Paxil vs. Celexa

Are Paxil and Celexa the Same Thing?

Paxil(paroxetinehydrochloride) andCelexa(citalopramhydrobromide) areselective serotonin reuptake inhibitor(SSRI)antidepressants使用to treat depression.

Paxil is also used to treat panic attacks,obsessive-compulsive disorder(OCD), anxiety disorders,post-traumatic stress disorder, and a severe form ofpremenstrual syndrome(premenstrual dysphoric disorder).

What Are Possible Side Effects of Paxil?

Common side effects of Paxil include:

What Are Possible Side Effects of Celexa?

Common side effects of Celexa include:

  • constipation,
  • nausea,
  • diarrhea,
  • upset stomach,
  • decreased sexual desire,
  • 阳痿,
  • difficulty having an orgasm,
  • dizziness,
  • drowsiness,
  • tiredness,
  • sleep problems (insomnia),
  • dry mouth,
  • increased sweating or urination,
  • weight changes, and cold symptoms such asstuffy nose,
  • sneezing,sore throat, or
  • cough.

What is Paxil?

Paxil (paroxetine hydrochloride) is a selectiveserotoninreuptakeinhibitor (SSRI)antidepressant使用to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorders, post-traumaticstressdisorder, and a severe form ofpremenstrualsyndrome (premenstrual dysphoric disorder).

What is Celexa?

这些是我处方dicine used to treat depression. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider. Celexa is also used to treat Major Depressive Disorder (MDD)

Talk to your healthcare provider if you do not think that your condition is getting better with Celexa treatment.

What Drugs Interact With Paxil?

Call your doctor immediately if you are experiencing suicidal thoughts.

Paxil may interact with cold orallergymedicines, sedatives, narcotics, sleeping pills, muscle relaxers, medicines for seizures or anxiety, other antidepressants, nonsteroidal anti-inflammatory drugs (NSAIDs), blood thinners,cimetidine, fentanyl, fosamprenavir, ritonavir, St. John's wort,tamoxifen,theophylline,tramadol, L-tryptophan, heart medications, medicines to treat psychiatric disorders, almotriptan, frovatriptan,sumatriptan, naratriptan, rizatriptan, orzolmitriptan. Tell your doctor all medications and supplements you use. Tell your doctor right away if you become pregnant while taking Paxil. Paxil may cause heart defects or serious lung problems in a newborn if you take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. Do not start or stop taking Paxil during pregnancy without your doctor's advice. Paxil passes into breast milk and may harm a nursing baby. Consult doctor before breastfeeding.Withdrawal symptomsmay occur if you suddenly stop taking Paxil.

What Drugs Interact With Celexa?

Do not take Celexa if you:

  • are allergic to citalopram hydrobromide orescitalopramoxalate or any of the ingredients in Celexa. See the end of this Medication Guide for a complete list of ingredients in Celexa.
  • take amonoamine oxidase inhibitor(MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including theantibioticlinezolid.
  • Do not take an MAOI within 2 weeks of stopping Celexa unless directed to do so by your physician.
  • Do not start Celexa if you stopped taking an MAOI in the last 2 weeks unless directed to do so by your physician.
  • People who take Celexa close in time to an MAOI may have serious or even life-threatening side effects. Get medical help right away if you have any of these symptoms:
    • high fever
    • uncontrolled muscle spasms
    • stiff muscles
    • rapid changes in heart rate or blood pressure
    • confusion
    • loss of consciousness (pass out)
    • take theantipsychoticmedicine pimozide (Orap®) because this can cause serious heart problems.
    • have a heart problem includingcongenitallong QT syndrome

Before starting Celexa, tell your healthcare provider if you are taking certain drugs such as:

  • Medicines for heart problems
  • Medicines that lower yourpotassiumor magnesium levels in your body
  • Cimetidine
  • Triptans used to treatmigraine headache
  • Medicines used to treat mood, anxiety, psychotic or thought disorders, including tricyclics,lithium, SSRIs, SNRIs, amphetamines, or antipsychotics
  • Tramadol
  • Over-the-counter supplements such as tryptophan or St. John's Wort

Before starting Celexa, tell your healthcare provider if you:

  • have liver problems
  • have kidney problems
  • have heart problems
  • have or had seizures or convulsions
  • havebipolar disorderormania
  • have low sodium levels in your blood
  • have a history of astroke
  • havehigh blood pressure
  • have or had bleeding problems
  • are pregnant or plan to become pregnant. It is not known if Celexa will harm your unborn baby. Talk to your healthcare provider about the benefits and risks of treating depression during pregnancy
  • are breast-feeding or plan to breastfeed. Some Celexa may pass into your breast milk. Talk to your healthcare provider about the best way to feed your baby while taking Celexa

告诉你的医疗服务提供者所有美第奇nes that you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Celexa and some medicines may interact with each other, may not work as well, or may cause serious side effects.

Your healthcare provider or pharmacist can tell you if it is safe to take Celexa with your other medicines. Do not start or stop any medicine while taking Celexa without talking to your healthcare provider first.

How Should Paxil Be Taken?

The recommended initial dose of Paxil depends on the condition being treated and ranges from 20 mg/day to 50 mg/day.

How Should Celexa Be Taken?

Take Celexa exactly as prescribed. Your healthcare provider may need to change the dose of Celexa until it is the right dose for you.

Celexa may be taken with or without food.

If you miss a dose of Celexa, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Celexa at the same time.

If you take too much Celexa, call your healthcare provider or poison control center right away, or get emergency treatment.

Disclaimer

All drug information provided on RxList.com is sourced directly from drug monographs published by the U.S. Food and Drug Administration (FDA).

Any drug information published on RxList.com regarding general drug information, drug side effects, drug usage, dosage, and more are sourced from the original drug documentation found in its FDA drug monograph.

Drug information found in the drug comparisons published on RxList.com is primarily sourced from the FDA drug information. The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs.

The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site.

As drug information can and will change at any time, RxList.com makes every effort to update its drug information. Due to the time-sensitive nature of drug information, RxList.com makes no guarantees that the information provided is the most current.

Any missing drug warnings or information does not in any way guarantee the safety, effectiveness, or the lack of adverse effects of any drug. The drug information provided is intended for reference only and should not be used as a substitute for medical advice.

If you have specific questions regarding a drug’s safety, side effects, usage, warnings, etc., you should contact your doctor or pharmacist, or refer to the individual drug monograph details found on the FDA.gov or RxList.com websites for more information.

You may also report negative side effects of prescription drugs to the FDA by visiting the FDA MedWatch website or calling 1-800-FDA-1088.

References
Medical Editor:John P. Cunha, DO, FACOEP

SOURCES:

食品及药物管理局。Paxil Product Information.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020031s067,020710s031.pdf

食品及药物管理局。这些产品信息。

https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020822s037,021046s015lbl.pdf

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