In general, the recommended starting dose of paroxetine is 20 mg daily. Elderly people and those with kidney or liver problems may be started on a lower dose of the medication. Paroxetine dosing for people with panic disorder usually starts at 10 mg daily. The maximum paroxetine dosage is usually 50 mg or 60 mg, depending on the condition being treated.
This article refers to the original, immediate-release paroxetine products (Paxil). Paroxetine is also the active ingredient in a few other products. For information about these other paroxetine products, please see:
Paroxetine Dosing: An Introduction
The dose of paroxetine hydrochloride (Paxil®) 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 paroxetine dose unless your healthcare provider specifically instructs you to do so.
In general, the recommended starting paroxetine dose is paroxetine 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: paroxetine 10 mg once daily. Your healthcare provider may choose to increase the paroxetine dosage if symptoms continue, or decrease the dose if side effects occur.
The maximum paroxetine dose 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).