What should I Know Regarding Pregnancy, Nursing and Administering Paxil CR to Children or the Elderly?
If you are PREGNANT
- Not Recommended: RISK OF HEART DEFECTS IN FIRST TRIMESTER; PULM HTN 2ND TRIM;BEHAV SYNDR 3RD TRIM
If you are NURSING
- Precaution: LOW LEVELS EXCRETED, REPORTS OF IRRITABILITY, SLEEPINESS, AND CONSTIPATION
If you are an adult over 60
- management or monitoring precaution: Dosing-Initial dose should be reduced since elderly have minimum plasma concentrations (Cmin) that are 70-80% greater than younger adults. Endocrine-Elderly are at higher risk for hyponatremia due to SIADH from SSRIs. Renal-CrCl of 30-60 mL/min resulted in 2-fold higher plasma concentrations. Hepatic-Hepatic impairment increases plasma concentrations.
Giving Paxil CR to a child under 12
- Severe Precaution: Possible increased risk of suicide, emotional lability, behavioral changes, hyperkinesia in pediatric and adolescent patients. May decrease appetite; monitor growth rate. No efficacy data for treating depression.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.