Doctor insights on:
Starting Paxil Side Effects
Depends: Most patients do not experience side effects. For those that do, increasing the dose can lead to fear and reluctance. I always counsel patients, about to increase their medication, to recall any side effects when they started the med. They should expect the same side effects but to a lesser degree and shorter time. This occurs because the relative change in dose is smaller with each increase. ...Read more
Agitation, nausea: headache, "altered" sense of surroundings, weight gain, decreased libido, retarded ejaculation, sleep problems and some of the first ones that come to mind. What worries me more is when patients stop taking Paxil abruptly, and have "brain zaps" and a cluster of intense flu-like symptoms. (This can also occur with Effexor, (venlafaxine) Cymbalta and to a lesser extent with Celexa and Zoloft). Go to a PDR. ...Read more
Paxil (paroxetine): Side effects include:suicidality, depression, seratonin syndrome, neuroleptic malignant syndrome, withdrawal syndrome, mania, seizures, hypronatremia, siadh, abnormal bleeding, glaucoma, pulmonary fibrosis, anaphylactic rxns, hypoglycemia, vasculitis, stevens-johnson syndrome, teratogenicity, others like nausea, dizziness, diarrhea, abnormal vision, tremor and others. ...Read more
Avoid in pregnancy: Paxil (paroxetine) has an fda rating of "d" (there is evidence of potential risk to the fetus). Paxil (paroxetine) may cause heart defects or serious lung problems in a newborn if taken during pregnancy. Some babies may experience a "discontinuation syndrome" after birth. Take only the medications during pregnancy that a physician or psychiatrist directs you to take. ...Read more
None: If you are tolerating it and responding to it then there is nothing wrong with being on it indefinitely. There are no known long term side effects and it has been around for a long time. I usually try to stop it 1-2 years after the first episode. With recurrent episodes I recommend staying on it. ...Read more
Report to your doc: Whenever any medications being adjusted upward, side effects must be monitored more closely. For ssri's watch for any irritability, anxiety, disturbance of sleep, gastric discomfort, or headache. Also the blackbox warning states to watch for any increase in suicidal thinking or behaviors consistent with that type of thinking. Remember only a small percentage of people will get side effects. ...Read more
SSRI side effects: Paxil (paroxetine) is a typical selective serotonin reuptake inhibitor. Side effects are typically stomach upset, nausea, diarhea. These are ususally temporary as people get used to them. Some decreased libido and delayed orgasm is also common. Paxil (paroxetine) has more withdrawal symptoms of dizziness if a day is missed. Also there are several drug interactions that are not true of other ssri. ...Read more
Paxil (paroxetine): If you are having disturbing or uncomfortable side effects, discuss lowering your dose of Paxil (paroxetine) with your doctor. If this doesn't work or you cannot be effectively treated for your mental health condition on a lower dose, consider having your doctor switch you to another medication. ...Read more
I have been on Paxil (paroxetine) for over 5 years, how can I stop without all the terrible side effects?
Slowly taper off: You have to slowly taper off by gradally reducing the dose and reduce the frequency over few weeks. ...Read more
Will the side effects associated with taking Paxil (paroxetine) cr (controlled release) disappear over time?
Depends: That would depend on what the side effect is and how long u have been on the medication. Many treatment emergent side effects such as nausea or headache will resolve over a few days. Other side effects that may come on later, such as loss of sex drive may persist. Please speak to you doctor if your symptoms do not improve. ...Read more
I'm really scared of taking paxil (paroxetine) for the first time? Does this medicine have really side effects?
Depression, Paxil (paroxetine):
Paxil (paroxetine) is a medication for depression.
Depression gets better with both Therapy and Medication.
Breathing Relaxation, Visual imagery, Tai Chi, Yoga, and Meditation also help with stress.
See a Psychiatrist for all modalities of treatment, discuss need of Paxil (paroxetine), benefits and side effects, and the make your decision if you want to take Paxil (paroxetine). ...Read more
I was taking Paxil (paroxetine) 25 for 7 years no longer works Dr put dose up to 37.5 can I get side effects?
Possibly: But unlikely, as ur system has adjusted to this medication. The only way truly know is to try it. ...Read more
I take Paxil (paroxetine) 40mg. I am ready to come off of it. How can I come off of Paxil (paroxetine) safely and with the least amount of side effects?
Consult With MD: First and foremost, always consult with the prescribing md before making any changes to your medication regimen. Paxil (generic paroxetine) is well known to cause problems when tapering. One may experience anxiety, insomnia, and flu-like symptoms (known as discontinuation syndrome) when tapering. The key to avoid such problems is to taper slowly and to work closely with one's md. Good luck. ...Read more
Maybe: Sexual side effects are relatively common. If you just started it is possible, but usually these side effects are persistent. One option is to use another antidepressant. Viagra or similar medications may be used, especially if Paxil (paroxetine) is effective and other antidepressants have failed. ...Read more
I've been taking Paxil (paroxetine) for 2 weeks now, most of the side effects have went away. Except for the shaking. Is this normal?
Does lexapro or Paxil (paroxetine) have more side effects? Which will give me an easier time and easier discontinuation when I eventually do.
Lexapro (escitalopram): This is the most consistently efficacious antidepressant and the easiest one to come off of with the least side effects ...Read more
What is the defrenc btween Paxil (paroxetine) and Paxil (paroxetine) cr do Paxil (paroxetine) cr less sexual side effects then Paxil (paroxetine) ir?
Not much difference: There is really not much difference in the two preparations. Both are the same chemical that have same side effects and action on sexual dysfunction. ...Read more
I have been on Paxil (paroxetine) CR 4 weeks (1 week at 12.5/3 at 25). How long for side effects (increased anxiety) to subside? How long to work? Increase?
Maybe 2 weeks: It may take a couple of weeks for your body to get adjusted to the antidepressant. Initial symptoms Include an increase in anxiety, nausea, diarrhea and restlessness. If you stick to your prescribed regimen those initial symptoms will go away. Good luck with your treatment and remember it may take about 4-6 weeks before you start to see changes in your mood with the antidepressant-don't give up! ...Read more
Serotonin vs dopamin: Paxil, a serotonin med, will have more GI side effects- nausea, cramping, Bowel changes, since it has a short half life, if not taken regularly some ppl report 'withdrawals' that feel like electric impulses on the nerves. Wellbutrin, a dopamine med, will have more central/autonomic nervous system SE like headaches, bp changes, insomnia, moodiness. ...Read more
I took Paxil (paroxetine) for 6 years (started at 20mg/day down to 10mg every 2nd day), switched to Cipralex 20mg 2 wks ago. Is it normal to have side effects?
Depends: On what SE you are experiencing. In general, switching from one antidepressant to another should go as slowly as necessary so side effects are minimal to none and your symptoms (? anxiety or depression) remain stable or improved. You may even need to back-step if you're feeling worse and review with prescribing doc. You need careful medical supervision to switch these meds. Hope this helps. ...Read more
I started paxil, (paroxetine) have been taking it for a week now. I've been having bad side effects. If I take a percocet for pain will it worsen the side effects?
Side effects: Depends on what side effects you are having. You should discuss this with your prescribing doc (s). Thank you for using Healthtap. If you are more specific we may be able to help more, but discussion with your doc (s) would be your best bet ...Read more
There are many.: Discontinuation side effects from Paxil (paroxetine) can range from mild anxiety and mood swings to severe agitation, panic attacks, confusion, dizziness and hallucinations as well as flu-like symptoms. It is recommended to proceed slowly and under the care of a specialist. ...Read more