If you struggle with anxiety or depression, you have most likely heard of Prozac or Paxil. These two medications belong to a larger class of medications called selective serotonin reuptake inhibitors (SSRIs). SSRIs are the most commonly prescribed drugs used in the treatment of anxiety and depression. <\/p>\n\n\n\n
Although both medications are quite similar, there are important differences between Prozac vs. Paxil that should be considered when discussing treatment options with your healthcare provider. In this article, we provide a comparison guide of Prozac and Paxil, so you can be better informed on your treatment options and determine which medication is best for you.<\/p>\n\n\n\n
If you are struggling with anxiety or depression, an SSRI like Prozac or Paxil could relieve your symptoms. Klarity connects patients with licensed healthcare providers in their state for effective, convenient, and affordable online anxiety<\/a> and depression treatment<\/a>. To speak to a medical professional about alleviating your symptoms with a personalized treatment plan, schedule an appointment<\/a> on Klarity today. <\/p>\n\n\n\n This article discusses suicide, suicidal ideation, and self-harm. If you or someone you know is experiencing suicidal thoughts or is in crisis, contact the Suicide Prevention Lifeline immediately at 800-273-8255.<\/em><\/p>\n\n\n\n Prozac is one of the most commonly prescribed SSRI antidepressant medications and has been safely used to treat anxiety and depression for decades. Like other SSRIs, Prozac increases serotonin levels in the brain and helps to restore the neurochemical balance that is disrupted by anxiety or depression. <\/p>\n\n\n\n Prozac, also known as fluoxetine in its generic form, is available as an oral solution, capsule and tablet forms. The medication is typically started at a dose of 20 mg, which is then titrated up until an effective dose is found.<\/p>\n\n\n\n The oral solution is the least commonly prescribed formulary, and it is typically reserved for the pediatric population. It is available in one dosage form of 20 mg\/5 mL. <\/p>\n\n\n\n Capsules are available in 10, 20, and 40 mg formulations, as well as a generic 90 mg extended-release formulation. The tablets are available in 10, 20, and 60 mg dosage forms. <\/p>\n\n\n\n Prozac is one of the most effective SSRI medications for treating many different anxiety and depressive disorders. <\/p>\n\n\n\n Prozac is FDA-approved for: <\/p>\n\n\n\n When used in combination with Zyprexa, Prozac is useful in the treatment of: <\/p>\n\n\n\n Prozac is known to improve and stabilize mood, increase energy levels, and reduce feelings of helplessness and hopelessness, which are all common symptoms of depression. <\/p>\n\n\n\n In addition, Prozac helps treat symptoms of anxiety, such as decreasing feelings of nervousness, worry, and intrusive thoughts. <\/p>\n\n\n\n Like many medications, there are several \u201coff-label\u201d uses for Prozac. A certain medication may not be FDA-approved for a specific condition due to the large amount of funding and resources required to get FDA approval, as well as the time the medication has been on the market. In short, although a medication is not FDA-approved for a certain condition, this does not mean that the medication is not effective or safe. <\/p>\n\n\n\n Some off-label uses for Prozac include: <\/p>\n\n\n\n Prozac, in its name-brand or generic versions of the medication, is typically covered by most commercial health insurance plans. Without the use of insurance, a 30-day supply of name-brand medication can run up to $1000 per month. <\/p>\n\n\n\n This cost can be significantly reduced with the use of coupon codes and generic formularies, with an average cost of a 30-day supply averaging around $10 per month. <\/p>\n\n\n\n Prozac is associated with a number of mild side effects and a few rare yet serious adverse effects. It is important to keep these in mind when starting a new medication and to tell your healthcare provider if you begin to experience any of the following side effects. <\/p>\n\n\n\n Some of the most common side effects associated with Prozac include: <\/p>\n\n\n\n As with most SSRIs, there are a few rare side effects associated with Prozac that can be potentially fatal. Therefore, it is important to take Prozac as prescribed and under close supervision from your healthcare provider. Some serious side effects and warnings include: <\/p>\n\n\n\n Increased suicidal thoughts and behaviors:<\/strong> typically seen in adolescents and young adults under 24 years of age. If you begin to experience thoughts of self-harm, contact your healthcare provider immediately or seek urgent medical care at the nearest ER. The Suicide and Crisis Lifeline is available 24\/7 at 988. <\/p>\n\n\n\n Serotonin Syndrome:<\/strong> a serious and potentially life-threatening condition that occurs with increased levels of serotonin in the body. <\/p>\n\n\n\n Common signs and symptoms include: <\/p>\n\n\n\n Caution with use in the elderly population:<\/strong> can result in dangerous changes in blood pressure and electrolyte imbalances, increasing the risk for injury, such as falls <\/p>\n\n\n\n Withdrawal or discontinuation syndrome:<\/strong> typically seen when abruptly discontinuing Prozac or decreasing the dose of medication. It is important to discuss medication changes with your healthcare provider so that you can safely taper off the medication. <\/p>\n\n\n\n Common withdrawal symptoms include: <\/p>\n\n\n\n As with all SSRI medications, there are several medications that should be avoided while taking Prozac. It is important to discuss all medications that you are currently taking with your healthcare provider, including over-the-counter medications and supplements. <\/p>\n\n\n\n Some of the most common medications to avoid while taking Prozac include: <\/p>\n\n\n\n Like Prozac, Paxil is another SSRI medication commonly prescribed for the treatment of several depressive and anxiety conditions. As with other SSRI drugs, Paxil works by increasing the levels of serotonin in the brain to restore the neurochemical balance that is often disrupted in those with anxiety and depression. <\/p>\n\n\n\n Paxil is available in both name-brand and generic formulations, known as paroxetine. Similar to Prozac, Paxil is available in oral liquid suspension, tablets, and capsules. The typical dose is started at 10 mg per day and titrated up to the lowest effective dose on a weekly basis. The maximum dose of Paxil typically does not exceed 50 mg. <\/p>\n\n\n\n The oral solution is available in one concentration of 10 mg\/5mL and is mostly used in the pediatric population. <\/p>\n\n\n\n Tablets are available in both immediate and extended-release formulations: <\/p>\n\n\n\n The capsule formulary is available in one dosage of 7.5 mg. <\/p>\n\n\n\n Paxil is used to treat a number of different anxiety and depressive conditions. Some of the most common uses for Paxil include: <\/p>\n\n\n\n Paxil helps treat depressive symptoms by improving mood and allowing you to enjoy activities you may have lost interest in, as well as improve feelings of worthlessness, helplessness, and hopelessness. <\/p>\n\n\n\n Paxil can have an impact on physical symptoms, such as: <\/p>\n\n\n\n In addition, the medication can help reduce anxiety, intrusive thoughts, and feelings of panic or impending doom. <\/p>\n\n\n\n Paxil has a few off-label uses, such as: <\/p>\n\n\n\n Paxil is typically covered by most commercial health insurance plans. If you are uninsured, the use of generic medication and coupon codes significantly cuts the cost of a 30-day supply of medication between $4-$20. <\/p>\n\n\n\n As with any medication, Paxil is associated with the risk of developing side effects. It is important to note that everyone reacts differently to medication and if you develop any adverse effects while on Paxil, notify your healthcare provider immediately. <\/p>\n\n\n\n Some of the most common side effects associated with Paxil include: <\/p>\n\n\n\n Contact your healthcare provider if you begin to experience severe side effects, including:<\/p>\n\n\n\n Similar to Prozac, there are a number of more serious adverse reactions to the medication and, therefore, should be aware of before starting Paxil. If you begin to experience any serious side effects after starting Paxil, it is important to contact your healthcare provider immediately or seek medical attention. <\/p>\n\n\n\n As mentioned above with Prozac, some serious side effects include: <\/p>\n\n\n\n As mentioned prior, before starting any new medication, it is important to discuss all medications that you are currently taking with your healthcare provider, including over-the-counter medications and supplements. <\/p>\n\n\n\n Some of the most common medications to avoid while taking Paxil include: <\/p>\n\n\n\n Prozac and Paxil both belong to the SSRI class of medications, but have distinct characteristics that set them apart. Understanding the key differences between Paxil and Prozac can help individuals make informed decisions about which mental health medication is right for them.<\/p>\n\n\n\n While both medications are prescribed for depression, Prozac has a broader range of approved uses. It is commonly used to treat MDD, panic disorder, OCD, and PMDD. On the other hand, Paxil is approved for MDD, panic disorder, social anxiety disorder, GAD, PTSD, and OCD. <\/p>\n\n\n\n While Prozac and Paxil can both cause common side effects associated with SSRIs, Paxil is generally associated with a higher incidence of certain side effects. These may include drowsiness, weight gain, and more pronounced sexual dysfunction. However, it’s important to note that individual responses to medications can vary, and some individuals may have a different experience. <\/p>\n\n\n\n Another notable difference lies in the dosing schedule. Prozac has a longer half-life compared to Paxil, which means it stays in the body for a longer duration. This allows for a once-daily dosing regimen, which can be convenient for individuals who prefer simplicity and consistency. Conversely, Paxil typically requires twice-daily dosing. <\/p>\n\n\n\n Ultimately, consulting with a healthcare professional is crucial in determining the most appropriate medication for your specific condition and needs. They will take into account your individual circumstances to guide you toward the option that aligns best with your treatment goals.<\/p>\n\n\n\n Both Paxil and Prozac are effective in the treatment of major depression and anxiety disorders. When comparing the two medications, Prozac is more commonly prescribed than Paxil due to its lighter side effect profile. <\/p>\n\n\n\n As always, it is important to note that everyone reacts to medications differently. One medication that is highly effective with limited side effects for one person may not be right for another. For this reason, you should never attempt to self-medicate your symptoms, and should always consult with a medical professional to receive a prescription.<\/p>\n\n\n\n For people with anxiety or depression who are seeking a safe and reliable way to access medication, Klarity can help. We connect patients with licensed healthcare providers in their state for affordable and convenient online anxiety<\/a> and depression treatment<\/a>. Your provider will evaluate, diagnose, and determine if Paxil, Prozac, or another medication is right for you. <\/p>\n\n\n\n\n\n
\n\t \n<\/th> Paxil<\/th> Prozac<\/th>\n<\/tr>\n<\/thead>\n \n\t Drug Class<\/strong><\/td> Selective serotonin reuptake inhibitor (SSRI)<\/td> Selective serotonin reuptake inhibitor (SSRI)<\/td>\n<\/tr>\n \n\t Brand \/ Generic Status<\/strong><\/td> Brand name for paroxetine
\r\n
\r\n<\/td>Brand name fluoxetine<\/td>\n<\/tr>\n \n\t Form(s) of the Drug<\/strong><\/td> \u2022 Color-coded tablets
\r\n\u2022 Time-release tablets
\r\n\u2022 Orange-colored and flavored liquid suspension
\r\n<\/td>\u2022 Clear, peppermint-flavored liquid suspension
\n\u2022 Half-green, half-white capsules
\n<\/td>\n<\/tr>\n\n\t Standard Dosage<\/strong><\/td> Time-release tablets:
\r\n\u2022 37.5mg of paroxetine
\r\n
\r\nColor-coded tablets:
\r\n\u2022 Yellow: 10 mg
\r\n\u2022 Pink: 20 mg
\r\n\u2022 Blue: 30 mg
\r\n\u2022 Green: 40 mg
\r\n
\r\nLiquid suspension:
\r\n\u2022 5mg of suspension contains 10mg of paroxetine
\r\n
\r\n
\r\n<\/td>Liquid suspension:
\n\u2022 10mg per dose
\n
\nCapsules:
\n\u2022 10mg per dose
\n<\/td>\n<\/tr>\n\n\t Conditions Treated<\/strong><\/td> FDA-approved uses:
\r\n\u2022 Major depression
\r\n
\r\nOff-label uses:
\r\n\u2022 Anxiety
\r\n\u2022 Panic disorder
\r\n\u2022 Insomnia
\r\n<\/td>FDA-approved uses:
\n\u2022 Anxiety and stress
\n\u2022 Major depression
\n\u2022 Bulimia nervosa
\n\u2022 Premenstrual dysphoric disorder (PMDD)
\n\u2022 Obsessive-compulsive disorder (OCD)
\n\u2022 Panic disorder
\n\u2022 Postpartum depression
\n\u2022 Schizoaffective disorder
\n
\nOff-label uses:
\n\u2022 Anorexia nervosa
\n\u2022 Premature ejaculation
\n\u2022 Various anxiety disorders
\n<\/td>\n<\/tr>\n\n\t Cost<\/strong><\/td> Generic form (paroxetine):
\r\n\u2022 $4 to $25 for a 30-day supply
\r\n
\r\nBrand-name:
\r\n\u2022 $280 for a 30-day supply
\r\n<\/td>Generic form (fluoxetine):
\n\u2022 $3 to $4 for 30-days\u2019 worth of capsules*
\n\u2022 $12 for 30 days\u2019 worth of liquid suspension
\n
\n*May cost up to $100 for high dosages
\n
\nBrand-name:
\n\u2022 $460 to $1000 for 30 days\u2019 worth of capsules<\/td>\n<\/tr>\n\n\t Side-Effects<\/strong><\/td> Common side effects:
\r\n\u2022 Changes in vision
\r\n\u2022 Weakness, drowsiness, or dizziness
\r\n\u2022 Sweating or shaking
\r\n\u2022 Anxiety
\r\n\u2022 Insomnia
\r\n\u2022 Loss of appetite, nausea, and vomiting
\r\n\u2022 Diarrhea or constipation
\r\n\u2022 Dry mouth
\r\n\u2022 Infections
\r\n\u2022 Headaches
\r\n\u2022 Decreased sex drive or impotence
\r\n\u2022 Abnormal ejaculation or difficulty orgasming
\r\n
\r\nSerious side effects:
\r\n\u2022 Racing thoughts
\r\n\u2022 Decreased need for sleep
\r\n\u2022 Unusual risk-taking behaviors
\r\n\u2022 Extreme feelings of happiness or sadness
\r\n\u2022 Being more talkative than usual
\r\n\u2022 Blurred vision or tunnel vision
\r\n\u2022 Eye pain, swelling, or seeing halos around lights
\r\n\u2022 Bone pain, tenderness, swelling, or bruising
\r\n\u2022 Changes in weight or appetite
\r\n\u2022 Coughing up blood or bleeding from your nose, mouth, or rectum
\r\n\u2022 Unusual vaginal bleeding
\r\n\u2022 Stiff or rigid muscles
\r\n\u2022 High fever, sweating, tremors, or fainting
\r\n\u2022 Fast, uneven heartbeat
\r\n\u2022 Headaches
\r\n\u2022 Confusion or slurred speech
\r\n\u2022 Severe weakness, lost coordination, or feeling unsteady
\r\n
\r\n<\/td>Common side effects:
\n\u2022 Nausea
\n\u2022 Diarrhea or constipation
\n\u2022 Changes in appetite
\n\u2022 Headache and fatigue
\n\u2022 Increased sweating
\n\u2022 Trouble sleeping
\n\u2022 Impotence\/sexual dysfunction
\n
\nSerious side effects include:
\n\u2022 Fever
\n\u2022 High blood pressure
\n\u2022 Rigid muscles
\n\u2022 Seizures
\n\u2022 Kidney or respiratory failure
\n\u2022 Disorientation or delirium
\n\u2022 Serotonin syndrome
\n<\/td>\n<\/tr>\n\n\t Warnings For Use<\/strong><\/td> Contraindicated conditions:
\r\n\u2022 Bipolar disorder
\r\n\u2022 History of suicide attempts
\r\n\u2022 Liver or kidney problems
\r\n\u2022 Bleeding problems
\r\n\u2022 Low sodium in the blood
\r\n\u2022 Peptic ulcer disease
\r\n\u2022 Seizure disorders
\r\n\u2022 Thyroid disease
\r\n\u2022 Angle-closure type glaucoma
\r\n\u2022 Pregnancy or breastfeeding
\r\n
\r\nAdverse drug interactions:
\r\n\u2022 Thioridazine
\r\n\u2022 Clopidogrel
\r\n\u2022 NSAIDs
\r\n\u2022 Warfarin
\r\n\u2022 Aspirin
\r\n\u2022 Atomoxetine
\r\n\u2022 Phenothiazines
\r\n\u2022 Pimozide,
\r\n\u2022 Risperidone
\r\n\u2022 Tamoxifen
\r\n\u2022 Tetrabenazine
\r\n\u2022 Antiarrhythmic medications
\r\n\u2022 TCA antidepressants
\r\n\u2022 Antihistamines
\r\n\u2022 Sleep aids
\r\n\u2022 Muscle relaxants
\r\n\u2022 Opiate-based pain relievers or cough suppressants
\r\n\u2022 Water pills (may cause salt imbalance)
\r\n\u2022 MAOIs may cause a fatal reaction
\r\n\u2022 Alcohol
\r\n\u2022 Marijuana
\r\n
\r\n<\/td>Contraindicated conditions:
\n\u2022 Diabetes
\n\u2022 Liver disease
\n\u2022 Alcohol use disorder
\n\u2022 History of bipolar disorder
\n\u2022 History of suicide attempts
\n\u2022 Low blood sodium or dehydration
\n\u2022 Seizures
\n\u2022 Gastrointestinal ulcers
\n\u2022 Glaucoma
\n
\nDrug Interactions:
\n\u2022 Monoamine oxidase inhibitors (MAOIs)
\n\u2022 Nonsteroidal anti-inflammatory drugs (NSAIDs)
\n\u2022 Aspirin and other blood thinners
\n\u2022 Antihistamines
\n\u2022 Opioid pain relievers
\n\u2022 St. John\u2019s wort
\n\u2022 Cannabis and MDMA
\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\nWhat is Prozac?<\/h2>\n\n\n\n
Common doses and forms of Prozac<\/h3>\n\n\n\n
Conditions Prozac treats<\/h3>\n\n\n\n
\n
\n
Prozac can treat symptoms of Anxiety and Depression<\/h4>\n\n\n\n
Off-label uses for Prozac<\/h4>\n\n\n\n
\n
Prozac Costs<\/h3>\n\n\n\n
Prozac side effects<\/h3>\n\n\n\n
\n
Prozac warnings<\/h3>\n\n\n\n
\n
\n
Prozac drug interactions<\/h3>\n\n\n\n
\n
What is Paxil?<\/h2>\n\n\n\n
Common doses and forms of Paxil <\/h3>\n\n\n\n
\n
Conditions Paxil treats<\/h3>\n\n\n\n
\n
\n
Paxil can treat symptoms of Anxiety and Depression<\/h4>\n\n\n\n
\n
Off label uses for Paxil<\/h4>\n\n\n\n
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Paxil Costs<\/h3>\n\n\n\n
Paxil side effects<\/h3>\n\n\n\n
\n
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Paxil warnings<\/h3>\n\n\n\n
\n
Paxil drug interactions<\/h3>\n\n\n\n
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Key Differences Between Paxil vs. Prozac<\/h2>\n\n\n\n
Paxil or Prozac: Which One is Right for You?<\/h2>\n\n\n\n