Their inclusion does not guarantee they will be prescribed to any individual, as treatment decisions are ultimately at the discretion of healthcare providers. Healthcare providers may prescribe other medications or recommend non-pharmacological treatment based on the patient’s unique health circumstances and needs. Read more
Paxil (paroxetine) has a
Highlights
- Paxil (paroxetine) is a selective serotonin reuptake inhibitor (SSRI), an antidepressant approved to treat major depressive disorder (MDD), generalized anxiety disorder (GAD) and some other mental health conditions.
- Paxil has specific side effects and risks. Remember to discuss them with your physician before starting treatment.
- MEDvidi has licensed healthcare providers in 33 states who are able to prescribe Paxil online, if deemed clinically necessary.
Paxil is an antidepressant medication commonly prescribed for depression and anxiety treatment. It is available only by prescription, so you should first see a healthcare provider for a mental health assessment, and they will decide if this medication is suitable for you. Read on to learn how to get a Paxil (paroxetine) prescription online, who may benefit from this medication, and what else you should know about it.
What Is Paxil (Paroxetine)?
Paxil is FDA-approved to treat several disorders, including major depressive disorder (MDD), generalized anxiety disorder (GAD), and some others. The medical need for Paxil can only be determined by licensed healthcare professionals; this medication is not available over the counter.
Who Might Benefit From Paroxetine?
Paxil is prescribed for the treatment of
- Major depressive disorder (MDD)
- Obsessive-compulsive disorder (OCD)
- Social anxiety disorder (SAD)
- Panic disorder (PD)
- Post-traumatic stress disorder (PTSD)
- Generalized anxiety disorder (GAD)
It may also be prescribed
- Separation anxiety
- Dysthymia
- Body dysmorphic disorder
- Postpartum depression
- Premature ejaculation
Paxil is not approved for use
How to Get a Paroxetine (Paxil) Prescription Online (Step-by-Step)
A Paxil prescription can be obtained both in person and online — in any case, it is possible only after a detailed assessment. Medical providers at MEDvidi are authorized to prescribe Paxil online when it’s considered the most suitable treatment. Here is what’s involved in this process:
Step 1: Create an account and book an online appointment with a licensed provider
Sign up on MEDvidi and provide basic personal information, including contact information and medical details. Review and agree to our data privacy and terms and conditions to safeguard your information. Now, you can book an appointment with a healthcare provider at a convenient time slot of your choice. Same- and next-day appointments are also available.
Step 2: Prepare for the first appointment
Before your initial visit, take a few steps to prepare properly:
- List your symptoms so you will be ready to describe them to your healthcare provider.
- Prepare a list of current medications, allergies, and relevant medical history.
- Prepare questions of interest for the provider.
During your appointment, the provider will review your history and symptoms and tell you if Paxil is a suitable treatment option in your situation. Remember to ask questions, such as potential side effects, how long the medication takes to work, the possibility of alternative treatments, and anything else you may want to know. At the end, your provider will make the clinical decision if Paxil is medically appropriate for you.
Step 3: Pick up your medication from a pharmacy
If your healthcare provider determines that Paxil is the best option for you, they will write you a prescription online and send it digitally to a pharmacy of your choice. Pick-up or delivery options vary depending on the pharmacy.
Step 4: Continue with follow-ups and adjustments
It is important to keep regular follow-up appointments with your healthcare provider to make dose changes if needed, receive prescription refills, and adjust your treatment plan over time. Be sure to also report any side effects to them to ensure safe, effective use.
What to Expect When Starting Paroxetine
When starting paroxetine, patients may notice initial changes in the first 1-2 weeks, but full effects are usually noticeable after 4 to 8 weeks of treatment.
Paxil comes in tablets, capsules, and oral liquid (the oral suspension should be shaken well before taking). Typical recommended starting and maximum daily dosage for MDD, OCD, PD, and PTSD are:
| Indication | Starting Daily Dose | Maximum Daily Dose |
| Major depressive disorder (MDD) | 20 mg | 50 mg |
| Obsessive-compulsive disorder (OCD) | 20 mg | 60 mg |
| Panic disorder (PD) | 10 mg | 60 mg |
| Post-traumatic stress disorder (PTSD) | 20 mg | 50 mg |
If you forget to take a dose of paroxetine, but remember it before you go to bed, take it straight away. If you do not remember until the next day, skip the missed dose and take your next dose at the usual time. Never take 2 doses at the same time to make up for a forgotten one.
When you are discontinuing Paxil, your healthcare provider will help you to reduce your dosage gradually to avoid withdrawal symptoms. It is important to share all your symptoms and medical history with your healthcare provider so they can treat you most effectively.
Side Effects, Contraindications, and Precautions
Paxil is known to have many side effects, drug interactions, and the risk for discontinuation syndrome. Let’s review the most important ones.
Common Side Effects
Many of Paxil’s side effects are dependent on the dosage. Common side effects include drowsiness, dry mouth, loss of appetite, sweating, sleep disturbance, and sexual side effects.
Serious Side Effects
Paxil has a boxed warning for an increased risk of suicidal thoughts and behaviors in pediatric and young adult patients. Discontinuation syndrome is also more common and more severe with Paxil than with other SSRIs; it’s important to get a plan from your provider for gradually reducing the dosage instead of stopping it abruptly.
Withdrawal symptoms from discontinuation include:
- Dizziness
- Lethargy
- Nausea and vomiting
- Headache
- Fever and chills
- Vivid dreams
- Dyskinesia (involuntary, erratic muscle movements)
- Anxiety and irritability
- Depersonalization
If you’re experiencing suicidal or self-harming thoughts and require immediate assistance, contact a crisis hotline, such as 911, 988 suicide & crisis lifeline (toll-free), or Samaritans (116-123 or via chat).
Drug Interactions and Contraindications
Paxil may interact with:
- Medications that are highly bound to plasma protein, such as warfarin
- Medications that get metabolized by the CYP2D6 enzyme
- Tamoxifen
Paxil should not be used with:
- Monoamine oxidase inhibitors (MAOIs) or within 14 days of discontinuing them
- Concomitant use of pimozide or thioridazine
- Known hypersensitivity to Paxil or to any of its inactive ingredients
It is vital to disclose all medications and supplements to your provider so they can best protect you from potential interactions.
Special Considerations
Some special populations should be considered when taking Paxil. These include:
- Pregnant patients: Paxil may cause fetal and neonatal harm
- Nursing mothers: Talk with your healthcare provider or lactation consultant before taking Paxil and breastfeeding.
Cost and Insurance Coverage
The cost of Paxil can vary by pharmacy and location, depending on the strength and whether you are looking for a brand or generic version. It also can depend on if you have insurance or not. Generic paroxetine can cost $5 to $25 for 30 tablets, while the brand version of Paxil can cost upwards of $330 to $410.
How to Save
- Prices will vary based on which pharmacy you go to; you can compare prices at different pharmacies.
- Certain websites like GoodRx and WellRx offer coupons and discount cards that can significantly reduce this price.
- Some pharmaceutical companies and non-profit organizations offer assistance to patients who cannot afford their medications, called patient assistance programs.
- Some online pharmacies may offer lower prices than traditional pharmacies.
Alternatives to Paxil
Alternatives to Paxil include different classes of antidepressants, such as:
- Other selective serotonin reuptake inhibitors (SSRIs): fluoxetine (Prozac), sertraline (Zoloft), citalopram (Celexa), and escitalopram (Lexapro).
- Serotonin and norepinephrine reuptake inhibitors (SNRIs): duloxetine (Cymbalta), and venlafaxine (Effexor XR).
- Atypical antidepressants: trazodone, mirtazapine (Remeron), and bupropion (Forfivo XL, Wellbutrin SR).
- Tricyclic antidepressants: nortriptyline (Pamelor), and amitriptyline. They generally aren’t prescribed unless you’ve tried other antidepressants first without improvement.
Antidepressants can also be combined with other medications to improve effects. You can discuss alternative medicines with your healthcare provider to get the most personalized advice.
Why Choose MEDvidi for Mental Health Care?
For concerns related to mental health, MEDvidi provides reassurance and encouragement through an easy-to-follow process. If you experience unpleasant symptoms or want to consult on adjusting your current treatment plan, join MEDvidi to see a licensed healthcare provider for online depression and anxiety treatment.
Frequently Asked Questions
Do I need a prescription for Paxil?
Yes. Paxil is only available with a prescription from a healthcare provider and cannot be obtained over the counter.
Who can prescribe Paxil?
Licensed healthcare providers such as primary care providers, psychiatrists, nurse practitioners, and physician assistants can prescribe antidepressants such as Paxil.
Can I buy Paxil online?
You can buy Paxil online if you have a prescription from a licensed healthcare provider.
Can I get paroxetine over the counter?
No, Paxil is only available with a prescription obtained from a healthcare provider after a consultation.
