Paxil or paroxetine hydrochloride is a selective serotonin reuptake inhibitor (SSRI). In addition to its use in the treatment of depression, it is also prescribed for a number of anxiety disorders such as panic attacks and phobias, as well as obsessive-compulsive disorder (OCD). This antidepressant formally approved for treating social anxiety disorder (SAD), lending to the somewhat inaccurate referral as an anti-shyness drug and post-traumatic stress disorder (PTSD).
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The generally accepted wisdom with all SSRIs is that if you don't feel any positive benefit after four to six weeks, then you should talk to your doctor about either another SSRI or trying a med that hits another neurotransmitter.
Your doctor should be recommending that you reduce your dosage by 12.5 mg every four days. You should probably make it five days because Paxil's discontinuation syndrome is so harsh. Four to five days is the fastest you can step down the dosage. Before starting to withdraw, it should be noted that many people will have no problems. Some will have minimal problems, which may peak after a few days before diminishing. Symptoms can remain for some weeks or months.
Commonly reported adverse reactions associated with Paxil overdose include nausea, tremor, tachycardia, confusion, vomiting, dizziness, somnolence, and coma. Patients taking either monoamine oxidase inhibitors (MAOIs) or thioridazine should not take Paxil, and it is contraindicated in patients with a hypersensitivity to paroxetine or any of the inactive ingredients found in Paxil. As well, paroxetine should not be used within 2 weeks of discontinuing MAOI treatment. MAOIs should not be taken until 2 weeks after stopping treatment with Paxil.