Get a Paroxetine (Paxil) prescription online
Paroxetine is typically prescribed to treat major depression, panic disorder, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder (OCD), and PTSD. Obtaining a Paroxetine (Paxil) prescription online is simple; visit Your Doctors Online and connect with a doctor anytime, anywhere. Our online doctor will ask about your symptoms to determine the appropriate treatment. They may suggest a follow-up appointment or clinic visit. Please know that a Paroxetine (Paxil) prescription or refill will only be provided after a consultation with our doctor and if the medication is appropriate and safe.
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How to get a Paroxetine prescription online
Get a prescription online in three easy steps.
Describe your issue
Download our app, register, and tell us about your medical issue to get started.
Chat with a doctor
Connect with a board-certified doctor. You can chat, send pictures, and videos.
Get a prescription
Our online doctors can help you with your medical issues and give you prescriptions.
Who is eligible for a Paroxetine prescription?
Our doctor will ask about your symptoms, health history, and current medicines to decide whether Paroxetine is right for you.
An online visit may be a good fit if
An online visit may not be right for you if you
If you’re having thoughts of suicide or self-harm, call or text 988 (Suicide & Crisis Lifeline) or call 911 right away.
Can you order Paroxetine online?
Yes, but only with a valid prescription. Paroxetine is a prescription-only medicine in the US, so any website that sells it without one isn’t safe or legal.
Here’s how to get it online the safe way:
- Get a prescription: chat with a licensed doctor at Your Doctors Online, who will review your symptoms, history, and current medicines
- Choose your pharmacy: if Paroxetine is right for you, your doctor sends the prescription to your local pharmacy or a licensed online pharmacy
- Pick it up or get it delivered: most local pharmacies have it ready the same day
Paroxetine isn’t a controlled substance, so refills are simple once you have a prescription.
What is Paroxetine (Paxil) and what does it treat?
What is Paroxetine (Paxil)?
Paroxetine is a prescription drug for treating mental health conditions, including depression, anxiety disorders, panic disorder, obsessive-compulsive disorder (OCD), and PTSD. It is available as a generic and under the brand names Paxil, Paxil CR, and Pexeva. Brisdelle, a low-dose form of paroxetine, is used only to treat hot flashes during menopause, not mental health conditions.
Paroxetine belongs to a group of antidepressants called selective serotonin reuptake inhibitors (SSRIs). Some other medications from this class include citalopram, escitalopram, fluoxetine, fluvoxamine, and sertraline. Tablets come in 10 mg, 20 mg, 30 mg, and 40 mg strengths, and doses can range from 10 mg up to 50–60 mg a day, depending on the condition. A liquid form is available for patients who have difficulty swallowing pills.
Get a prescription refillParoxetine
Generic · Paxil, Paxil CR, PexevaUses of Paroxetine (Paxil)
Paroxetine is FDA-approved to treat:
- Major depressive disorder (MDD)
- Generalized anxiety disorder (GAD)
- Social anxiety disorder
- Panic disorder
- Obsessive-compulsive disorder (OCD)
- Post-traumatic stress disorder (PTSD)
- Premenstrual dysphoric disorder (PMDD), a severe form of PMS (Paxil CR)
- Hot flashes during menopause (Brisdelle only)
Certain phobias, irritable bowel syndrome, and premature ejaculation are examples of conditions for which paroxetine may be used off-label.
How does it work?
Paroxetine works by increasing the levels of serotonin in the brain. Mood, emotions, and anxiety are all modulated by serotonin, a neurotransmitter. Paroxetine helps maintain higher levels of serotonin by blocking its reuptake in the brain, which can improve mood and reduce anxiety and depression symptoms.
What are the different dosage forms of Paroxetine (Paxil)?
Paroxetine comes in various dosage forms:
- Tablets (Paxil and generic): 10 mg, 20 mg, 30 mg, and 40 mg
- Extended-release tablets (Paxil CR and generic): 12.5 mg, 25 mg, and 37.5 mg
- Tablets (Pexeva, paroxetine mesylate): 10 mg, 20 mg, 30 mg, and 40 mg
- Oral suspension (Paxil): 10 mg per 5 mL
- Capsules (Brisdelle): 7.5 mg, for menopausal hot flashes only
How to use Paroxetine (Paxil)?
Take Paroxetine exactly as your doctor prescribes, and never exceed the recommended dose. It’s usually taken once a day, in the morning, with or without food. The usual starting dose for depression is 20 mg a day; for panic disorder, it’s often 10 mg a day. Your condition will determine your dose, and your doctor may increase it slowly over several weeks. Swallow extended-release tablets whole; don’t crush, chew, or split them.
Because of the risk of withdrawal symptoms (such as dizziness, irritability, nausea, and “brain zaps”), Paroxetine should not be stopped or the dosage altered without first consulting a doctor. Your doctor will lower the dose slowly if you need to stop. You can obtain a virtual prescription for Paxil with expert guidance from our licensed doctors.
How much does a Paroxetine prescription cost?
1. Prescription cost
A Paroxetine prescription through Your Doctors Online starts from $20/month with our consultation plan. This covers your visit with a licensed doctor, new prescriptions or refills, dose adjustments, and follow-up messages during the month. You can cancel anytime.
2. Medication cost
- Without insurance: generic Paroxetine is low-cost. A 30-day supply costs about $10 for 20 mg tablets and about $12 for 10 mg tablets at the cash price, and discount cards may lower it further.
- With insurance: most plans cover generic Paroxetine, usually for a small copay. A 90-day supply may cost less per month.
- Other forms: the extended-release tablets (Paxil CR), the liquid, and brand-name Paxil cost more than generic tablets.
3. Total cost
For most people taking generic tablets, the total monthly cost is about $30–$32. That’s $20 for the prescription plus about $10–$12 for the medicine, and it can be lower with insurance or a discount card.
Side effects of Paroxetine (Paxil)
Some common side effects include:
- Nausea
- Drowsiness or tiredness
- Sweating
- Dry mouth
- Constipation or diarrhea
- Insomnia
- Dizziness
- Tremor
- Loss of appetite
- Weight gain
- Decreased sex drive, delayed ejaculation, or trouble reaching orgasm
Some rare but serious side effects include:
- Suicidal thoughts: Paroxetine has an FDA boxed warning for a higher risk of suicidal thoughts and behaviors in people aged 24 and younger, especially in the first few months or after a dose change
- Serotonin syndrome: agitation, confusion, fever, sweating, fast heartbeat, muscle stiffness or twitching
- Bleeding: easy bruising or unusual bleeding, especially with blood thinners or NSAIDs
- Low sodium: headache, confusion, weakness, unsteadiness (more common in older adults)
- Eye pain or vision changes: a sign of angle-closure glaucoma
- Mania: racing thoughts, very high energy, or little need for sleep
- Seizures
- Severe allergic reactions: rash, swelling, or difficulty breathing
Stop taking Paroxetine and get medical help right away if you notice any serious side effects. In an emergency, call 911 or call or text 988.
Precautions and Contraindications
- Anyone with a known allergy to Paroxetine or any of its ingredients should avoid taking it.
- Do not take Paroxetine if you’ve taken a monoamine oxidase inhibitor (MAOI), including linezolid or IV methylene blue, in the past 14 days. Wait 14 days after stopping Paroxetine before starting an MAOI.
- Do not take Paroxetine with thioridazine or pimozide.
- There may be interactions between your medications, so it’s important to tell your doctor about everything you are taking. Paroxetine interacts with tamoxifen (it can make tamoxifen less effective), blood thinners such as warfarin and clopidogrel, NSAIDs such as ibuprofen and naproxen, and other medicines that raise serotonin.
- Paroxetine is generally avoided during pregnancy, especially in the first trimester, because it has been linked to heart defects in babies. Tell your doctor if you’re pregnant or planning a pregnancy. Paroxetine is considered one of the safer antidepressants during breastfeeding, but talk to your doctor first.
- Suicidal behavior may be more likely in those taking Paroxetine, particularly in people aged 24 and younger. Particular attention is needed when starting or adjusting the dosage.
- You should exercise caution when taking Paroxetine if you have a history of seizures, bipolar disorder, bleeding disorders, glaucoma, or low sodium levels.
Get prescription from our healthcare providers
Dr. Asim Cheema is a board-certified Cardiology and Internal Medicine specialist with nearly 30+ years of clinical experience. He has been operating as an independent practitioner since 2001. He has worked at several leading healthcare institutions in Ontario, including Southlake Regional Health Centre in Newmarket and St. Michael’s Hospital in Toronto. He focuses on the diagnosis, management, and long-term care of complex cardiovascular and internal medicine conditions.
For more than eleven years, Dr. Marsha Dunkley has been committed to providing compassionate, comprehensive medical care to patients across Ontario, British Columbia, and Nova Scotia. Her clinical experience spans chronic conditions such as diabetes, hypertension, and high cholesterol and acute illnesses, including the common cold, seasonal allergies, influenza, and COVID-19.
Dr. Sohail Cheema is a seasoned pediatrician with 30+ years of experience. A 1987 graduate of Nishtar Medical College, he’s recognized for patient-centered care and clear communication. He's a member of the Royal College of Physicians (UK & Ireland) and certified in Ontario. He practices at Halton Healthcare – Georgetown and St. Michael’s Hospital in Toronto.
Dr. Mandy Leideman offers telehealth services and chronic care consultations to patients, whether insured or uninsured. With 30+ years of experience in general practice, she now focuses on long-term care and chronic disease prevention. Dr. Leideman is affiliated with several professional organizations, including the College of Physicians and Surgeons of Ontario, the Canadian College of Family Physicians, and the Canadian Medical Association.
Dr. Kieran Kettyls is a compassionate family physician who specializes in bariatric medicine, women’s health, and in-office procedures. Originally from Calgary, Alberta, he pursued his medical education and training internationally. He provides virtual care for patients across Alberta and British Columbia. He developed an AHS-covered weight loss program focusing on personalized care for obesity, metabolic, and hormonal health.
Dr. Richard Honaker is a board-certified physician with more than 40 years of experience in family and emergency medicine. He serves as Chief Medical Advisor at Your Doctors Online and is affiliated with Medical City Plano in Texas. Recognized multiple times by D Magazine and Texas Monthly, Dr. Honaker provides evidence-based care across a wide range of conditions including diabetes, hypertension, and injury care.
Dr. Monique Rainford is an OB/GYN expert and Assistant Clinical Professor at Yale School of Medicine. With 25+ years of experience, she’s led OB/GYN departments at Yale Health and Baltimore Medical System. Her clinical interests include pregnancy, menstrual health, chronic pelvic conditions, and lifestyle medicine. Dr. Rainford advocates for maternal health equity, especially in underserved communities.
Dr. Candice Fraser is an OB/GYN practitioner and founder of Trinity Medical Care. With over a decade of experience, she focuses on reproductive care, menstrual health, and menopause management. Along with medical training and residency, she also holds an MBA in healthcare management, blending business insight with clinical excellence.
FAQs about Paroxetine (Paxil)
What are some drug interactions of Paroxetine (Paxil)?
Some drug-drug interactions with Paroxetine (Paxil) include Alprazolam, Aripiprazole, Aspirin, Clonazepam, Gabapentin, Lamotrigine, Sertraline, Sumatriphtan, Tramadol, Warfarin, etc.
How long does Paxil take to work?
Typically, it can take 4 to 8 weeks for significant mood and behavior improvement. However, you may notice improved sleep, appetite, and energy as early as 1-2 weeks.
Should you take Paxil at night or in the morning?
Paxil is taken once daily. It is best to take it at night if it makes you drowsy. Otherwise, take one in the morning.
Is Paroxetine a controlled substance?
You can’t get a Paxil refill without a prescription. However, it is not a controlled substance. It is a prescription-only medication; hence, you will require a prescription from a licensed physician. You can get an online Paxil prescription by consulting an online doctor at Your Doctors Online.
What to expect when you start taking Paxil?
After starting the medication, you may initially experience dizziness, headaches, nausea, and confusion. It can take 1-2 weeks for improvement to occur for symptoms related to your condition.
What is the typical starting dose of Paroxetine?
Your doctor can start you on 10 or 20 mg once daily. The dosage may be adjusted according to your condition. The maximum dose for Paxil is 50mg to 60mg.
Who should not take Paxil?
If you are suffering from any of the following health conditions, it is best to inform your doctor of liver disease, Sexual Dysfunction, Suicidal thoughts, and Bipolar disorder.
What happens if I miss a dose of Paxil?
If you miss a dose of Prozac, it is best to take it as soon as you remember. Moreover, you should skip the dose if it’s time for your next scheduled dose.
What happens if I take too much Paxil?
Taking extra pills can result in an overdose and lead to side effects. Please report to a local hospital if that is the case.
How does paroxetine make you feel?
Paroxetine is an SSRI (selective serotonin reuptake inhibitor) used to treat mood and anxiety disorders. It may help improve mood, reduce feelings of sadness, and alleviate symptoms of anxiety. Some people may experience a sedative effect from it.
What to avoid when taking paroxetine?
Things to avoid when taking paroxetine include alcohol and grapefruit juice. Like with many medications, grapefruit and grapefruit juice should be consumed in moderation as they can interact with paroxetine.
Which is better, Zoloft or paroxetine?
Individual preference and the nature of treatment dictate which of the two antidepressants, Zoloft (sertraline) and paroxetine, should be used. Both are selective serotonin reuptake inhibitors (SSRIs) with a range of therapeutic effects for depression and anxiety. The effectiveness and side effects of medications can vary greatly. If you’re unsure which option is best for you, talk to your doctor.
Why is Paxil so good for anxiety?
The anti-anxiety drug Paxil (paroxetine) works by elevating serotonin levels in the brain. Serotonin imbalances may influence anxiety disorders. Paxil is effective for mood stabilization and anxiety relief because it raises serotonin levels.
What is the success rate of Paxil?
The effectiveness of Paxil (paroxetine) in treating a given condition varies from patient to patient and case to case. Many people find it helpful in alleviating their anxiety and depression symptoms. Finding the medication and dosage that works best for you may take some trial and error because your response to medication is highly individual.
How long can you go without Paxil?
Stopping Paxil suddenly is dangerous and should only be done under medical supervision. Withdrawal symptoms may occur if the medication is stopped suddenly. To lessen the severity of these withdrawal symptoms, your doctor will give you specific instructions on how to reduce the dosage of the medication gradually.
How long does it take for paroxetine to work for premature ejaculation?
The time Paroxetine takes to work can vary, but many people may experience an improvement in ejaculation control within a few weeks of starting treatment. It’s essential to follow your healthcare provider’s instructions regarding the use of paroxetine for premature ejaculation.
Does paroxetine cause weight gain?
Weight gain is a potential side effect of paroxetine, as it is with many SSRIs. People’s responses to Paroxetine, including whether or not they gain weight while taking it, can vary greatly
