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Doctor insights on: Paxil

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Paxil (Overview)

Paxil is an ssri antidepressant approved for treatment of unipolar (as opposed to bipolar) depression as well as a variety of anxiety-spectrum conditions. It carries a relatively greater risk of medication interactions & is considered to be less safe for a developing fetus as compared to some other antidepressants. All antidepressants have risk of emergent suicidal thinking in young people.


Dr. Maritza Baez
Board Certified, Family Medicine
11 years in practice
31M people helped
1

1
What can Paxil do for my anxiety?

What can Paxil do for my anxiety?

Treat: It works to control your anxiety symptoms. It does not work right away to remove panic symptoms, and you should take it everyday for at least 6 weeks. Usually it takes several weeks for it to start working, so i recommend you start counseling as well to help you come up with ways to control your anxiety. ...Read more

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Dr. Eric Weisman
Board Certified
30 years in practice
4M people helped
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Paxil (Overview)

Paxil is an ssri antidepressant approved for treatment of unipolar (as opposed to bipolar) depression as well as a variety of anxiety-spectrum conditions. It carries a relatively greater risk of medication interactions & is considered to be less safe for a developing fetus as compared to some other antidepressants. All antidepressants have risk of emergent suicidal thinking in young people.


Dr. Jason Campbell
Board Certified, Family Medicine
10 years in practice
381K people helped
2

2
Can taking Paxil make you gain weight?

Can taking Paxil make you gain weight?

Yes: Out of the ssri medications, Paxil (paroxetine) seems to be the one most common to contribute to weight gain (and this is on the fda adverse reaction list for this medication. Other ssris such as Prozac and zoloft do not have weight gain listed by fda as possible adverse reaction. Talk with your provider to consider alternatives if this concerns you. ...Read more

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Dr. Eric Weisman
Board Certified
30 years in practice
4M people helped
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Dr. Brian Writer
Board Certified, Psychiatry
10 years in practice
191K people helped
3

3
Please describe the medication: paxil?

SSRI Antidepressant: Paxil is an ssri antidepressant approved for treatment of unipolar (as opposed to bipolar) depression as well as a variety of anxiety-spectrum conditions. It carries a relatively greater risk of medication interactions & is considered to be less safe for a developing fetus as compared to some other antidepressants. All antidepressants have risk of emergent suicidal thinking in young people. ...Read more

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Dr. Dheeraj Raina
Board Certified, Psychiatry
23 years in practice
716K people helped
4

4
Is there any benefit over Paxil cr over the regular paxil? Why would one prescribe one over the other? Just courious.

Side-effects: Paxil cr has no advantage over regular Paxil in terms of effectiveness. For most patients there is no advantage at all. However, some patients might find Paxil effective, but have side-effects that appear to be related to peak levels of the medication. In that circumstance, Paxil cr may be helpful. ...Read more

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Dr. Eric Weisman
Board Certified
30 years in practice
4M people helped
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Dr. Alan Ali
Board Certified, Psychiatry
26 years in practice
176M people helped
6

6
Use Paxil during your pregnancy? Te fistula related?

Paxil in pregnancy: Paxil is considered category d in pregnancy, which means there were reports of fetal abnormalities. I would not recommend it. ...Read more

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Dr. Pamela Pappas
Board Certified, Psychiatry
36 years in practice
135M people helped
7

7
Used Paxil 8 yrs. For depression. Was fired from 2 jobs. I believe drug caused aggressive behavior at work. Anyone heard of this side effect?

Used Paxil 8 yrs. For depression. Was fired from 2 jobs. I believe drug caused aggressive behavior at work. Anyone heard of this side effect?

Paxil & aggression?: Ssri antidepressants generally calm aggression rather than increasing it. A small percentage of patients (3-5%) may experience agitation on the medication. There have been legal arguments about the "agitation" manifesting as aggression. On the other hand, depression itself may cause irritability and angry outbursts. ...Read more

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Dr. Ivelisse Rivera-Godreau
Board Certified, Family Medicine
18 years in practice
2M people helped
8

8
Will Paxil be as effective as the first time i took it? Right now im on pristiq but i think im gonna get back to paxil... Cz it really helped my SA

Discuss...: Talk to your provider about this first before making any changes yourself. If you were changed to another medication while you were taking Paxil before there is most likely a good reason. Mental health medication is not harmless so it is very important that they are handled and taken as recommended. Different people react differently to medication. That's why it is important to f/u w/ your doctor. ...Read more

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Dr. Kira Stein
Board Certified, Psychiatry
18 years in practice
186K people helped
9

9
How long does Paxil take to have a therapeutic effect? Why does it not work instantaneously, like benzodiazepines?

How long does Paxil take to have a therapeutic effect? Why does it not work instantaneously, like benzodiazepines?

4-8 weeks: It takes about 4 to 8 weeks to see the full effects of a particular dose of paxil. This is because the immediate Paxil effects of increasing serotonin levels in the areas that connect brain cells (synapses) are not correlated with changes in mood or anxiety; instead, receptor changes and nerve growth factors stimulated by weeks of elevated serotonin seem to be. ...Read more

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Dr. Jane Steiner
Board Certified, Psychiatry
37 years in practice
1M people helped
10

10
Hi, I am now using losiram for a month for social phobia and I am not seeing any emprovement. I want to now if Paxil works better? Thank you

Hi, I am now using losiram for a month for social phobia and I am not seeing any emprovement.  I want to now if Paxil works better? Thank you

What dose?: Before you stop what you are on now, your doctor should be considering whether you are on an appropriate (therapeutic) dose and whether you have been on that dose long enough to have been able to give it a fair trial. All the ssri's have the potential to help with social anxiety; a given individual may do better with one than another. Paxil may work better, but then again so might zoloft. ...Read more

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Dr. Krishna Kumar
569 doctors shared insights

Paroxetine (Definition)

Brand name paxil, it's an ssri used for treating depression, anxiety, ocd, and several other conditions. It ...Read more


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Dr. Eric Weisman
Board Certified, Neurology
30 years in practice
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