What are the side effects of Paxera?

Paxera is used in the treatment of various psychological disorders by increasing the level of serotonin in the brain, the hormone of happiness. Paxer to; It is a drug used to correct obsessive behaviors and depression situations.  It provides relief from the psychological pressure and unrest that occurs during the presentation against crowd or during similar activities. It has a healing effect on psychological traumas caused by disasters such as physical attack, flood-earthquake, traffic accidents and other shocking events. And also; It is also effective in anxiety situations, unrest, panic attacks caused by different fears, especially fear of open space.

What does Paxera do and what are its benefits?

  1. It is effective in treating major depressive disorder.
  2. It plays a role in controlling obsessive and unrestrained (compulsive) situations.
  3. It is preferred for the purpose of alleviating intense uneasiness and stress in crowded environments.
  4. Natural disasters such as floods or earthquakes are used to reduce the intense anxiety developed by exposure to violence, traffic accidents and similar traumatic situations.
  5. It is used to eliminate panic attack disorders associated with fear of open space or other causes defined as agoraphobia.
  6. Paxera is a medicine that is used to relieve ongoing nervousness and tension.

Those listed here may occur when the chemical called serotonin in the brain decreases. Paxera works by increasing serotonin levels in the brain within the first few weeks of its use.

How To Use Paxera?

Paxera should be taken with food every morning. Tablets should be swallowed without chewing and enough water. The duration of use varies according to the severity of the ailment. Although patients often experience some signs of improvement in the first two weeks of treatment, it may take longer to get the expected result from Paxera.

The dose rate to be taken at the beginning of the treatment is related to the disease experienced. Often 10 mg or 20 mg is recommended daily. Your doctor may gradually increase your dose to a maximum of 50 mg or 60 mg per day in order to keep your complaints under control.

Even if you observe improvement, continue using Paxera to prevent recurrence of symptoms until the course of treatment reported by the doctor has expired. After treating the current depression, you may need to use it for a few more months; Longer-term treatment can be applied for panic disorders or obsessions and uncontrollable actions (compulsions).

Paxera is not used in individuals younger than 18 years old. If antidepressant drug therapy is applied in this age group, people are more likely to think about suicide and attempt suicide.

Usage should not be stopped suddenly. The dose used can be reduced gradually at the completion of the treatment with the recommendation of the doctor. However, do not reduce or stop your medication on your own, even if your doctor improves.

What are the side effects of Paxera?

Like all medicines, side effects can occur in people sensitive to the ingredients of Paxera.

If you have any of the following, stop using PAXERA® and report it immediately to your doctor or contact the emergency department of the nearest hospital.


  1. If you have unusual bruising or bleeding, including bloody vomiting or blood in your stool, contact your doctor or go to the hospital immediately.
  2. If you notice that you cannot urinate, contact your doctor or go to the hospital immediately.

Rare side effects:

  1. If you have a seizure, contact your doctor or go to the hospital immediately.
  2. If you are feeling restless and unable to stand still or sit still, you may have a condition called akathisia. Increasing your Paxera dose can make these feelings worse. If you experience such a feeling, contact your doctor.
  3. If you feel tired, weak, or confused and your muscles are not painful, stiff or coordinated, your blood may be low in sodium. If you have these symptoms, contact your doctor.

Very rare side effects:

– allergic reactions to PAXERA® that can be serious;

  1. If you develop a red and swollen skin rash, eyelids, face, lips, mouth, or tongue swelling, itching, or difficulty breathing (shortness of breath) or difficulty swallowing, and you feel weak or stunned, resulting in collapse or loss of consciousness. contact or go to the hospital immediately.

If you experience some or all of the following symptoms, you may have a condition called serotonin syndrome or neuroleptic malignant syndrome. Symptoms include: feeling very excited or nervous, feeling dizzy, feeling restless, feeling hot, sweating, shaking, tremors, hallucinations (strange images and sounds), muscle stiffness, sudden movements in the muscles, or rapid heartbeat. Violence may increase and lead to unconsciousness. If you feel these, contact your doctor.

Acute glaucoma (a condition observed with increased pressure in the eye)

If your eyes become painful and blurred vision develops, contact your doctor.


  1. Some people may have thoughts of harming or killing themselves while taking Paxera or immediately after stopping treatment (see Chapter 2).
  2. Some people experienced aggression while taking Paxera.

If these symptoms are observed, notify your doctor as soon as possible.

Other possible side effects during treatment:

Very common side effects

  1. Feeling sick (nausea)
  2. Sex drive or change in sexual function

Common side effects

  1. Decreased appetite
  2. Inability to sleep or feel sleepy
  3. Uneasiness
  4. Dizziness
  5. Unrest
  6. Shake
  7. Headache
  8. Blurred vision
  9. Stretch
  10. Dry mouth
  11. Constipation
  12. Diarrhea
  13. Sweating
  14. Abnormal dreams (including nightmares)
  15. Getting fat
  16. Increase in cholesterol level
  17. Concentration disorder
  18. Vomiting
  19. Weakness

Uncommon side effects

  1. Easy bruising on your body or unusual bleeding in moist areas such as the skin and mouth
  2. Confused
  3. Hallucinations (unreal images, dreams, or hearing unreal sounds)
  4. Difficulty in moving in the mouth and tongue, stiffness, tremors or abnormal movements
  5. Pupil growth
  6. Acceleration of your heart rate (pulse)
  7. Low blood pressure (dizziness, dizziness, or fainting after getting up from a lying or sitting position)
  8. Rash rash, itching on the skin
  9. Not being able to urinate
  10. Urinary incontinence (uncontrollable urine incontinence)
  11. Temporary rise or fall in blood pressure
  12. If you are diabetic, you may have problems controlling your blood sugar level while taking PAXERA®. Contact your doctor to adjust the dose of your insulin or diabetes medications.

Rare side effects

  1. Restlessness and immobility (akathisia)
  2. Uncontrollable excitement, behavior, or exaggerated mobility (manic attack)
  3. seizures
  4. Feeling anxious (anxiety)
  5. Panic attacks
  6. Self alienation (depersonalization)
  7. Irresistible urge to move the legs (restless leg syndrome)
  8. Pain in joints and muscles
  9. Slow pulse (bradycardia)
  10. Breast abnormal milk secretion in women and men (increase in the hormone prolactin)
  11. Decreased sodium in the blood (especially in the elderly)
  12. Increase in liver enzymes
  13. Menstrual disorders (intensive and irregular menses, bleeding between menstrual periods and menstrual delay).

Very rare side effects

  1. Red, itchy blisters (urticaria) on the skin, swelling of the face, lips, mouth, tongue or throat, and consequently difficulty swallowing or breathing (angioedema)
  2. Erythema multiforme, which appears as a skin rash, swelling and small targets (dark spots at the center and a lighter area around it and a dark ring at the border)
  3. Widespread blistering rash and skin peeling, especially around the mouth, nose, eyes, and genital organs (Stevens Johnson syndrome)
  4. Widespread blistering rash and skin peeling throughout the body (toxic epidermal necrolysis)
  5. Increased amount of hormone (ADH) that causes water retention
  6. Glaucoma (a condition observed with increased pressure in the eye)
  7. Bleeding in the digestive system (blood passing to stool or black stool)
  8. Inflammation in the liver (hepatitis) sometimes causes yellowing of the skin and eye whites (jaundice)
  9. Swelling in the arms / legs
  10. Sensitivity to sunlight on the skin
  11. Decreased number of blood platelets (cells that help blood clot)
  12. Painful erection that develops without stimulation on the penis

Side effects of unknown frequency:

  1. Suicidal ideation, suicidal behavior
  2. Aggression

When taking PAXERA®, some patients developed complaints of humming, whispering, ringing or other permanent noise (tinnitus) in the ear. An increased risk of bone fractures has been observed in patients taking this type of medication.

Symptoms observed when treatment with PAXERA® is discontinued

Stopping medications used to treat mental problems can sometimes cause undesirable symptoms. Symptoms are usually observed within the first few days of treatment and disappear within a few weeks. In some patients, these findings may be more serious or take longer.

If you need to stop PAXERA® treatment, your doctor will gradually reduce the dose and stop the medication. In this way, it reduces the occurrence and severity of the effects.

Common symptoms observed when treatment with PAXERA® is discontinued

  1. Feeling dizzy, unstable or variable
  2. Tingling, burning sensation, and (less commonly) electrical shock sensation, and buzzing, whispering, ringing or other permanent noise in the ears (tinnitus)
  3. Sleep disorders (intense dreams, nightmares, inability to sleep)
  4. Feeling uneasy
  5. Headache

Uncommon symptoms observed when treatment with PAXERA® is discontinued

  1. Feeling restless or nervous
  2. Feeling sick (nausea)
  3. Shake
  4. Confused
  5. Sweating (including night sweats)
  6. Diarrhea
  7. Vision disorders
  8. palpitations
  9. Sensory disturbances (including numbness and electric shock sensation and tinnitus) If you encounter any side effects not mentioned in this leaflet, inform your doctor or pharmacist.

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