The most effective Paxil dose for each individual is contingent upon various factors including age, physical condition, the specific condition for which one is taking Paxil, overall physical condition, sex, mental health history, and other medications one may be taking.
What Is Paxil?
Paxil is a prescription medication used to treat depression, anxiety, panic attacks, post traumatic stress disorder (PTSD), and obsessive compulsive disorder (OCD).
It comes in immediate or extended release tablets which are typically taken in the morning with or without food.
For depression, a typical starting dose of the immediate release tablets is 20 mg once per day. A maintenance dose is typically 20 to 50 mg by mouth once daily.
For the extended release version, a common starting dose is 25 mg with the maintenance dose being 62.5 mg daily. The doctor may increase the dosage by 12.5 mg at weekly intervals.
For anxiety and panic attacks, the typical starting dose of the immediate release tabs is 20 mg with maintenance doses of up to 60 mg. The dose may be increased in 10 mg at intervals of at least one week. For extended release, the initial starting dose is 12.5 mg up to a max of 37.5 – 75 mg daily.
For Obsessive Compulsive Disorder (OCD), the initial dose is typically 20 mg by mouth daily. The maintenance dosage can go up to 40 mg daily. The doctor may increase the dose by 10 mg increments at weekly intervals.
For Post Traumatic Stress Disorder (PTSD) the initial dose is typically 20 mg taken orally once per day up.
A maintenance dose is typically 20 mg to 50 mg daily. Weekly increments can be made by 10 to 12.5 mg if the doctor and patient feel it is necessary.
Children, adolescents, and young adults (those between 18 to 24 years old) with major depressive disorder (MDD) and other psychiatric disorders may be at an increased risk of suicidal thinking and suicidality with antidepressant use, particularly during the first few months of treatment. As a result, younger patients must be monitored closely.
Also, there may health risks to developing fetuses when taking during pregnancy. See this article about Paxil during pregnancy.
In addition, never adjust your dose without first consulting with your doctor. There is a risk of overdose and Paxil withdrawal when using this medication.