When determining your dose of Paxil, your healthcare provider will consider several factors, including your age and any other medical conditions you may have. In general, the recommended starting dosage is 20 mg once daily (usually in the morning). The maximum dosage is usually either 50 mg or 60 mg, depending on the condition being treated.
The dosage of Paxil® (paroxetine hydrochloride) your healthcare provider prescribes will vary, depending on a number of factors, including:
- Your age
- The medical condition for which you are being treated
- Other medical conditions you may have
- Other medications you may be taking.
As is always the case, do not adjust your dosage unless your healthcare provider specifically instructs you to do so.
In general, the recommended starting dosage is Paxil 20 mg once daily (usually in the morning). However, the starting dose for treating panic disorder and for elderly people or people with liver or kidney problems is lower: Paxil 10 mg once daily. Your healthcare provider may choose to increase the dosage if symptoms continue, or decrease the dose if Paxil side effects occur.
The maximum Paxil dosage is 50 mg (for depression, generalized anxiety disorder, or post-traumatic stress disorder) or 60 mg (for social anxiety disorder, panic disorder, or obsessive-compulsive disorder).
Some considerations for people taking Paxil include the following:
- It usually takes several weeks (perhaps even more than a month) before feeling the beneficial effects of Paxil. Try not to be discouraged if the medication does not work right away for you.
- Do not crush or chew the tablets. Make sure to swallow them whole.
- Make sure to shake the suspension (liquid) form of Paxil thoroughly before each dose.
- If Paxil makes you drowsy, try taking it before bedtime. If the medication causes insomnia, try taking it in the morning. Most people take their Paxil dosage in the morning.
- You can take the medication with or without food. If Paxil bothers your stomach, try taking it with food.
- Take Paxil at the same time each day. This will help maintain an even level in your blood.
- Abruptly stopping medications like Paxil can result in withdrawal symptoms (see Paxil Withdrawal for more information).
- For Paxil to work properly, you have to take it as prescribed. The medication will not work if you take it differently than how your healthcare provider prescribed it.
- If you are unsure about anything related to your dosage, please talk to your doctor, nurse, or pharmacist. Do not stop taking the drug without first discussing it with your healthcare provider.