Daparox 20 mg Film-Coated Tablets
paroxetine (mesilate)
Read this package leaflet carefully before you start taking this medicine, because it contains important information for you.
Contents of the Package Leaflet
Paroxetine belongs to a group of medicines called selective serotonin reuptake inhibitors (SSRIs).
Daparox is indicated for:
Do not take Daparox
Warnings and precautions
Consult your doctor or pharmacist before starting to take Daparox:
Suicidal thoughts and worsening of your depression or anxiety disorder
If you are depressed and/or have an anxiety disorder, you may sometimes have thoughts of harming yourself or committing suicide. This can increase when you start taking antidepressants, because these medicines take time to work, usually about two weeks, but sometimes longer.
This is more likely to happen:
If you have thoughts of self-harm or suicide at any time, contact your doctor or go to the hospital immediately.
It may be helpful for you to tell a relative or close friendthat you are depressed or have an anxiety disorder and ask them to read this leaflet. You can also ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behavior.
Some medicines of the same group as Daparox (called SSRIs) may cause symptoms of sexual dysfunction (see section 4). In some cases, these symptoms persist after stopping treatment.
Children and adolescents
Paroxetine should not be used in children and adolescents under 18 years of age. You should know that in patients under 18 years, there is an increased risk of adverse effects such as suicidal attempts, suicidal thoughts, and hostility (mainly aggression, confrontational behavior, and anger) when taking this type of medicine. Nevertheless, your doctor may prescribe paroxetine to patients under 18 years when they decide what is best for them. If your doctor has prescribed paroxetine to a patient under 18 years and you want to discuss this decision, go see them. You should inform your doctor if any of the symptoms mentioned above appear or worsen in patients under 18 years treated with paroxetine. Additionally, it is not yet known whether this medicine affects growth, maturity, and cognitive or behavioral development in this age group.
Other medicines and Daparox
Tell your doctor or pharmacistif you are taking, have recently taken, or might take any other medicines.
There are other medicines whose effects may be altered by paroxetine. In turn, these medicines may affect the efficacy of paroxetine. Paroxetine may interact with the following medicines:
Taking Daparox with food, drinks, and alcohol
You should avoid consuming alcohol while taking this medicine.
Pregnancy, breastfeeding, and fertility
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
There is not enough data to determine the safety and efficacy of using paroxetine during pregnancy. Some studies have shown an increased risk of cardiac effects in newborns of mothers who received paroxetine in the first months of pregnancy. You and your doctor can decide whether it is better to change to another treatment or gradually stop treatment with paroxetine. However, depending on the circumstances, your doctor may advise you to continue treatment.
Make sure your midwife or doctor knows that you are taking paroxetine.If you take Daparox in the final stages of pregnancy, there may be a higher risk of heavy vaginal bleeding shortly after delivery, especially if you have a history of bleeding disorders. Your doctor or midwife should know that you are taking Daparox to advise you.
Medicines like paroxetine may increase the risk of a serious disease in babies, called persistent pulmonary hypertension of the newborn (PPHN), when taken during pregnancy, particularly in the last months of pregnancy, making the baby breathe faster and appear blue. These symptoms usually start within the first 24 hours of life. If this happens to your baby, you should contact your midwife and/or doctor immediately. If you take paroxetine during the last 3 months of pregnancy, your newborn baby may also have other conditions, which usually start within the first 24 hours after birth. These include problems sleeping or feeding properly, respiratory problems, blue discoloration, temperature changes, vomiting, persistent crying, muscle stiffness or flexibility, apathy, tremors, nervousness, or irritability. If you notice that your child has any of these symptoms when born, contact your doctor or midwife, who will advise you.
Paroxetine is excreted in small amounts in breast milk.If you are taking paroxetine, consult your doctor if you should start breastfeeding. Therefore, you should not take it if you are breastfeeding, unless your doctor tells you to.
In animal studies, it has been shown that paroxetine reduces sperm quality. In theory, this could affect fertility, although it is not yet known what impact it has on human fertility.
Driving and using machines
Paroxetine does not affect your ability to drive or use machines. However, this medicine can cause adverse effects (such as blurred vision, dizziness, drowsiness, or confusion). If you notice any of these adverse effects, do not drive or use machinery or do any other activity that requires you to be alert or concentrated. This means that, before performing such activities, you should observe your reaction to paroxetine.
Daparox contains lactose and sodium
This medicine contains lactose. If your doctor has told you that you have an intolerance to some sugars, consult them before taking this medicine.
This medicine contains less than 23 mg of sodium (1 mmol) per tablet; this is essentially "sodium-free".
Follow exactly the administration instructions of this medication indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.
Paroxetine should be taken preferably in the morning with food. Swallow the tablets whole, without chewing them.
The tablet can be divided into equal doses.
The recommended dose is:
The recommended dose is 1 tablet (20 mg paroxetine) per day. Improvement usually starts after one week, but it is possible that you will only notice the effect from the second week onwards. If the effect is not satisfactory, your doctor may decide to gradually increase the dose in half-tablet increments (10 mg paroxetine) up to a maximum of 2 and a half tablets (50 mg paroxetine) per day. Your doctor will determine the duration of treatment, which may be more than 6 months.
The recommended dose is 2 tablets (40 mg paroxetine) per day, with an initial dose of 1 tablet (20 mg paroxetine) per day. If the effect is not satisfactory, your doctor may decide to gradually increase the dose in half-tablet increments (10 mg paroxetine). The maximum dose is 3 tablets (60 mg paroxetine) per day. Your doctor will determine the duration of treatment, which may last a few months or even longer.
The recommended dose is 2 tablets (40 mg paroxetine) per day, with an initial dose of half a tablet (10 mg paroxetine) per day. If the effect is not satisfactory, your doctor may decide to gradually increase the dose in half-tablet increments (10 mg paroxetine). The maximum dose is 3 tablets (60 mg paroxetine) per day. The initial dose is low to avoid worsening the symptoms of panic disorder in the initial phase of treatment. Your doctor will determine the duration of treatment, which may last a few months or even longer.
The recommended dose is 1 tablet (20 mg paroxetine) per day. If the effect is not satisfactory, your doctor may decide to gradually increase the dose in half-tablet increments (10 mg paroxetine). The maximum dose is 2 and a half tablets (50 mg paroxetine) per day. Your doctor will determine the duration of treatment. This may be prolonged over time and should be regularly evaluated.
The recommended dose is 1 tablet (20 mg paroxetine) per day. If the effect is not satisfactory, your doctor may decide to gradually increase the dose in half-tablet increments (10 mg paroxetine). The maximum dose is 2 and a half tablets (50 mg paroxetine) per day. Your doctor will determine the duration of treatment. This may be prolonged over time and should be regularly evaluated.
Elderly Patients
The recommended initial dose for elderly patients is the same as for adults, although the maximum dose should not exceed 2 tablets (40 mg paroxetine) per day.
Use in Children and Adolescents
Paroxetine should not be used in children or adolescents under 18 years of age (see section 2, "Children and Adolescents").
Patients with Renal or Hepatic Impairment
If you have liver or severe kidney problems, your doctor will adjust your dose.
Duration of Treatment
Your doctor will determine the period during which you must continue taking paroxetine. Depending on your illness, you may need to take paroxetine for a long time. You should continue taking paroxetine for some time, even when your symptoms have subsided, to prevent them from returning. Do not stop treatment with paroxetine without consulting your doctor.If you suddenly stop treatment with paroxetine, you may experience withdrawal symptoms, so the dose should be gradually reduced (see section 3, "If you stop treatment with Daparox").
If you take more Daparox than you should
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20 (indicating the medication and the amount ingested). In addition to the known side effects (see section 4, "Possible side effects"), you may experience the following symptoms: fever and involuntary muscle contractions.
If you forget to take Daparox
Do not take a double dose to make up for forgotten doses. Omit the forgotten dose and continue taking the medication normally. If you have doubts, always consult your doctor.
If you stop treatment with Daparox
Do not stop treatment with Daparox without consulting your doctor, and never stop treatment suddenly, as this may cause withdrawal symptoms. The effects you may experience if you stop taking paroxetine are: dizziness, sensory disturbances (tingling or prickling sensation, sensation of electric shocks or buzzing, whistling, hissing, or other persistent noises in the ears (tinnitus)), anxiety, sleep disturbances (such as vivid dreams or nightmares) and headache. Less common effects include: excitement, nausea, tremors, confusion, sweating, emotional instability, visual disturbances, strong heartbeats (palpitations), diarrhea, and irritability (see section 4 "Possible side effects").
These symptoms usually start in the first few days after stopping treatment, but they can also occur in patients who forget to take a dose. Normally, the withdrawal effects disappear within two weeks. In some patients, they can be more severe or can last longer (2-3 months or more). If you and your doctor decide to stop treatment with paroxetine, the daily dose should be gradually reduced over a few weeks or months (starting with 10 mg per week).
You should always consult your doctor before reducing the dose.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medications, this medication can have side effects, although not everyone will experience them.
Contact your doctor or go to the hospital immediately if you experience any of the following side effects during treatment.
Side effects are uncommon(may affect up to 1 in 100 people):
Side effects are rare(may affect up to 1 in 1,000 people):
Side effects are very rare(may affect up to 1 in 10,000 people):
Side effects with unknown frequency(cannot be estimated from the available data):
However, these symptoms can also be due to the underlying disease.
Other side effects
Side effects are very common(may affect more than 1 in 10 people)
Side effects are common(may affect up to 1 in 10 people)
Side effects are uncommon(may affect up to 1 in 100 people)
Side effects are rare(may affect up to 1 in 1,000 people)
Side effects are very rare(may affect up to 1 in 10,000 people)
Side effects with unknown frequency(cannot be estimated from the available data)
It has been observed that patients taking this type of medication have a higher risk of bone fractures.
Withdrawal symptoms observed when discontinuing treatment with paroxetine
Common: dizziness, sensory disturbance, sleep disturbance, anxiety, and headache.
Uncommon: excitement, nausea, sweating, tremors, confusion, emotional instability, visual disturbance, palpitations, diarrhea, and irritability.
These symptoms are usually mild and disappear on their own. Do not stop treatment with paroxetine without consulting your doctor and never suddenly, as you may experience withdrawal symptoms (see section 3, "If you stop treatment with Daparox")
Other side effects in children and adolescents
When children and adolescents under 18 years of age received paroxetine, at least 1 in 100, but less than 1 in 10 children/adolescents experienced one of the following side effects: emotional changes (crying and mood changes), self-harm, suicidal thoughts and behaviors, hostile and unfriendly behavior, loss of appetite, tremors, abnormal sweating, hyperactivity, excitement, nausea, stomach pain, and nervousness.
Reporting side effects
If you experience any side effects, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use www.notificaRAM.es By reporting side effects, you can help provide more information on the safety of this medication.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date shown on the box and blister after "EXP". The expiration date is the last day of the month indicated.
This medication does not require special storage conditions.
Medications should not be thrown down the drain or into the trash. Deposit the containers and medications you no longer need in the SIGRE collection point at the pharmacy. Ask your pharmacist how to dispose of the containers and medications you no longer need. This will help protect the environment.
Composition of Daparox
Appearance and package contents
Daparox tablets are round, yellow, and film-coated. They are engraved with "POT 20" on one side and are scored on both sides.
Daparox is available in boxes containing 10, 12, 14, 20, 28, 30, 50, 56, 60, or 100 tablets in blisters, and a container with 500 tablets.
Not all pack sizes may be marketed.
Marketing authorization holder and manufacturer
Holder:
ANGELINI PHARMA ESPAÑA, S.L.
c/ Antonio Machado, 78-80
3rd floor, module A-Australia Building
08840 Viladecans, Barcelona (Spain)
Phone: 932 534 500
Manufacturer:
Synthon BV
Microweg 22
6545 CM Nijmegen
Netherlands
Synthon Hispania, S.L.
C/Castelló, 1.
Polígono Industrial Las Salinas
08030 Sant Boi de Llobregat (Spain)
This medication is authorized in the Member States of the European Economic Area under the following names:
Spain: Daparox 20 mg film-coated tablets
Date of last revision of this leaflet: July 2023
Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es
The average price of DAPAROX 20 mg FILM-COATED TABLETS in October, 2025 is around 6.09 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.