Paroxetine 20mg

Generic For: Paxil

Paroxetine 20mg (brand name Paxil) is a selective serotonin reuptake inhibitor (SSRI) used to treat major depressive disorder, anxiety disorders, panic disorder, and other conditions. After a licensed provider reviews your prescription, your paroxetine order ships directly from a licensed U.S. pharmacy.

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  1. Select your medication
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  3. Our licensed U.S. pharmacists fill your prescription
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Buy Paroxetine 20mg Online

An SSRI antidepressant for depression, anxiety disorders, and panic disorder

Paroxetine 20mg Quick Facts

Drug classSelective serotonin reuptake inhibitor (SSRI)
TreatsDepression, anxiety disorders, panic disorder, OCD
FormTablet
Typical dosingTake 1 tablet by mouth daily.
Prescription requiredYes — prescription only

What Is Paroxetine 20mg?

Paroxetine is a prescription antidepressant in the SSRI class, sold under the brand name Paxil. It works by increasing the amount of serotonin available in the brain, which can help regulate mood and reduce anxiety. Paroxetine is FDA-approved for several conditions, including major depressive disorder, generalized anxiety disorder, panic disorder, and obsessive-compulsive disorder. It is taken as a once-daily tablet, and effects typically build over several weeks of consistent use.

What Does Paroxetine 20mg Treat?

Major depressive disorder (MDD)
Generalized anxiety disorder (GAD)
Panic disorder
Obsessive-compulsive disorder (OCD)
Social anxiety disorder
Post-traumatic stress disorder (PTSD)

Paroxetine 20mg Dosage

Depression/GAD/PTSD/social anxiety: 20 mg by mouth once daily, preferably in the morning.
Panic disorder: start 10 mg once daily; usual target 40 mg once daily.
OCD: start 20 mg once daily; usual target 40 mg once daily. Maximum per label varies by indication (50–60 mg/day).

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Paroxetine 20mg Side Effects

Common side effects

  • Nausea
  • Drowsiness or fatigue
  • Dry mouth
  • Sweating
  • Dizziness
  • Constipation
  • Decreased libido or other sexual side effects
  • Insomnia

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • New or worsening suicidal thoughts or behavior
  • Serotonin syndrome (agitation, fever, rapid heart rate, muscle rigidity)
  • Unusual bleeding or bruising
  • Severe allergic reaction (rash, swelling, trouble breathing)
  • Seizures
  • Low sodium levels (confusion, weakness, headache)

Warnings & Interactions

Boxed warning: increased risk of suicidal thoughts in children, adolescents, and young adults
Do not use with MAOIs or within 14 days of stopping an MAOI
Contraindicated with thioridazine and pimozide
May reduce effectiveness of tamoxifen
Risk of serotonin syndrome, especially with other serotonergic drugs
Do not stop abruptly — taper under medical supervision to avoid discontinuation symptoms
May cause fetal harm; discuss risks if pregnant or planning pregnancy

Tell your prescriber about all medications, supplements, and health conditions before starting paroxetine 20mg.

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Frequently Asked Questions

What is paroxetine used for?

Paroxetine is an SSRI antidepressant approved to treat major depressive disorder, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, social anxiety disorder, and PTSD. Your provider will determine whether it is appropriate for your condition.

Do I need a prescription for paroxetine?

Yes. Paroxetine is a prescription-only medication in the U.S. A valid prescription from a licensed healthcare provider is required, and our pharmacists verify every prescription before dispensing.

How does ordering and shipping work?

After you submit your prescription, a licensed provider or pharmacist reviews it for safety and accuracy. Once approved, your medication ships from our licensed U.S. pharmacy directly to your address.

How long does paroxetine take to work?

Some people notice improvement in sleep, energy, or appetite within the first 1–2 weeks, but full benefits for mood and anxiety often take 4–6 weeks. Continue taking it as prescribed even if you feel better.

Is paroxetine the same as Paxil?

Yes. Paroxetine is the generic name for the brand-name medication Paxil. Generic paroxetine contains the same active ingredient and is held to the same FDA standards.

Can I stop taking paroxetine suddenly?

No. Stopping paroxetine abruptly can cause discontinuation symptoms such as dizziness, irritability, and sleep problems. Always work with your provider to taper the dose gradually.

What are the most common side effects of paroxetine?

Common side effects include nausea, drowsiness, dry mouth, sweating, and sexual side effects. Many are mild and improve over time; contact your provider if side effects persist or worsen.