Pexeva

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

Treatment

3 FDA approvals

20 Active Studies for Pexeva

What is Pexeva

Paroxetine

The Generic name of this drug

Treatment Summary

Paroxetine, also known as Paxil, is an antidepressant drug used to treat a variety of conditions, including anxiety disorders, depression, post-traumatic stress disorder, and menopausal symptoms. It is part of the class of drugs known as selective serotonin reuptake inhibitors (SSRIs) and works by blocking the absorption of serotonin. Paroxetine is generally well-tolerated but can cause withdrawal effects if stopped abruptly. There is also a controlled release version of paroxetine that is designed to reduce the risk of nausea.

Paxil

is the brand name

image of different drug pills on a surface

Pexeva 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 Pexeva Affects Patients

Paroxetine is a drug used to treat depression, anxiety, post-traumatic stress disorder, obsessive-compulsive disorder, and the hot flashes of menopause. It works by blocking the reuptake of serotonin. The effects of paroxetine are usually seen within 6 weeks. It is not recommended to take paroxetine with certain other medications called monoamine oxidase inhibitors (MAOIs) because it can cause a serious reaction called serotonin syndrome. If you do take MAOIs, it is important to wait 2 weeks before taking paroxetine.

How Pexeva works in the body

Paroxetine works by blocking the reuptake of serotonin into the brain, allowing more serotonin to remain in the gaps between neurons. This boosts serotonin levels in the brain, which helps relieve various symptoms. Paroxetine is more effective at blocking serotonin reuptake than other drugs in its class. We don't know exactly how it works to relieve menopausal symptoms, but it may have something to do with how it affects body temperature. Paroxetine also has a very small effect on other types of receptors in the brain, such as adrenergic and dopamine receptors, as well as serotonin receptors. This drug also has an

When to interrupt dosage

The amount of Pexeva is dependent on the diagnosed condition, such as Post Traumatic Stress Disorder, Depression and Irritable Bowel Syndrome (IBS). The dosage also shifts according to the mode of administration (e.g. Oral or Capsule - Oral) shown 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - 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, Capsule, Capsule - Oral, Suspension, Suspension - Oral

Warnings

Pexeva has five contraindications and should not be taken when encountering conditions in the following table.

Pexeva 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 Pexeva.

Common Pexeva 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.

Pexeva Toxicity & Overdose Risk

The most toxic dose of paroxetine in mice and rats is 350 mg/kg. The smallest overdose of paroxetine that has ever been fatal is 400 mg. The highest reported paroxetine overdose from which a person has survived is 2,000 mg. Common side effects in an overdose include feeling tired, fever, high blood pressure, fast heartbeat, nausea, vomiting, drowsiness, shaking, dizziness, restlessness, anxiety, headache, sweating, dilated pupils, shaking or twitching muscles, and changes in mental state. There is no specific treatment for a paroxetine overdose.

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

Pexeva Novel Uses: Which Conditions Have a Clinical Trial Featuring Pexeva?

There are 539 active studies assessing the potential of Pexeva in providing relief from Post Traumatic Stress Disorder, Premature Ejaculation and Menopause symptoms.

Condition

Clinical Trials

Trial Phases

Social Anxiety Disorder

13 Actively Recruiting

Not Applicable

Depression

204 Actively Recruiting

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

Obsessive-Compulsive Disorder

61 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

225 Actively Recruiting

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

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

Pexeva Reviews: What are patients saying about Pexeva?

5

Patient Review

1/28/2011

Pexeva for Repeated Episodes of Anxiety

I'm on a low dose of this medication, but it seems to be working well for me. I haven't experienced any negative side effects and my doctor also has me taking buspar twice daily to help with that.

5

Patient Review

4/11/2011

Pexeva for Repeated Episodes of Anxiety

Pexeva has helped me so much that I cannot imagine living without it. It's improved my quality of life to such a degree that I will take it for the rest of my days.

5

Patient Review

2/22/2011

Pexeva for Repeated Episodes of Anxiety

I found that taking just a quarter of the pill was perfect for me. I didn't feel drowsy or have any negative emotions. However, twice I forgot to take the pill and felt very bad as a result.

5

Patient Review

6/9/2011

Pexeva for Major Depressive Disorder

Pexeva has been the most effective drug I've taken for my various mental disorders. It doesn't completely cure me, but it makes living with them much more tolerable. I haven't had any negative side effects from this medication, which is in contrast to other drugs I've tried for these conditions.

5

Patient Review

4/12/2014

Pexeva for Panic Disorder

This drug has been effective for me and I am very pleased with the results.

4.7

Patient Review

10/7/2010

Pexeva for Repeated Episodes of Anxiety

I've been on this medication for over a year and it's always helped me feel more calm. Recently, the effects started to wear off so my doctor upped the dose slightly. I immediately felt more energetic and like I was able to remember things better. The only downside is that I now have a slight numbness in my left index finger; however, I couldn't find anything about that in the list of potential side effects.

4.7

Patient Review

7/20/2014

Pexeva for Repeated Episodes of Anxiety

I had some serious anger issues before taking this drug. I'm happy to say that it's been incredibly effective in helping me regulate my emotions and get back to being the person I used to be.

4.3

Patient Review

4/16/2013

Pexeva for Repeated Episodes of Anxiety

I find that taking less than the recommended dosage suits me better, as too much of the medication makes me drowsy. I also noticed that when I miss a day or two due to travel, I get headaches. Additionally, I've become more emotional since starting this treatment and am now afraid to stop taking it.

4

Patient Review

8/1/2010

Pexeva for Repeated Episodes of Anxiety

So far, so good. I am carefully weaning myself off of Cymbalta and onto Pexeva. I've only been taking it for a few days now, but I'm feeling pretty good. I'll report back here weekly to update my progress.

3.7

Patient Review

12/13/2010

Pexeva for Major Depressive Disorder

This drug helped to control my mood and anxiety; however, I felt incredibly tired and just wanted to sleep all the time.

2.3

Patient Review

9/16/2011

Pexeva for Extreme Apprehension or Fear of Social Interaction

I've been on this medication for a week and it has made me feel very emotionless. I also get nauseous, have headaches, and experience dry mouth when the pill starts to wear off (after about 8 hours). Additionally, I've developed a rash that looks like a bad sunburn.

1.7

Patient Review

8/19/2010

Pexeva for Repeated Episodes of Anxiety

This medication did nothing to help my anxiety. In fact, it made things worse. I couldn't sleep, and I had irregular bowel movements for 6 weeks. It also made me sweat, which is not normal for me. On a scale of 1 to 10, with 10 being the best, I would rate Pexeva at -0. And my doctor wanted me to stay on it for another month! No thanks.

1

Patient Review

8/26/2010

Pexeva for "Change of Life" Signs

I am currently enrolled in a study testing this medication for its efficacy in treating hot flashes. I've been dealing with night sweats and hot flashes for over ten years now, and they're really starting to interfere with my sleep. If anyone else is taking this drug for the same reason, please let me know how it's working for you.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about pexeva

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

What is the difference between Paxil and pexeva?

"Pexeva is used to treat generalize anxiety disorder (GAD), major depressive disorder (MDD), obsessive compulsive disorder (OCD), and panic disorder (PD). Paxil is also used for the same conditions, with the addition of post-traumatic stress disorder (PTSD) and social anxiety disorder."

Answered by AI

What is pexeva used for?

"Paroxetine is a drug used to treat various mental disorders by restoring the balance of serotonin in the brain. Paroxetine is classified as a selective serotonin reuptake inhibitor (SSRI) drug."

Answered by AI

How long does it take pexeva to work?

"It typically takes four to six weeks for paroxetine to take full effect. If you have been prescribed paroxetine to treat depression or anxiety, you may notice some improvements in your energy, appetite, and sleep patterns within the first two weeks of use."

Answered by AI

Does pexeva cause weight gain?

"and fluoxetine (Prozac, Sarafem).

The SSRIs that are most commonly prescribed for depression can cause weight gain if they are used for a long period of time. These SSRIs are paroxetine and fluoxetine."

Answered by AI

Clinical Trials for Pexeva

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

Have you considered Pexeva clinical trials?

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

Have you considered Pexeva clinical trials?

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

Have you considered Pexeva clinical trials?

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