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Compare Paxil vs. Xanax

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Paroxetine (Paxil) and alprazolam (Xanax) are both used to treat anxiety, but they belong to different medication classes and work differently. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels to help regulate mood. It is available in both brand and generic forms and can treat various conditions like depression, panic disorder, and social anxiety disorder. Alprazolam, on the other hand, is a benzodiazepine that provides quick relief by affecting chemicals in the brain related to anxiety. It is typically used for short-term treatment of anxiety and panic attacks. Paroxetine is taken once daily, while alprazolam is usually taken up to three times a day. Paroxetine can take several weeks to show full benefits, whereas alprazolam starts working within 30 minutes. Both medications can cause withdrawal symptoms if stopped abruptly, but only alprazolam is a controlled substance due to its potential for addiction and misuse.

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