MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Paxil, and its generic equivalent, paroxetine, are manufactured in scored tablets of 10, 20, 30, and 40 mg.

Treatment of Pregnant Women During the Third Trimester:Dosage for Elderly or Debilitated Patients, and Patients With Severe Renal or Hepatic Impairment:We comply with the HONcode standard for trustworthy health information - Your doctor may begin therapy with a low dose that may be increased if your symptoms do not improve.

If acceptable alternatives to linezolid or intravenous methylene blue treatment are not available and the potential benefits of linezolid or intravenous methylene blue treatment are judged to outweigh the risks of serotonin syndrome in a particular patient, PAXIL should be stopped promptly, and linezolid or intravenous methylene blue can be administered. Be sure to tell your doctor about all medications, including over-the-counter drugs and supplements, you are taking before beginning paroxetine. You should take Paxil exactly how it is prescribed. About three years ago a doctor put me on 20 mg of Prozac for panic and generalized anxiety.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles.

Arlington, WA Why Are Dementia Patients Getting Risky Psychiatric Drugs? Whether the dose needed to induce remission is identical to the dose needed to maintain and/or sustain euthymia is unknown.Systematic evaluation of the efficacy of PAXIL has shown that efficacy is maintained for periods of up to 1 year with doses that averaged about 30 mg.PAXIL should be administered as a single daily dose with or without food, usually in the morning.

Want to wake up rested and refreshed?

What ever works. Untreated MDD has risks to the fetus, as well as the mother. Diseases & Conditions


Although not all of these side effects may occur, if they do occur they may need medical attention.

Good Luck.

Another clinical trial from 2015 found that a low dose of the SSRI paroxetine (Paxil) improved sleep quality in women going through menopause. He advised me to stop the medication immediately. Some people experience a reduction in some of these side effects after being on the medication for a while.

30+ 20.

Several months ago I began having severe panic attacks and never ending anxiety again. Conventional: 20 mg PO qDay initially; may increase by 10 mg/day qWeek not to exceed 50 mg/dayPaxil CR: 25 mg PO qDay initially; may increase by 12.5 mg/day qWeek not to exceed 62.5 mg/day20 mg PO qDay initially; may increase by 10 mg qWeek, not to exceed 60 mg/day10 mg PO qDay initially; may increase by 10 mg qWeek (target dose 40 mg/day), not to exceed 60 mg/day, ORPaxil CR: 12.5 mg PO qDay initial, increase by 12.5 mg qWeek not to exceed 75 mg/dayPaxil CR: 12.5 mg PO qDay initially; may increase by 12.5 mg qWeek, not to exceed 37.5 mg/day20 mg PO qDay initially, may increase by 10 mg qWeek, up to 50 mg/day doses have been used but no increase in benefit seen at doses >20 mg/day20 mg PO qDay initially; may increase by 10 mg qWeek, up to 50 mg/day doses have been used but no increase in benefit seen at doses >20 mg/dayPaxil CR: 12.5 mg PO qDay initially; may increase at 1 week intervals not to exceed 25 mg/dayBrisdelle: Indicated to treat moderate-to-severe vasomotor symptoms associated with menopause10 mg/day PO initially; may increase to 20-60 mg/dayCaution should be used in the elderly because paroxetine is the most sedating and anticholinergic of the selective serotonin reuptake inhibitorsThe elderly are prone to SSRI/SNRI-induced hyponatremia; monitor closelyIn short-term studies, antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults (<24 years) taking antidepressants for major depressive disorders and other psychiatric illnessesThis increase was not seen in patients aged >24 years; a slight decrease in suicidal thinking was seen in adults >65 yearsIn children and young adults, risks must be weighed against the benefits of taking antidepressantsPatients should be monitored closely for changes in behavior, clinical worsening, and suicidal tendencies; this should be done during the initial 1-2 months of therapy and dosage adjustmentsThe patient’s family should communicate any abrupt changes in behavior to the healthcare providerWorsening behavior and suicidal tendencies that are not part of the presenting symptoms may require discontinuation of therapyThis drug is not approved for use in pediatric patientsClinical worsening and suicidal ideation may occur despite medication in adolescents and young adults (18-24 years)Use caution in patients with bipolar disorder, seizure disorder, history of suicidal thought/behaviorLife-threatening serotonin syndrome reported with SNRIs and SSRIs alone; also with concomitant use of other serotonergic drugs (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John’s Wort)Risk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomyConflicting evidence regarding use of SSRIs during pregnancy and increased risk of persistent pulmonary hypertension of the newborn (see Pregnancy)Risk of complications such as feeding difficulties, irritability, and respiratory problems reported in neonates exposed to SNRIs/SSRIs late in third trimesterRisk of cardiovascular defects in infants whose mothers took drug during early pregnancyUse lower starting dose in renal impairment (CrCl <30 mL/min) or severe hepatic impairmentIncreases risk of hyponatremia and impairment of cognitive and motor functions in the elderlyInability to remain still due to feelings of agitation or restlessness reported; may occur within first few weeks of therapyMay impair platelet aggregation especially when used in combination with aspirin or NSAIDs; increases risk of bleeding in patients taking anticoagulants/antiplatelets concomitantlyEpidemiologic studies on bone fracture risk following exposure to some antidepressants, including SSRIs, have reported an association between antidepressant treatment and fractures; there are multiple possible causes for this observation and it is unknown to what extent fracture risk is directly attributable to SSRI treatmentBone fractures reported to be associated with antidepresant useConsider risk of serotonin syndrome if administered concomitantly with other serotonergic drugs including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John’s WortTeratogenic effects: Epidemiologic studies have shown that infants exposed to paroxetine in the first trimester of pregnancy have an increased risk of congenital malformations, particularly cardiovascular malformationsUse late in the third trimester associated with complications in newborns and may require prolonged hospitalization, respiratory support, and tube feedingA study of nearly 28,000 women taking SSRIs confirmed 5 previously reported birth defercts associated with paroxetine, including heart defects, anencephaly, and abdominal wall defects (BMJ 2015; 351:h3190)Excreted in breast milk; use caution (AAP states effect on nursing infants is unknown but may be of concern)A: Generally acceptable.

Some of the common side effects associated with Paxil therapy include: I haven't felt any relief yet but I am assuming that's because I am taking a very small dose.

I started with 2.5 mg for 1 week then up to 5 mg for one week. As with all drugs effective in the treatment of major depressive disorder, the full effect may be delayed.

Some people do better on lower than normal doses.

Controlled studies in pregnant women show no evidence of fetal risk.SSRI; little or no affinity for alpha-adrenergic histamine or cholinergic receptorPeak plasma time: 5.2-8.1 hr (immediate-release); 6-10 hr (controlled-release)Several SSRIs (eg, fluoxetine, fluvoxamine, paroxetine, sertraline) are metabolized by CYP2D6CYP2D6 is involved in the metabolism of approximately 20% of drugs in clinical use, and it displays large individual-to-individual variability in activity due to genetic polymorphismsMore than 80 CYP2D6 variant alleles have been identified; however, 4 of the most prevalent alleles, CYP2D6*3, *4, *5, and *6, account for 93-97% of CYP2D6 poor metabolizers (PMs)CYP2D6*4, the most common variant (~25% frequency in whites), causes a splicing defect; CYP2D6*3 (2.7% frequency) causes a frameshift mutation; and CYP3D6*5 (2.6%) is an entire deletion of the CYP2D6 gene; individuals homozygous for these alleles have no CYP2D6 activityThe impact of CYP2D6 activity is further complicated in some SSRIs (eg, fluoxetine, fluvoxamine, paroxetine, sertraline) that in addition to being substrates for CYP2D6, are also known to moderately inhibit CYP2D6 activityAdding plans allows you to compare formulary status to other drugs in the same class.To view formulary information first create a list of plans. I have flu-like symptoms including severe sinus infection, dizziness, headache, lack of appetite, etc. Immediate-release 7.5 mg capsules (i.e., Brisdelle): No dose adjustment is considered necessary in patients with hepatic impairment. Paxil works , orgasms were harder but by no means impossible, just takes longer .

Patients were dosed in a range of 20 to 60 mg/day in the clinical trials demonstrating the effectiveness of PAXIL in the treatment of OCD. Immediate-release dosage forms (i.e., Paxil, Pexeva): Initially, 10 mg/day PO in adults; final adult dosage should not exceed 40 mg/day PO. 100.

Low dose for anxiety and it worked. Had to go back on as there was a major trauma that happened while I was off them and I crumbled .