How long before Paxil works for anxiety?
Emma Payne
Published Jan 07, 2026
It usually takes four to six weeks for Paxil to start having positive effects.
Does Paxil work right away for anxiety?
Side Effects
Paxil will not work immediately to help reduce your symptoms of panic disorder. Improvements are typically noticed within several days to weeks of starting your prescription, but it can be several months before you experience the full benefits of Paxil.
How do you know if Paxil is working?
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
How does Paxil make you feel at first?
Most common side effects related to Paxil, such as nausea, headache, and dizziness, tend to go away within two to four weeks as the body adjusts to the medicine. Some adverse effects, such as sexual problems, may persist.
Can paroxetine make you feel worse before better?
When you start an antidepressant medicine, you may feel worse before you feel better. This is because the side effects often happen before your symptoms improve. Remember: Over time, many of the side effects of the medicine go down and the benefits increase.
40 related questions foundWhat is better than Paxil for anxiety?
Lexapro offers similar efficacy to Paxil with a better tolerability profile. Another class of drugs may also be preferable in the treatment of generalized anxiety disorder, selective norepinephrine inhibitors (SNRIs). These include Effexor XR (venlafaxine) and Cymbalta (duloxetine).
Is Paxil good for anxiety and panic attacks?
Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks.
Why do SSRIs increase anxiety at first?
Abnormally low levels of serotonin have been linked to depression. SSRIs are thought to improve mood by boosting serotonin activity in the brain. But serotonin is not always a bed of roses. In the early days of treatment, it can increase levels of fear and anxiety and even suicidal thinking in some younger people.
What is better Zoloft or Paxil?
Is Paxil or Zoloft more effective? In a randomized, double-blind study comparing the two drugs for the treatment of panic disorder, Paxil and Zoloft were found to be equally effective; however, Zoloft was slightly better tolerated, and patients did better when discontinuing the drug.
What is the drug of choice for anxiety?
The most prominent of anti-anxiety drugs for the purpose of immediate relief are those known as benzodiazepines; among them are alprazolam (Xanax), clonazepam (Klonopin), chlordiazepoxide (Librium), diazepam (Valium), and lorazepam (Ativan).
Which is the best SSRI for anxiety?
Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed to treat social anxiety disorder. The only SSRIs that are currently FDA-approved for this condition are sertraline (Zoloft) and immediate- and extended-release paroxetine (Paxil, Paxil CR).
What is the safest SSRI for anxiety?
Sertraline (Zoloft) has a more favorable safety profile compared to paroxetine. Sertraline is the safest SSRI for people with a history of heart problems. Sertraline is also considered safe in pregnancy, breastfeeding, and is approved for use in teens as well as adults.
Is Paxil the strongest SSRI?
Paroxetine is the most potent inhibitor of the reuptake of serotonin among the available SSRIs. It has approved indications for the treatment of major depression, obsessive-compulsive disorder, panic disorder, generalized anxiety disorder, post-traumatic stress disorder and social phobia in adults.
Is Paxil for depression or anxiety?
Paxil (paroxetine hydrochloride) is a selective serotonin reuptake inhibitor (SSRI) antidepressant used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorders, post-traumatic stress disorder, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder).
Is Paxil worth taking?
Paxil has an average rating of 6.5 out of 10 from a total of 95 ratings for the treatment of Anxiety and Stress. 58% of reviewers reported a positive effect, while 26% reported a negative effect.
Can anxiety medicine make anxiety worse?
More than 100 million people worldwide take selective serotonin reuptake inhibitors (SSRIs), such as Prozac and Zoloft, to treat depression, anxiety and related conditions, but these drugs have a common and mysterious side effect: they can worsen anxiety in the first few weeks of use, which leads many patients to stop ...
Why isn't my anxiety medication working?
If you feel like your antidepressant has stopped working, you're not alone. It's common for a medication that once worked wonders to become ineffective, especially if you've been taking it for a long time. Symptoms return for up to 33% of people using antidepressants — it's called breakthrough depression.
Is it normal for antidepressants to increase anxiety?
Although they're often used to treat anxiety, antidepressants can potentially cause anxiety, especially when people begin taking them for depression. 1 Using various strategies, it is possible to get a better handle on these anxiety symptoms.
Is it better to take Paxil in the morning or at night?
Take this medicine orally, with or without food, once daily in the morning, as instructed by your doctor. It's possible that taking this drug with food will help you feel better. Speak to your doctor about taking this drug in the evening if it makes you tired throughout the day.
Is Paxil stronger than Lexapro?
An analysis of over 12 different types of antidepressants revealed that Lexapro was much more effective than Paxil at treating major depressive disorder. In another study detailing the efficacy of medications for generalized anxiety disorder, it was also found that Lexapro was both effective and well-tolerated.
What is the #1 antidepressant?
Zoloft is the most commonly prescribed antidepressant; nearly 17% of those surveyed in the 2017 antidepressant use study reported that they had taken this medication.
Why is Paxil rarely prescribed?
Paxil is rarely prescribed now, because of concerns about side effects and withdrawal, says Tang, but other SSRIs (such as Prozac and Zoloft) are likely to have the same effect on personality. The notion that antidepressant drugs -- and SSRIs in particular -- can cause personality changes is not new.
What is the 3 3 3 rule for anxiety?
Follow the 3-3-3 rule.
Look around you and name three things you see. Then, name three sounds you hear. Finally, move three parts of your body — your ankle, fingers, or arm.
What is the mildest anxiety med?
Buspirone, also known by the brand name BuSpar, is a newer anti-anxiety drug that acts as a mild tranquilizer. Buspirone relieves anxiety by increasing serotonin in the brain—as the SSRIs do—and decreasing dopamine. Compared to benzodiazepines, buspirone is slow acting—taking about two weeks to start working.
Is Prozac or Paxil better for anxiety?
Is Paxil vs. Prozac better? Paxil and Prozac are both effective SSRI medications. Paxil may be preferred for its approved uses for anxiety disorders and less stimulating side effects.