Paxil (paroxetine) is a commonly prescribed antidepressant medication. But questions often come up about using Paxil safely and effectively. This comprehensive overview answers the most frequently asked questions about Paxil in an easy-to-understand FAQ format.

What is Paxil Used For?

Paxil is FDA approved to treat major depressive disorder, generalized anxiety disorder, social anxiety disorder, panic disorder, and premenstrual dysphoric disorder. It works by increasing serotonin levels in the brain, which can help lift mood and reduce anxiety symptoms.

Is Paxil for Anxiety?

Yes, Paxil is often prescribed for anxiety disorders like generalized anxiety, social anxiety, panic attacks, and PTSD. Research shows Paxil can reduce excessive worry, fear, avoidance behaviors and physical anxiety symptoms. It may take 4-6 weeks to experience the full anti-anxiety benefits.

Zoloft vs Paxil: Key Pros and Cons

Both Zoloft (sertraline) and Paxil are SSRIs approved to treat depression and anxiety. Paxil may work faster for some individuals. Zoloft is approved for more conditions. Paxil may cause more weight gain and withdrawal symptoms if stopped abruptly. Zoloft may cause less nausea for some people. Discuss the options with your doctor.

Paxil Side Effects in Females

Women may experience decreased libido, difficulty reaching orgasm, and menstrual cycle changes like abnormal bleeding while taking Paxil. Paxil can also reduce the effectiveness of birth control pills, so backup methods are recommended. Always report concerning side effects to your healthcare provider.

Paxil First Week Side Effects

The most common side effects when first starting Paxil are nausea, headache, insomnia, fatigue and diarrhea. These “adjustment effects” tend to improve within 1-2 weeks as your body gets used to Paxil. Taking with food can minimize nausea. Stay hydrated and consult your doctor if side effects persist.

Paxil Withdrawal Symptoms

Abruptly stopping Paxil can cause flulike withdrawal symptoms like dizziness, nightmares, electric shock sensations and agitation. Tapering Paxil slowly under medical supervision can help avoid these. Withdrawal symptoms typically resolve within a few weeks. Never change dosage without guidance.

Paxil for COVID?

There is no evidence Paxil treats COVID-19 infection or symptoms. However, Paxil may help ease conditions often associated with long COVID like depression, anxiety and insomnia. Discuss using Paxil for neuropsychiatric symptoms with your healthcare provider.

Paxil vs Lexapro: Key Pros and Cons

Like Paxil, Lexapro (escitalopram) is an SSRI antidepressant. Lexapro may cause less drowsiness and weight gain for some people. But Paxil works faster and is approved for more conditions. Both can be effective, so discuss the options with your doctor to decide which medication suits you best.

Paxil and Alcohol

Avoid drinking alcohol while taking Paxil, as it increases drowsiness and impairment. Moderate alcohol use does not seem to reduce Paxil’s effectiveness directly, but alcohol can worsen depression and anxiety. Check with your doctor before consuming any amount of alcohol with Paxil.

Paxil Weight Gain

Weight gain is a possible side effect of Paxil. The average is around 10 pounds over 6-12 months, but amounts vary. Eating healthy, exercising and monitoring weight can help minimize this. Inform your doctor if weight gain becomes bothersome. They may adjust the dosage or switch medications.