paroxetine (Paxil)

Meet with a licensed provider online to explore if an antidepressant medication like paroxetine (Paxil) may be right for you.

Treatment for:
depression, obsessive-compulsive disorder, anxiety disorders

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How prescribing works

  • 1

    Find the right provider

    Browse providers online or call us and we’ll help you find someone who accepts your insurance and fits your needs. Pick a time that works for you and choose how you’d like to pay.

  • 2

    Get started with treatment

    At your first session, share what you’re experiencing and what you’re hoping to get out of treatment. Together, you’ll discuss your options—including whether medication might be a good fit. If so, your provider can send a prescription directly to your local pharmacy.

  • 3

    Track your progress

    Your provider will check in regularly to make sure your treatment plan is working for you and adjust as needed.

What is an SSRI?

A selective serotonin reuptake inhibitor (SSRI) is a class of medication commonly used to treat mental health conditions like anxiety, depression, OCD, and PTSD.

How does a SSRI work?

SSRIs increase the availability of serotonin in the brain. Serotonin is a naturally-occurring brain chemical that supports the regulation of mood and memory.

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FAQs about paroxetine (Paxil)

What is paroxetine (Paxil) used for?

Paroxetine is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI), which works by increasing serotonin levels in the brain. It's used to treat depression, obsessive-compulsive behavior, social anxiety disorder (SAD), panic disorder, post-traumatic stress disorder, generalized anxiety disorder, premenstrual dysphoric disorder (PMDD), and vasomotor symptoms of menopause (hot flashes). Paroxetine may also be used off-label for other conditions including obsessive-compulsive disorder in children, social anxiety disorder in children, body dysmorphic disorder, postpartum depression, and premature ejaculation.

Does paroxetine (Paxil) cause weight gain or loss?

Yes, weight changes are possible with paroxetine use. Paroxetine can also cause loss of appetite as a side effect, which may cause some weight loss. If you're concerned about weight loss or weight gain with paroxetine treatment, talk with your pharmacist or provider. They can discuss ways to manage a healthy weight.

How long does it take for paroxetine (Paxil) to work?

Paroxetine starts to work directly after you start taking the medication. However, depending on the severity of your symptoms, it may take a few weeks before you notice a distinct improvement in your symptoms. To start, your provider may put you on a low dose of paroxetine and slowly increase your dosage based on how you respond to treatment. Contact your provider to learn more about your dosage or the effectiveness of paroxetine.

Does paroxetine (Paxil) make you sleepy?

Yes, sleepiness and drowsiness are common side effects of paroxetine. You may experience sleepiness when you first start treatment, so don't operate machinery or perform any tasks that require you to be alert until you know how paroxetine affects you. If the sleepiness starts to impact functioning, your provider may suggest taking paroxetine at night. Keep in mind that paroxetine may also cause sleep disturbances in some people. If this happens to you, talk with your provider. They can help you determine the best time of day to take paroxetine.

Is paroxetine (Paxil) a controlled substance?

No, paroxetine is not a federally controlled substance. It is not a habit-forming medication and doesn't cause addiction. If you have questions about paroxetine's side effects, talk with your provider to learn more.

What are the side effects of paroxetine (Paxil)?

Some common side effects of paroxetine include dry mouth, loss of appetite, sleep disturbances, sexual side effects, sweating, nausea, weakness, sleepiness, and drowsiness. Speak to your pharmacist or provider if you have further questions about possible side effects.

How long does paroxetine (Paxil) stay in your system?

Paroxetine's half-life is 21 hours, which means it takes about this long for half the medication to leave your body. It may take around five days for paroxetine to leave your body completely.

Can I get a prescription online?

You can meet with a licensed provider at Thriveworks, in person or online depending on your state. If it’s clinically appropriate, they may prescribe medication for a diagnosed mental health condition. Your provider will send your prescription to a local pharmacy to be filled.

Can I use my health insurance for prescriptions and refills?

Thriveworks accepts most major insurance plans for psychiatry and therapy services. Your insurance may also cover the cost of any medication your provider prescribes, which can be filled at a local pharmacy. Check with your plan to confirm your medical and prescription coverage.

How do I get a prescription at Thriveworks?

Schedule a session with a licensed psychiatric provider at Thriveworks. After discussing your symptoms and treatment goals, your provider may recommend medication and/or additional services to help you get where you want to be.

Is Thriveworks LegitScript certified?

Yes. Thriveworks is LegitScript-certified, meaning we’ve been reviewed and verified by one of the most trusted compliance organizations in healthcare. This certification confirms that our services meet high standards for legality, safety, and transparency.

This information has been reviewed for accuracy and approved by our licensed psychiatric team. Published October 3, 2024
Dr. Scott Gordon

Accepting medication as part of your mental health care plan is an individual and often deeply personal decision. At Thriveworks, we’re here to help you understand your care options and support you on the path toward wellness. We prioritize treating the whole patient, whether through medication, therapy, or a combination of both — guided by clinical best practices and rigorously developed treatment strategies to help clients safely and efficiently resolve their symptoms.

Dr. Scott Gordon Chief Medical Officer

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