Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Paroxetine (Paxil) and citalopram (Celexa) are both selective serotonin reuptake inhibitors (SSRIs) used to treat depression, but they have some differences. Paroxetine is available in both immediate-release and extended-release forms. It can treat a wider range of conditions, including anxiety disorders, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD). Citalopram is primarily used for depression and is considered a first-choice option for this condition. Paroxetine is more likely to cause weight gain and sexual side effects compared to citalopram, which has a lower risk for weight gain. Both medications can cause withdrawal symptoms if stopped suddenly and can interact with other medications, especially those affecting serotonin levels. Additionally, both can cause serious side effects like serotonin syndrome and a serious heart rhythm problem called QT prolongation.
Paroxetine (Paxil)
Citalopram (Celexa)
Paroxetine (Paxil)
Citalopram (Celexa)
Summary of Paxil vs. Celexa
Summary for SSRI
Prescription only
Paroxetine (also known by it's brand name Paxil) is a selective serotonin reuptake inhibitor (SSRI), used for different types of anxiety problems and depression. It's available as a brand name and generic version, and it comes as an immediate-release tablet, an oral suspension, and an extended-release tablet. Possible side effects include nausea, sexual side effects, and weight gain. It can also cause withdrawal symptoms (e.g., headache, trouble sleeping, anxiety) if you suddenly stop taking it.
Summary for SSRI
Prescription only
Citalopram (Celexa) is a first-choice medication for treating depression in adults. This antidepressant belongs to the drug class called selective serotonin reuptake inhibitors (SSRIs). Citalopram (Celexa) is typically taken by mouth once daily. It typically takes a few weeks or longer of consistent treatment to notice an improvement to your mood. Common side effects include nausea and dry mouth. There's a low risk for weight gain, but suddenly stopping the medication can lead to withdrawal symptoms (e.g., upset stomach, trouble sleeping, anxiety).