Can Parogen 20 mg interact with citrus( oranges, tangerines)?

Parogen is an antidepressant that does not interact with citrus fruits such as oranges and tangerines, etc.

It is also worth paying attention to possible interactions with alcohol. An increase in sedation, a decrease in attention, an increase in reaction time after simultaneous administration of the drug with alcohol is possible.

The GdziePoLek.pl service also allows you to book the medicine at a selected stationary pharmacy and collect it after presenting a prescription:

https://www.gdziepolek.pl/produkty/59694/parogen-tabletki-powlekane/apteki

We also encourage you to familiarize yourself with materials on similar topics:

https://www.gdziepolek.pl/artykuly/jak-laczyc-leki-z-jedzeniem

At the outset, it should be noted that the drugs mentioned in the question: Ircolon (trimebutin) and Parogen (paroxetine) are subject to prescription, so the legitimacy and need to combine them in therapy should be determined by a doctor. This combination of drugs can be used, but you should strictly follow your doctor's instructions and observe your body's reactions.

There are isolated literature reports describing the occurrence of serotonin syndrome in patients using trimebutin (a synthetic agonist of peripheral opioid receptors) and paroxetine (a selective serotonin reuptake inhibitor - SSRI) at the same time.

Serotonin syndrome manifests itself, m.in, confusion, agitation, fever, sweating, ataxia, hyperreflexia, muscle clonic seizures, and diarrhea. This condition is distinguished by the so-called triad of symptoms, which includes:
- Vegetative disorders, i.e. increased blood pressure, fever, diarrhea, vomiting and pupil dilation.

- Psychiatric symptoms, consisting of anxiety disorders, feelings of anxiety and confusion.

- Neuromuscular ailments, i.e. recurrent cramps, pain and increased muscle tone.

Therefore, if you observe such side effects, you should inform your doctor, who will decide on further treatment on this basis.

If you need more personalized advice, you can use teleconsultations here:

https://www.gdziepolek.pl/telekonsultacja/