Paxil vs Celexa: side-by-side comparison
Paxil (Paroxetine) and Celexa (Citalopram) both belong to the Antidepressiva class. They share clinical context but use different active ingredients. The choice between them depends on mechanism nuances, side-effect profile and individual response.
| Property | Paxil | Celexa |
|---|---|---|
| Active ingredient | Paroxetine | Citalopram |
| Manufacturer | GlaxoSmithKline | Forest Laboratories / AbbVie |
| Class | Antidepressiva | Antidepressiva |
| Strengths | 10mg, 20mg, 30mg, 40mg | 10mg, 20mg, 40mg |
| Forms | tablet | tablet |
What's the same
Paxil and Celexa both belong to the Antidepressiva class and are used for partially overlapping indications. The active ingredients — Paroxetine vs Citalopram — share the same therapeutic approach, so many safety and management points carry across both.
Key differences
Meaningful differences are in active ingredient (Paroxetine vs Citalopram), strengths (10mg, 20mg, 30mg, 40mg vs 10mg, 20mg, 40mg), forms (tablet vs tablet), and the mechanism, half-life and side-effect nuances that distinguish members of the class.
Mechanism and action
Paxil: Paroxetin hemmt selektiv den Serotonin-Wiederaufnahmetransporter (SERT) und erhöht so die synaptische Serotoninverfügbarkeit. Celexa: Citalopram hemmt selektiv den Serotonin-Reuptake-Transporter und erhöht damit die synaptische Serotoninverfügbarkeit, mit nur begrenzter Affinität zu Noradrenalin-Transportern oder anderen Rezeptoren.
When Paxil is preferred
Paxil ist je nach Region zur Behandlung der Major Depression, der generalisierten Angststörung, der sozialen Angststörung, der Panikstörung, der Zwangsstörung und der posttraumatischen Belastungsstörung zugelassen.
When Celexa is preferred
Celexa ist zugelassen zur Behandlung der Major Depression.
Häufig gestellte Fragen
Is Paxil or Celexa better? ▾
There is no single answer. Paxil and Celexa both belong to the Antidepressiva class but differ in mechanism nuances, half-life and side-effect profile. Preference depends on the patient, the prescriber and prior response to other therapies.
Can I switch from Paxil to Celexa? ▾
Switching within the Antidepressiva class is done under supervision, typically using equivalent doses and a follow-up period to confirm response and tolerance. It is not a self-directed decision.
Do Paxil and Celexa have the same side effects? ▾
They share many of the Antidepressiva class side effects, with differences from mechanism and dose. Each medication's prescribing information lists specifics.
More Paxil comparisons
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