Paxil vs. Celexa

Are Paxil and Celexa the Same Thing?

Paxil (paroxetine hydrochloride) and Celexa (citalopram hydrobromide) are selective serotonin reuptake inhibitor (SSRI) antidepressants used 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 of premenstrual 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:

What is Paxil?

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).

What is Celexa?

Celexa is a prescription medicine 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.

SLIDESHOW

Learn to Spot Depression: Symptoms, Warning Signs, Medication See Slideshow

What Drugs Interact With Paxil?

Call your doctor immediately if you are experiencing suicidal thoughts.

Paxil may interact with cold or allergy medicines, 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, or zolmitriptan. 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 symptoms may occur if you suddenly stop taking Paxil.

What Drugs Interact With Celexa?

Do not take Celexa if you:

  • are allergic to citalopram hydrobromide or escitalopram oxalate or any of the ingredients in Celexa. See the end of this Medication Guide for a complete list of ingredients in Celexa.
  • take a monoamine oxidase inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including the antibiotic linezolid.
  • 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:

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

  • Medicines for heart problems
  • Medicines that lower your potassium or magnesium levels in your body
  • Cimetidine
  • Triptans used to treat migraine 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
  • have bipolar disorder or mania
  • have low sodium levels in your blood
  • have a history of a stroke
  • have high 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

Tell your healthcare provider about all the medicines 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.

QUESTION

Depression is a(n) __________ . See Answer
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References
Medical Editor: John P. Cunha, DO, FACOEP

SOURCES:

FDA. Paxil Product Information.

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

FDA. Celexa Product Information.

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

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