Paxil Cr

Premature Ejaculation, Panic Disorder, Social Anxiety Disorder + 7 more

Treatment

3 FDA approvals

20 Active Studies for Paxil Cr

What is Paxil Cr

Paroxetine

The Generic name of this drug

Treatment Summary

Paroxetine, sold under the brand name Paxil, is a medication used to treat anxiety, depression, post-traumatic stress disorder, and symptoms of menopause. It is a type of selective serotonin reuptake inhibitor (SSRI), meaning it specifically affects serotonin levels in the brain. Paroxetine is usually well tolerated but can cause withdrawal symptoms when stopped. To reduce nausea, there is a controlled release formula of the drug available.

Paxil

is the brand name

image of different drug pills on a surface

Paxil Cr Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Paxil

Paroxetine

1993

429

Approved as Treatment by the FDA

Paroxetine, also known as Paxil, is approved by the FDA for 3 uses which include Vasomotor Symptoms Associated With Menopause and Hot Flashes .

Vasomotor Symptoms Associated With Menopause

Helps manage Vasomotor Symptoms Associated With Menopause

Hot Flashes

Helps manage Vasomotor Symptoms Associated With Menopause

Hot flashes

Helps manage Menopause

Effectiveness

How Paxil Cr Affects Patients

Paroxetine is used to treat depression, anxiety, post-traumatic stress disorder, obsessive-compulsive disorder, and menopause symptoms by preventing the reabsorption of serotonin. It usually takes about 6 weeks for the effects to be felt. Taking it with other drugs that affect serotonin levels, like MAO inhibitors, can cause dangerous side effects. It is important to wait 2 weeks after discontinuing any MAO inhibitor before taking paroxetine.

How Paxil Cr works in the body

Paroxetine helps regulate serotonin levels in the body. It does this by blocking the serotonin (SERT) receptor from taking serotonin away from the synapse. This raises serotonin levels, which can relieve symptoms. Paroxetine has been proven to be more effective at blocking serotonin reuptake than other drugs in its class. The exact way Paroxetine treats menopausal symptoms is still unknown, but it may be related to how it affects temperature regulation. Paroxetine also has a mild effect on certain receptors in the body, including adrenergic, dopamine, histamine, and serotonin receptors. Its delayed effects may be

When to interrupt dosage

The suggested dosage of Paxil Cr is contingent upon the recognized situation, like Post Traumatic Stress Disorder, Depression and Irritable Bowel Syndrome (IBS). The measure of dosage may differ, depending on the approach of delivery (e.g. Oral or Capsule - Oral) noted in the table beneath.

Condition

Dosage

Administration

Generalized Anxiety Disorder

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Irritable Bowel Syndrome

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Depression

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Hot Flashes

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Premature Ejaculation

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Panic Disorder

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Social Anxiety Disorder

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Obsessive-Compulsive Disorder

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Hot flashes

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Post Traumatic Stress Disorder

, 10.0 mg, 20.0 mg, 30.0 mg, 40.0 mg, 12.5 mg, 25.0 mg, 37.5 mg, 7.5 mg, 10.0 mg/mL, 2.0 mg/mL

, Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Tablet, extended release, Tablet, extended release - Oral, Suspension - Oral, Suspension, Capsule, Capsule - Oral

Warnings

Paxil Cr has five contraindications, and thus should not be engaged when one is faced with the conditions in the subsequent table.

Paxil Cr Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Serotonin Syndrome

Do Not Combine

Pulse Frequency

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Paroxetine may interact with Pulse Frequency

There are 20 known major drug interactions with Paxil Cr.

Common Paxil Cr Drug Interactions

Drug Name

Risk Level

Description

4-Methoxyamphetamine

Major

The metabolism of 4-Methoxyamphetamine can be decreased when combined with Paroxetine.

5-methoxy-N,N-dimethyltryptamine

Major

The metabolism of 5-methoxy-N,N-dimethyltryptamine can be decreased when combined with Paroxetine.

Acebutolol

Major

The metabolism of Acebutolol can be decreased when combined with Paroxetine.

Acetaminophen

Major

The metabolism of Acetaminophen can be decreased when combined with Paroxetine.

Aclidinium

Major

The risk or severity of adverse effects can be increased when Paroxetine is combined with Aclidinium.

Paxil Cr Toxicity & Overdose Risk

The most toxic dose of paroxetine for mice and rats is 350 mg/kg. The lowest reported fatal dose of paroxetine is 400 mg; the highest reported dose of paroxetine that someone has survived is 2000 mg. Symptoms of paroxetine overdose can include tiredness, fever, high blood pressure, fast heartbeat, nausea, vomiting, drowsiness, trembling, confusion, anxiety, headache, sweating, dilated pupils, seizures, tingling sensations, serotonin syndrome, muscle contraction, and changes in mental status. There is no known antidote for paroxetine overdose.

image of a doctor in a lab doing drug, clinical research

Paxil Cr Novel Uses: Which Conditions Have a Clinical Trial Featuring Paxil Cr?

539 active trials are currently being conducted to examine the utility of Paxil CR in Post Traumatic Stress Disorder, Premature Ejaculation and Menopausal symptoms.

Condition

Clinical Trials

Trial Phases

Social Anxiety Disorder

15 Actively Recruiting

Not Applicable

Depression

210 Actively Recruiting

Phase 3, Phase 2, Not Applicable, Phase 4, Phase 1, Early Phase 1

Obsessive-Compulsive Disorder

62 Actively Recruiting

Not Applicable, Phase 2, Phase 1, Phase 3, Early Phase 1

Generalized Anxiety Disorder

8 Actively Recruiting

Not Applicable, Phase 2, Phase 3

Post Traumatic Stress Disorder

234 Actively Recruiting

Early Phase 1, Not Applicable, Phase 3, Phase 2, Phase 4, Phase 1

Panic Disorder

12 Actively Recruiting

Not Applicable

Irritable Bowel Syndrome

4 Actively Recruiting

Not Applicable, Early Phase 1

Hot Flashes

5 Actively Recruiting

Phase 2, Not Applicable

Premature Ejaculation

0 Actively Recruiting

Hot flashes

21 Actively Recruiting

Not Applicable, Phase 2, Phase 4, Early Phase 1, Phase 3, Phase 1

Paxil Cr Reviews: What are patients saying about Paxil Cr?

5

Patient Review

11/13/2014

Paxil Cr for Major Depressive Disorder

Paxil has been a game-changer for me. I've suffered from depression since childhood, and this medication has helped alleviate many of the symptoms. I'm so grateful to have found something that helps me feel more like myself.

5

Patient Review

7/19/2015

Paxil Cr for Repeated Episodes of Anxiety

Paxil has been a life-saver for me. It's helped me manage my anxiety for 15 years without any negative side effects. I'm able to live a joyful and positive life thanks to this medication!

5

Patient Review

4/7/2015

Paxil Cr for Panic Disorder

Paxil has been a game-changer for me. I haven't had a panic attack in 20 years, and even just forgetting to take it on vacation for 3 days brought the attacks back.

5

Patient Review

9/23/2014

Paxil Cr for Panic Disorder

Paxil is an excellent drug for those suffering from OCD or panic disorder. I experienced very few side effects, and they were all manageable.

4.3

Patient Review

6/15/2016

Paxil Cr for Repeated Episodes of Anxiety

I come from a family with a history of anxiety, so my FNP put me on Paxil CR about 10 years ago. Over time, the dosage increased as needed. I was really struggling to function without the medication; however, it has helped me immensely and allowed me to enjoy life much more.

3.3

Patient Review

10/14/2018

Paxil Cr for Extreme Apprehension or Fear of Social Interaction

It took me an hour to ejaculate, but the results were worth it.

3

Patient Review

7/28/2016

Paxil Cr for Anxiousness associated with Depression

Though this medication helped me, I was still anxious. My doctor decided to switch me to Wellbutrin, but that turned out to be a mistake. I got very sick from it and had to withdraw from the Paxil. Be careful when changing medications!

3

Patient Review

9/6/2018

Paxil Cr for Extreme Apprehension or Fear of Social Interaction

I was convinced to take an SSRI in high school but Paxil had very little effect. The worst part was that it interfered with my sex life; I could barely ejaculate!

2.3

Patient Review

1/25/2015

Paxil Cr for Repeated Episodes of Anxiety

I've tried a lot of different antidepressants and, by far, Paxil was the worst experience. I constantly got migraines (even though I'd never had them before), slept for 16 hours a day, and couldn't focus or function when I was awake because of the headaches. There are so many better options out there than this one.

2

Patient Review

4/15/2014

Paxil Cr for Bipolar Depression

I found myself feeling really hyper one day, and then really down the next.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about paxil cr

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is Paxil CR used for?

"Paroxetine is a medication used to treat various forms of mental illness. These include depression, anxiety, panic attacks, and a severe form of premenstrual syndrome known as premenstrual dysphoric disorder. The drug works by correcting imbalances of the neurotransmitter serotonin in the brain."

Answered by AI

How long does it take for Paxil CR to work?

"In the first week or two, you may see some improvement in your sleep, energy levels, or appetite. This can be a good sign that the medication is working. However, it can take up to eight weeks for your mood and interest in activities to fully improve."

Answered by AI

Whats the difference between Paxil and Paxil CR?

"Paxil is a prescription medication that is used to treat depression, anxiety disorders, and other serious mental health problems. The medication is manufactured by GlaxoSmithKline and was the first medication to be approved for the treatment of social anxiety disorder (SAD). Paxil CR is the longer-acting, controlled-release version of the medication."

Answered by AI

What does the CR stand for in Paxil CR?

"Paxil and Paxil CR are indicated for the treatment of major depressive disorder, panic disorder and obsessive-compulsive disorder. Paxil was approved in May 1996."

Answered by AI

Clinical Trials for Paxil Cr

Image of Columbia University Irving Medical Center in New York, United States.

Mindfulness-Based Exposure Therapy for PTSD After Cardiac Arrest

18 - 81
All Sexes
New York, NY

The goal of this clinical trial is to learn if a new therapy called Acceptance- and Mindfulness-Based Exposure Therapy (AMBET) helps treat post-traumatic stress disorder (PTSD) in people who survived a cardiac arrest. This study will compare AMBET to another psychotherapy treatment called Present Centered Therapy (PCT) to see which therapy is more effective in treating PTSD. The main questions it aims to answer are: Does AMBET reduce PTSD symptoms in survivors of cardiac arrest? How do the benefits of AMBET compare to PCT? Participants will: * Be randomly assigned to receive either AMBET or PCT * Attend 12 hours of individual psychotherapy sessions over about 12 weeks * Complete short weekly surveys about their mood and behaviors online * Wear a Fitbit device to track sleep and activity during the study * Do brief homework assignments between sessions

Waitlist Available
Has No Placebo

Columbia University Irving Medical Center

Yuval Neria, PhD

Image of Centre for Addiction and Mental Health in Toronto, Canada.

Psilocybin-Assisted Therapy for Depression and Alcoholism

18 - 65
All Sexes
Toronto, Canada

The goal of this clinical trial is to determine the safety and efficacy of psilocybin assisted Therapy (PAT) in individuals with comorbid Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD). The main question it aims to answer is: \- What is the feasibility and safety of administering PAT in adults with MDD-AUD by evaluating recruitment, retention, tolerability, and safety? Researchers will compare the psilocybin (25 mg) and placebo groups to see if there are any significant differences in frequency of dropouts or serious adverse events. Participants will: * be randomized to receive either psilocybin (25 mg) or placebo * visit the site (in-person and remotely) for a total of 14 times to complete study tasks * receive psilocybin-assisted therapy (PAT) at five various timepoints

Phase 2
Waitlist Available

Centre for Addiction and Mental Health

Image of The University of Texas Health Science Center at Houston in Houston, United States.

Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder

7 - 14
All Sexes
Houston, TX

One of the most common and widely disseminated trauma treatments is Trauma Focused Cognitive Behavioral Therapy (TF-CBT). TF-CBT is a therapist-led, structured and sequential intervention, with treatment organized around P.R.A.C.T.I.C.E. (Psychoeducation, Parent training, Relaxation, Affective Regulation, Cognitive Coping, Trauma Narrative, In-Vivo Exposure, Cognitive Reprocessing, and Enhancing Safety) components. Stepped Care Cognitive Behavioral Therapy for Children after Trauma (SC-CBT-CT) is an alternative delivery system that incorporates the best available evidence on the treatment of childhood Post-traumatic Stress Disorder (PTSD) within a stepped care model and utilizes task-shifting with caregiver involvement, which engages caregivers in actively helping their children. Stepped care approaches are characterized by a personalized approach to care in which a lower intensity (i.e., fewer number of sessions) intervention is initially provided before the child is reevaluated or ''stepped up'' for additional care should symptoms persist. The goal of this study is to assess a personalized modification of SC-CBT-CT for Latino families (pSC-CBT-CT). The hypothesis is that personalizing SC-CBT-CT will improve outcomes for Latino children.

Waitlist Available
Has No Placebo

The University of Texas Health Science Center at Houston

Leslie K Taylor, PhD

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We made a collection of clinical trials featuring Paxil Cr, we think they might fit your search criteria.
Go to Trials

Have you considered Paxil Cr clinical trials?

We made a collection of clinical trials featuring Paxil Cr, we think they might fit your search criteria.
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Image of University of Pittsburgh in Pittsburgh, United States.

Pharmacogenomic-Guided Medication Management for Depression

18+
All Sexes
Pittsburgh, PA

The goal of this prospective, randomized clinical trial is to learn whether pharmacogenomic (PGx)-guided comprehensive medication management delivered by pharmacists in community pharmacies will improve antidepressant treatment outcomes. The primary aim is to determine whether comprehensive medication management with review of PGx testing results improves depression symptoms, compared with usual care. Participants 18 years of age or older who have undergone PGx testing (e.g. through an independent biobanking study (Pitt+Me Discovery) who require initiation or adjustment of antidepressant therapy will be randomly assigned to receive either PGx-guided comprehensive medication management or usual care. Those who receive usual care will receive their PGx results at the end of the study. Researchers will compare the groups to assess whether PGx-guided care provided in partnership with community pharmacists and prescribers results in better depression and medication outcomes.

Waitlist Available
Has No Placebo

University of Pittsburgh

Philip E Empey, PharmD, PhD

Image of Health Discovery Building in Austin, United States.

Lumateperone for Depression and Childhood Trauma

21 - 70
All Sexes
Austin, TX

The purpose of this clinical research study is to understand how effective and safe an investigational study drug called lumateperone is and whether it works to reduce the severity of depressive symptoms in adults with Major Depressive Disorder (MDD) and early life trauma. The main questions it aims to answer are: Aim 1: To assess the efficacy of lumateperone 42 mg administered once daily compared with placebo in the treatment of patients with Major Depressive Disorder and early life abuse. Aim 2: To assess neurocircuitry encoding of threat and reward learning as predictors of lumateperone response and as mechanisms of treatment action, and assess the change from pre-dose to post-dose of task-evoked brain activation.

Phase 4
Waitlist Available

Health Discovery Building

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