Paxil (generic name paroxetine) is a widely used SSRI antidepressant for depression, panic disorder, social anxiety, OCD, PTSD, and some anxiety conditions. It can work well, but it comes with side effects and withdrawal symptoms that people often underestimate. Here’s a straight, useful guide so you know what to expect and how to use it safely.
Doctors usually start adults at 10–20 mg a day for depression and anxiety. Some conditions or people need higher doses — often 30–40 mg, and sometimes up to 50–60 mg under close supervision. There’s also a controlled‑release form (Paxil CR) that some people tolerate better. Always follow your prescriber's instructions. Don’t change dose suddenly.
It takes 2–6 weeks to feel steady improvement for mood and anxiety. For panic disorder or OCD, it can take a bit longer. Keep taking your pills unless your doctor tells you otherwise — stopping early raises the chance of relapse.
Common side effects include nausea, drowsiness, dry mouth, constipation, and sexual problems (reduced desire or difficulty reaching orgasm). Many people see these ease after a few weeks. Weight changes and sweating happen for some.
Watch for serious interactions: Paxil should not be combined with MAO inhibitors, and mixing with drugs that raise serotonin (certain migraine meds, some other antidepressants, or MDMA) can cause serotonin syndrome — a medical emergency. Alcohol makes dizziness and drowsiness worse, so avoid heavy drinking.
Stopping Paxil suddenly often causes withdrawal symptoms: dizziness, electric‑shock sensations, sweating, insomnia, irritability, and flu‑like feelings. Because paroxetine has a short half‑life, withdrawal is more common than with some other SSRIs. Taper slowly under your doctor’s plan — often over weeks to months — to reduce this risk.
If you’re pregnant or breastfeeding, tell your doctor. Paxil has specific pregnancy risks and should be discussed carefully with your clinician. Also tell your prescriber about other meds, herbs, or supplements you take.
Read the patient leaflet and ask questions. If you notice severe mood changes, new suicidal thoughts, or signs of serotonin syndrome (high fever, fast heartbeat, severe agitation, confusion), seek help right away.
Want to buy Paxil online? Only use licensed pharmacies that require a prescription. Look for clear contact info, a real pharmacist, and verified seals or regulation appropriate to your country. Avoid marketplaces or sellers offering Paxil without a prescription — those drugs may be counterfeit or unsafe. If price is a concern, ask your doctor about generic paroxetine; it’s the same active drug and usually cheaper.
Paxil can help a lot, but it’s not a casual choice. Talk with your doctor about risks, plan a safe taper if needed, and buy only from reputable pharmacies. That keeps treatment effective and safe.
