Paxil (paroxetine) [SSRI]

Description:
Paxil is one of the most commonly prescribed medications for Social Anxiety Disorder.  It is classified as a selective serotonin reuptake inhibitor (SSRI) and works in the body by regulating the amount of serotonin that is absorbed by the brain. Paxil was the first SSRI to be approved by the FDA and is usually tolerated well by the majority of patients. For these reasons, it is often the first choice when doctors treat patients with SAD.

SSRIs, like Paxil, are commonly used to treat a wide range of disorders, including depression and generalized anxiety. Serotonin absorption is thought to be directly linked with variations in feelings and mood swings. Many SAD patients using Paxil report positive results and relief from their social anxiety symptoms, while others find it to be of little help. Side effects are quite common with SSRIs in general, with the medications affecting sexual function and appetite in many patients. Headaches and nausea are also reported, though these normally subside after a short time.

More Info: http://en.wikipedia.org/wiki/Paroxetine

Askapatient.com Ratings:
http://www.askapatient.com/viewrating.asp?drug=20031

RevolutionHealth.com Ratings:
http://www.revolutionhealth.com/drugs-treatments/rating/paxil
12 Treatment Experiences:
Life changing
Shared by scottishguy100 on Nov 18th, 2008
44 out of 53 people found this treatment experience helpful:
Social Anxiety Background
I have had it for as long as I can remember its only in the last few months I have gone for help. I guess I was embarresed and ashamed, I now relise that I had nothing to be ashamed of. It was such a relief when I had a name put to what I had. I found it horrible at school when people used to ask me questions espically the teachers, I was frozen in terror and could not speak and the other kids just laughed and though I was stupid, this went on for most of my educational life. I also would avoid friends ond other situations such as telephone calls, I found this one very very hard. I finally new that I had to get help otherwise it would control my life. I was given these tablets and everything has since changed. I feel like a different person. I have being refered to a psychologist but that could take months, I am aware that meds are not a long term solution. I should point out one thing however, my doctore told me that I had very bad social anxiety I have not officaly been diagnosed, but I KNOW that this is what I have.
Other Treatments
Prior to paxil I was on inderal capsules, beta blockers, they helped dramatically with sweating and palpations. However, they only got rid of the symptoms not the actualy anxiety. After a few weeks they stopped working I don't know why. They started to work within a week and they were fantastic, they continuted to work for around another months and then they just stopped they did nothing, its weird I Know most doctors say meds take time to work, for me it was the opposite they kicked in asap but lost effect within a month or to.
Treatment Experience
I have been taking Paxil now for about 2 months 20mg a day and it has changed my life. I have experinced side effects howver such as loss of appetite and sexual dysfunction (this is common though).

My anxiety has improved dramatically and in turn so has my physical symptoms such as palpatations and sweating. I am finding it remarkably easier to communicate and be around others. I use to get anxious even thinking about social situations but now I am engaging in them. Life changing and for the first time in my life I am actually happy.
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Paxil was decent, but...
Shared by redlegion on Oct 21st, 2008
17 out of 28 people found this treatment experience helpful:
Treatment Experience

I have to say, I spent two years on a steadily increasing dose of Paxil. For the entire length of time that I took it, I noticed significant improvements in my ability to tolerate social situations. Even conflicts. It was really an amazing thing.

 I stopped taking Paxil entirely, though. Sure, it's cheap. But the sexual side-effects are absolutely unacceptable. I give it five stars for efficacy, but only two for practicality.

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Paxil Sucks
Shared by UltraShy on Jan 7th, 2009
16 out of 28 people found this treatment experience helpful:
Social Anxiety Background
I'm the poster boy for SA. Can't work, hate my miserable life. Drink when I really need to calm myself as none of these meds truly works.
Other Treatments
Have tried: Zoloft, Prozac, Serzone, Effexor, imipramine, Zyprexa, Abilify, Buspar, Neurontin, tramadol, Valium, Xanax, Klonopin, Ativan Have been on large doses of Xanax for years & currently on day 22 of Wellburtrin which has yet to do anything.
Treatment Experience
This was the first drug I ever tried for SA (other than a few Valium tablets). I tried it way back in the summer of 2000.

If you're looking for a drug to cure premature ejaculation, you're going to love this pill. Just be sure not to use too much otherwise you'll never ejaculate at all.

That blatantly obvious side effect is the only way I could differentiate Paxil from a sugar pill. Even at 60 mg it did nothing to help in any way.
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Nothing Special
Shared by crossfadex on Nov 13th, 2008
12 out of 21 people found this treatment experience helpful:
Social Anxiety Background
I've had Social Anxiety all my life. It is a genetic thing in my family. I've tried some other ssris before but none really helped so far.
Treatment Experience
I am on 40 mg.It makes me very drowsy most of the time- usually I take afternoon naps. Also, its known for having guaranteed sexual side effects. For me, I have difficulty achieving orgasm. I HAVE gotten very little positive effect though..It makes my mind a little less blank in social situations.

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Didn't help at all.
Shared by Catlover4100 on May 1st, 2009
8 out of 14 people found this treatment experience helpful:
Social Anxiety Background
Diagnosed with General Anxiety Disorder and Major Depressive Disorder at age 8. Diagnosed with Social Anxiety 2 years ago. MDD is treatment-resistant.
Other Treatments
Zoloft, Wellbutrin, Buspar, Celexa, Xanax (current), amytriptyline (sp?), Visitril, Ambien (current), Rozerem, Lexapro, Mirtazipine, and a few others I can't even remember.
Treatment Experience
My doctor put me on Paxil after stopping Lexapro. I had (have) been experiencing a major bout of depression and more crippling than usual social anxiety. I stayed on a 25 mg dose for 6 weeks, and after no improvement, it was increased to 37.5 mg. I guess if I had to choose between Paxil and Lexapro, I would go with the Paxil, but it wasn't really any noticable improvement. As of yesterday, my doctor took me off the Paxil (which I was taking in combination with Wellbutrin, Ambien, and Xanax) and started me on Effexor (with Xanax and Ambien).
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good for SP
Shared by stealyourface722 on Jan 2nd, 2009
13 out of 23 people found this treatment experience helpful:
Treatment Experience
but it causes weight gain and makes it so I cant have sex at all really... Plus I was just so tired all time..(could be just me)
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No differnce on paxil
Shared by livingnsilence on Oct 20th, 2008
12 out of 22 people found this treatment experience helpful:
Social Anxiety Background

Social anxiety runs in my family and I've had it since middle school and it worsens every year. My SA doesn't respond to exposure therapy or genral therapy, so it's more than likely genetic.

Treatment Experience

I was on 20mg for only a month. It didn't affect my anxiety or dysthymia at all. The only side effect I had was the first week I was on it I couldn't get more than 2 hours of sleep a night and once I started to sleep beter I didn't have dreams for another week.

I will also add that I tend to be really resistant to a lot of different meds and require a much higher dose so this just may have been way to low of a dose to work.

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Paxil (paroxetine)
Shared by Foh_Teej on Oct 30th, 2008
13 out of 24 people found this treatment experience helpful:
Treatment Experience

Caused ED and delayed orgasm/anorgasmia. Felt apethetic and lethargic most of the time.  Mediocre at best on anxiety but the side effects just make it not worth the trouble.  Experienced brain shocks while using Paxil...they suck tremendously.  No amount of anxiety relief is worth brain shocks.

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Ok, but just the beginning
Shared by silvergyrl on Nov 6th, 2008
13 out of 24 people found this treatment experience helpful:
Treatment Experience

This is the first drug that I've tried, and it is still the beginning of my journey.  I started taking Paxil 4 months ago.

It helped with minor SA problems, but I was only on a 10mg dose.  I have had nausea, blurry vision and sexual side effects.

My doctor told me to increase the dose to 20mg to help with my more major SA problems, but the first night I took it, it kept me awake all night. The next day I experienced intense nausea and a kind of out of body feeling or a "high". Not pleasant at all, so now I still take 10mg until I can figure out something else to try.

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It helps....
Shared by MissMay1977 on Nov 23rd, 2008
21 out of 39 people found this treatment experience helpful:
Treatment Experience
I have only been on Paxil about 5 weeks now. I started at 20mg and I am now taking 40mg. I have noticed that it helps with my mind not going blank and I am not as anxious as I was before in social situations. I am hoping with the increased dosage, I will continue to see improvement with myself. I did have brain shocks the first few days I was on it but they went away. Also, Paxil keeps me alert and I do not get drowsy from it.
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Recommended Book

The Shyness and Social Anxiety Workbook: Proven, Step-by-Step Techniques for Overcoming Your Fear

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The individual experiences about treatment for social anxiety disorder (social phobia) are not a substitute for medical advice.

You should always consult a qualified health care professional before beginning, changing or stopping a treatment.

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