleeding, anaphylaxis due to drug allergy leading to death, acute Glaucoma, edema or prolonged spasticity. When the above reactions appear after taking Parokey, you need to immediately notify a specialist doctor/pharmacist for guidance on reasonable and timely management.
5. Parokey drug interactions
Some drugs should be avoided with Parokey, because it will interact to reduce the effect of the drug or increase the risk of side effects.
Monoamine Oxidase (MAO) inhibitors include Phenelzine, Isocarboxazid, Moclobemide. Tranquilizers, especially Thioridazine Pain relievers include Tramadol, Fentanyl, Pethidine. The most prominent migraine medication is Sumatriptan. Other antidepressants such as Sertraline, Mirtazapine, Amitriptyline. Psychiatric drugs include Lithium, Perphenazine. Non-steroidal anti-inflammatory drugs such as Diclofenac, Naproxen, Meloxicam, Celecoxib. Epilepsy drugs such as Carbamazepine, Sodium valproate, Phenytoin. Anticoagulants and antiplatelet agents such as Warfarin, Aspirin. Antiarrhythmic drugs such as Propafenone, Flecainide. Beta-blockers for high blood pressure such as Metoprolol. In addition, you need to avoid alcohol during treatment with Parokey because it will cause brain excitement.
6. How to handle missed dose and overdose Parokey
When a dose of Parokey is missed, the patient should immediately take another dose to replace it. The dose you remember is close to the time of your next dose, skip the missed dose and use the same schedule. , shortness of breath, agitation, trembling limbs. At this time, you need to go to medical facilities, bring the medicine you have taken for timely treatment.
7. Notes when using Parokey
Paroxetine should not be used during the first 3 months of pregnancy due to the increased risk of heart defects in infants. In addition, pregnant women in the last 3 months should not use Parokey because it causes pulmonary arterial hypertension, abnormal blood flow in the heart, and insufficient oxygen in the blood. This will affect the baby at birth.
Although Parokey can be excreted in breast milk, the concentration of the drug in the baby's blood is very low, so the drug can be considered for those who are breastfeeding.
Do not use Parokey for driving and operating machinery because it is easy to cause drowsiness, agitation, tremors, and inattentiveness.
Store the medicine in a dry place with a temperature of 20-25 degrees Celsius, not exposed to direct sunlight.
Absolutely do not use when the expiry date printed on the package or signs of damage.
Parokey drug is used in the treatment of symptoms of depression, anxiety with high efficiency. To use the drug safely, you should strictly follow the instructions and instructions of the doctor as well as notify the doctor when any unusual signs occur.
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