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  • Mental Health Issues
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    • Depression
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    • OCD
    • Personality Disorders
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  • Relationships
    • Dating
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    • Best Online Couples Counseling Services
  • Wellness
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    • Starting Therapy
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  • How to Get PaxilHow to Get Paxil
  • Paxil CostPaxil Cost
    • Paxil PricesPaxil Prices
  • Who is Paxil Good For?Who is Paxil Good For?
  • Who Shouldn't Take Paxil?Who Shouldn't Take Paxil?
  • Paxil AlternativesPaxil Alternatives
  • Questions to Ask Your ProviderQuestions to Ask Your Provider
  • Prescriber's TipsPrescriber's Tips
  • Additional ResourcesAdditional Resources

How to Get a Paxil (Paroxetine) Prescription Online & In Person

Diana Rangaves, PharmD, RPh

Author: Diana Rangaves, PharmD, RPh

Diana Rangaves, PharmD, RPh

Diana Rangaves PharmD, RPh

Diana Rangaves is an accomplished pharmacist and expert in behavioral health pharmacology. Her areas of expertise include patient education, medication cost-reduction, and patient-centered treatment.

See My Bio Editorial Policy
Headshot of Heidi Moawad, MD

Medical Reviewer: Heidi Moawad, MD Licensed medical reviewer

Headshot of Heidi Moawad, MD

Heidi Moawad MD

Heidi Moawad, MD is a neurologist with 20+ years of experience focusing on
mental health disorders, behavioral health issues, neurological disease, migraines, pain, stroke, cognitive impairment, multiple sclerosis, and more.

See My Bio Editorial Policy
Published: March 11, 2025
  • How to Get PaxilHow to Get Paxil
  • Paxil CostPaxil Cost
    • Paxil PricesPaxil Prices
  • Who is Paxil Good For?Who is Paxil Good For?
  • Who Shouldn't Take Paxil?Who Shouldn't Take Paxil?
  • Paxil AlternativesPaxil Alternatives
  • Questions to Ask Your ProviderQuestions to Ask Your Provider
  • Prescriber's TipsPrescriber's Tips
  • Additional ResourcesAdditional Resources
Brand name:
Paxil
Generic name:
Paroxetine
Is the generic available:
Yes
Class of drug:
SSRI
Boxed warning:
Yes
FDA-approved treatments:
Major Depression, OCD, Panic Disorder, Social Anxiety Disorder, Generalized Anxiety Disorder, PTSD
Common Off-label Uses (non-FDA approved):
Premature Ejaculation, Irritable Bowel Syndrome
Common alternatives:

Celexa, Zoloft, Prozac

View Drug Class, FDA-Approved Uses, Off-Label Uses, and more

*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.

The first step to getting a Paxil prescription online is finding an online psychiatry provider for an evaluation. For an in-person evaluation, your primary care physician may refer you to a prescriber who may offer a Paxil prescription.

If you’re looking for access to a Paxil prescription online, we have thoroughly reviewed platforms like Brightside Health, Talkiatry, or Circle Medical. These platforms can prescribe antidepressants such as Paxil and we have found them each to be a good place to get started with an evaluation. Your provider may provide a Paxil prescription online if they believe the medication may help your anxiety or depression symptoms.

Boxed Warning: Paroxetine (Paxil) – Risk of suicidal thoughts and behaviors in certain people

Click here to open and close the box warning container.

Paroxetine, the active ingredient in Paxil, has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA). Paroxetine can increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Regardless of your age, you should talk with your doctor about serious risks with paroxetine and any other medications before starting treatment.

Key Takeaways

  • To get prescribed Paxil online, start by getting an evaluation from an online provider who can prescribe antidepressants, such as Brightside Health, Talkiatry, and Circle Medical.

  • Paxil alternatives may be necessary for some to consider, including other antidepressant medications.

  • Brand name Paxil can cost between $292-$333 for a 30-day supply of the smallest dosage available without insurance. Paxil coupons, savings cards, and discounts may all help lower costs.

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How to Get Paxil Online or In Person

To get prescribed Paxil online or in person, you will first need an evaluation to determine whether it is a good fit for your depression symptoms. The process of getting a diagnosis and potentially prescribed Paxil online or in person may vary for people of different ages.

It is important to find an online provider who can prescribe antidepressants like Paxil. For in-person prescription options, a good place to start is with your primary care provider.

How to Get a Paxil Prescription Online

Here is how to get Paxil prescribed to you online in six steps.

Step 1: Book an Appointment With an Online Psychiatry Provider

The first step is to book an appointment with an online provider that can prescribe antidepressant medications like Paxil, such as Brightside Health, Talkiatry, and Circle Medical. We have thoroughly reviewed these platforms, and in using the services ourselves, we have found them each to be a good place to get started with an evaluation.

Step 2: Get a Psychiatric Evaluation & Discuss Your Symptoms

Your provider will evaluate your overall health history, your mental health symptoms, and any treatments you may have tried in the past. They may also speak with others you interact with regularly, such as family members. This is important because you may show symptoms differently in various settings. This discussion will help the provider know whether Paxil may be safe and appropriate for you.

Step 3: Get Treatment Recommendations

Your provider will develop a treatment plan to help improve your symptoms and quality of life. They may recommend behavioral therapy or medication such as Paxil, or possibly both. If Paxil looks like it could help you, your provider will discuss the risks, benefits, and how to take the medication.

Step 4: Fill Your Online Paxil Prescription

If offered, your prescriber will give you a prescription, which you may fill through their online platform. You may be able to get Paxil medication delivered to your home, but it can vary widely depending on the state you live in. All online psychiatric platforms will deliver prescriptions to a local pharmacy.

Step 5: Schedule Follow-up Appointments

If prescribed Paxil, your doctor will recommend regular follow-up appointments to monitor your symptoms and potential side effects, adjusting your medication as needed.

Step 6 : Discuss Prescription Refills With Your Provider

Talk to your prescriber about how frequently you may refill your Paxil medication. This timeframe may depend on how well you respond to the medication, if you experience side effects, or if you may need to consider another medication. It may also depend on how the platform manages medication delivery, such as offering 90-day supplies.

How to Get a Paxil Prescription In Person

In six steps, here is how to get Paxil prescribed to you in person.

Step 1: Book an Appointment With a Psychiatric Provider

A good place to start for an in-person psychiatric evaluation is with your primary care provider. This may be a physician, nurse practitioner, or physician assistant. If they determine it is needed, they can refer you or your child to a specialist, such as a psychiatrist. They can further evaluate whether to include Paxil as a part of the treatment plan for you.

Step 2: Get an Evaluation & Discuss Your Symptoms

Your provider will evaluate your overall health history, your mental health symptoms, and any treatments you may have tried in the past. They may also speak with others you interact with regularly, such as family members. This is important because you may show symptoms differently in various settings. This discussion will help the provider know whether Paxil may be safe and appropriate for you.

Step 3: Get Treatment Recommendations

Your provider will develop a treatment plan to help improve your symptoms and quality of life. They may recommend behavioral therapy or medication such as Paxil, or possibly both. If Paxil looks like it could help you, your provider will discuss the risks, benefits, and how to take the medication.

Step 4: Choose Where to Get Your Paxil Prescription Filled

If offered, your prescriber will give you a prescription that you may fill at your preferred local pharmacy or an online platform. You may be able to get Paxil delivered to your home, but it can vary widely depending on the state you live in. All online psychiatry platforms will deliver prescriptions to a local pharmacy.

Step 5: Schedule Follow-up Appointments

If prescribed Paxil, your doctor will recommend regular follow-up appointments to monitor your symptoms and potential side effects, adjusting your medication as needed.

Step 6: Discuss Prescription Refills With Your Provider

Talk to your prescriber about how frequently you may refill your Paxil medication. This timeframe may depend on how well you respond to the medication, if you experience side effects, or if you may need to consider another medication.

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How Much Does Paxil Cost?

The cost of Paxil can vary based on several factors, including your location, the pharmacy you use, and whether you have insurance, as well as on the dosage and length of prescription (number of days) your doctor prescribes.

Paxil Prices

The cost of Paxil currently ranges from $292-$333 for a 30-day supply of 10 milligrams without insurance. Your Paxil prescription may cost much less with insurance depending on your plan and coverage. A similar prescription of the generic form of Paxil, paroxetine, costs $6-$29. The cost of Paxil will also vary based on the dosage and amount prescribed. Coupons for Paxil are often available and may reduce your out of pocket costs.

Note: Cash prices listed are derived from multiple sources. The prices listed are an estimate only and cannot be guaranteed. For exact prices, please contact the pharmacy.

PHARMACY COST
Walmart
$311
Walgreens
$311
CVS / Target
$321
RiteAid
$304
Kroger
$301
Costco
$333
Hy-Vee
$292
Publix
$320
Albertsons
$306

Does Insurance Cover Paxil?

Your insurance plan may cover your prescription for Paxil, depending on the company. However, insurance policies can change coverage at any time and some may only cover a prescription for generic paroxetine. Requirements for medication coverage may also vary for Medicare, Medicaid, TRICARE, and commercial insurance policies. Contact your insurance provider directly to learn whether your prescription may be covered.

Here are online psychiatric platforms that accept insurance:

  • Circle Medical takes insurance and offers same-day or next-day appointments for non-emergency mental health needs.
  • Brightside Health accepts many major insurance plans, offering online medication management at affordable prices across most of the United States.
  • Talkiatry is only available to those with insurance, but it makes using insurance for online psychiatry services simple.

Who Is Paxil a Good Fit For?

An evaluation from a medical provider can determine whether getting a Paxil prescription may be helpful. Paxil is thought to work by affecting serotonin levels in the brain, which may help reduce symptoms of several conditions.

Paxil is an FDA-approved treatment for depression, panic disorder, PTSD, OCD, social anxiety, generalized anxiety, and premenstrual dysphoric disorder.1, 2 Paxil is only approved for use with adults 18 and older.

Below are signs you may benefit by getting a Paxil prescription:3

Adults with depression

  • Persistent low mood
  • Loss of interest or pleasure
  • Insomnia or sleeping too much nearly every day

Adults with generalized anxiety disorder

  • Constant excessive worry that is difficult to control
  • Feelings of restlessness or being keyed up
  • Irritability
  • Difficulty sleeping

This is not a complete list of symptoms of the conditions Paxil is FDA-approved to treat. Discuss the potential risks and benefits of Paxil with your doctor.

Other conditions that Paxil is FDA-approved to treat include:

  • PTSD
  • Panic disorder
  • OCD
  • Social anxiety
  • Premenstrual dysphoric disorder (PMDD)

Who Should Not Take Paxil?

While Paxil is a commonly prescribed medication for depression, it may not be a fit for everyone. Each person responds differently to medication. Paxil is a safe and effective treatment for several conditions, but some exceptions should be considered.

People who should take extra caution before using Paxil include:1, 2

  • Children and teenagers
  • Those age 65 and older
  • Pregnant and breastfeeding parents
  • Those with other mental health conditions
  • Those with certain medical conditions

Not all possible reactions may occur, and this is not a complete list of potential risks of taking Paxil. Discuss with your doctor to see if Paxil is right for you.

Paxil Alternatives

There are many Paxil alternatives available. The potential risks and benefits may vary, but all types of antidepressants can help reduce depression symptoms. Brightside Health, Talkiatry, and Circle Medical are reliable online psychiatric providers that offer Paxil alternatives.

SSRI & SNRI Antidepressant Medications

Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake  inhibitors (SNRIs) are considered the safest and most effective antidepressants available. Alternatives to Paxil include other SSRIs such Prozac, Zoloft, and Lexapro. Commonly used serotonin norepinephrine reuptake inhibitors (SNRIs) include Cymbalta and Effexor.

Other Antidepressant Medications

Having other alternatives to Paxil is important for those who aren’t able to use SSRIs or SNRIs. Wellbutrin and Remeron are atypical antidepressants, which work differently to improve symptoms and don’t fit into a formal category.

Tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) are older medications that are not typically used as the first treatment. They can cause more side effects, but they may be helpful for those who need to avoid or aren’t responding to other types of antidepressants.

Generic Paxil

Generic Paxil may be prescribed as an alternative to the brand name for several reasons. It contains paroxetine, the same active ingredient as brand-name Paxil. The generic form also has the same treatment benefits as brand name Paxil at a lower cost.

Over-the-Counter Paxil Options

Currently, there are no over-the-counter depression treatments approved by the FDA. Several over-the-counter and dietary supplements may claim to relieve depression. However, quality studies are limited and have yet to show whether such supplements improve depression symptoms.

Also, supplements are not regulated for safety the way that medications are. Some supplements can interact with other medications you may be taking. Check with reputable sources and your healthcare providers before taking any supplements.

Paxil

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, panic disorder, social anxiety, generalized anxiety, PTSD
  • Common off-label uses: Premature ejaculation

$292

Lowest price
View prices
Or learn more

Paroxetine

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, panic disorder, social anxiety, generalized anxiety, PTSD
  • Common off-label uses: Premature ejaculation

$6

Lowest price
View prices
Or learn more

Lexapro

Drug class: SSRI

Used for
  • FDA-approved for depression, anxiety
  • Common off-label uses: OCD, PTSD, PMDD, panic disorder, bulimia nervosa, binge eating disorder

$442

Lowest price
View prices
Or learn more

Prozac

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, bulimia nervosa, panic disorder
  • Common off-label uses: Generalized anxiety, social anxiety, PTSD, phobias

$427

Lowest price
View Prices
Or learn more

Zoloft

Drug class: SSRI

Used for
  • FDA-approved for depression, OCD, panic disorder, PTSD, social anxiety, PMDD
  • Common off-label uses: Bulimia nervosa

$423

Lowest price
View prices
Or learn more

Cymbalta

Drug class: SNRI

Used for
  • FDA-approved for depression, generalized anxiety, pain
  • Common off-label uses: Stress urinary incontinence

$259

Lowest price
View prices
Or learn more

Effexor XR

Drug class: SNRI

Used for
  • FDA-approved for depression, generalized anxiety, social anxiety, panic disorder
  • Common off-label uses: ADHD, OCD, PTSD, PMDD

$522

Lowest price
View prices
Or learn more

Wellbutrin SR

Drug class: Atypical Antidepressant

Used for
  • FDA-approved for depression
  • Common off-label uses: ADHD, bipolar disorder, aid to smoking cessation

$230

Lowest price
View Prices
Or learn more

Remeron

Drug class: Atypical Antidepressant

Used for
  • FDA-approved for depression
  • Common off-label uses: Panic disorder, generalized anxiety, PTSD, insomnia, social anxiety

$199

Lowest price
View prices
Or learn more
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Visit Talkiatry

Questions to Ask Your Provider

If you think getting a Paxil prescription may help treat your condition, one place to start is by talking to your primary care provider. They already know your health history and may be able to prescribe medication, if they think it is needed.

Paxil is most often used as a treatment for depression, but is also FDA-approved to treat panic disorder, PTSD, OCD, social anxiety, generalized anxiety, and premenstrual dysphoric disorder (PMDD).1

And if your provider believes you’d be better served by a specialist, such as a psychiatrist, they may give you a referral. Alternatively, if you do not have a primary care provider, an online psychiatry provider is a good place to start.

To prepare for your first appointment, begin by gathering important information about your condition. Write down your symptoms, how they affect you each day, and what it would be like if your symptoms improved. Consider your treatment goals and your concerns about taking medications.

Questions to ask your care team about getting a Paxil prescription include:

  • What are the side effects of Paxil?
  • Are there any alternatives to Paxil?
  • How long will it take Paxil to start working?
  • What are the best online psychiatry options?
  • Is it safe if I use over-the-counter Paxil alternatives?
  • How long will Paxil’s side effects last?
  • If my symptoms worsen while on Paxil medication, what should I do?
  • Should I be worried about mixing Paxil with other medications or substances?

Prescriber’s Tips

Your prescriber will share important information about your Paxil prescription. They will explain how to take and store your medication, what to avoid when taking it, and what to do about side effects. Follow these tips for safe and effective use of Paxil.

  • Take Paxil as prescribed, do not change your dose or stop taking it unless your prescriber tells you to. Stopping abruptly or taking too much can be harmful.
  • Take your medication at the same time each day. Doing so can help you remember to take it, making it as effective as possible.
  • Tell your prescriber right away if you or your child have any worsening mental health symptoms. Paxil has a boxed warning for increased risk of suicidal thoughts and behaviors in children under age 18 and young adults.
  • If taking Paxil CR (extended-release) tablets, swallow them whole. Do not chew or crush them.
Diana Rangaves, PharmD, RPh Diana Rangaves, PharmD, RPh

Frequently Asked Questions

What Is Paxil?

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Paxil (paroxetine) is prescribed to treat symptoms of depression, anxiety, and other mental health conditions. It is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI).

How Does Paxil Work?

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Paxil is thought to work by affecting levels of serotonin in the brain, which may improve mood and reduce symptoms of depression and anxiety for some people.6

Can You Get Paxil Prescription Refills Online?

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Yes, online psychiatry platforms such as Talkiatry and some online primary care platforms, such as Circle Medical, can prescribe antidepressants like Paxil and provide refills.

Can You Get Paxil Without Therapy?

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Yes, Paxil can be used without therapy.

Can I Get Paxil Delivered to My Home?

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You may be able to get Paxil delivered to your home, but this service may depend on the state you live in. All online psychiatry platforms will deliver prescriptions to a local pharmacy.

Can You Get Paxil From a Walk-in Clinic?

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An urgent care clinic cannot prescribe Paxil, other antidepressants, or anti-anxiety medications. These providers are not able to monitor and follow up with patients long-term for treatments like these. If you have a prescription already, contact your primary provider or local pharmacy for help. If you do not have a prescription, you will need a full psychiatric evaluation first. Providers at an urgent care or walk-in clinic are not able to provide this type of evaluation.7

How Much Does Paxil (Paroxetine) Cost Without Insurance?

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The cash cost of brand name Paxil can range from $292-$333 for a 30-day supply of the smallest dosage available.

How Can I Get Paxil Prescribed Without Insurance?

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Online psychiatry platforms such as Brightside Health and Circle Medical can provide psychiatric evaluations and may offer a Paxil prescription if it is deemed necessary. Both platforms accept cash pay if you don’t have insurance. Available services may vary based on a person’s age, state, and other factors.

Can You Get Paxil (Paroxetine) Over the Counter?

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No, Paxil is only available with a prescription.

Is There a Generic Version of Paxil?

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Yes, a generic version of Paxil is available and contains the active ingredient paroxetine.

Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • PAXIL- paroxetine hydrochloride tablet, film coated. (September 10, 2024). DailyMed.nlm.nih.gov. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

  • PAXIL CR- paroxetine hydrochloride tablet, film coated, extended release. (September 10, 2024). DailyMed.nlm.nih.gov. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA.

  • Paroxetine – StatPearls. (July 17, 2023). NCBI.nlm.nih.gov. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK526022/

  • Spencer, Aiden. (May 19, 2016). What Type of Medication Can an Urgent Care Doctor Prescribe? AJMC.com. Retrieved from https://www.ajmc.com/view/what-type-of-medication-can-an-urgent-care-doctor-prescribe

Show more Click here to open the article sources container.

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

March 11, 2025
Author: No Change
Reviewer: No Change
Primary Changes: Updated cost information in the Key takeaway section, FAQ “How Much Does Paxil Cost Without Insurance?” section.
February 20, 2025
Author: No Change
Reviewer: No Change
Primary Changes: Updated cost information in the Key takeaway section, FAQ “How Much Does Paxil Cost Without Insurance?” section.
January 21, 2025
Author: No Change
Reviewer: No Change
Primary Changes: Updated cost information in the Key takeaway section, FAQ “How Much Does Paxil Cost Without Insurance?” section, Updated the Dailymed resource to the most updated PI link for both “Paxil and Paxil CR”.
November 6, 2024
Author: No Change
Reviewer: No Change
Primary Changes: Added Key Takeaways feature. Updated formatting, edited for clarity. Consolidated sections called “Do I Need a Paxil Prescription?” and “What Can I Expect When Getting a Paxil Prescription?”, retitled as “Who Is Paxil a Good Fit For?”; Revised and retitled sections titled “How to Get Prescribed Paxil Online & In Person”, “Questions to Ask Your Provider”, “Paxil Alternatives” with additional subsections “SSRI & SNRI Antidepressant Medications”, “Other Antidepressant Medications”, “Generic Paxil”, and “Over-the-Counter Paxil Options”. Created additional FAQs, updated sources as needed.
October 23, 2024
Author: No Change
Reviewer: No Change
Primary Changes: Updated cost information in FAQ “How Much Does Paxil Cost Without Insurance?” section.
July 16, 2024
Author: No Change
Reviewer: No Change
Primary Changes: Updated formatting and added new article content including drug overview summary block, cost table, and alternatives comparison slider. Also updated “Questions to Ask Your Provider” and “Prescriber Tips” page features.
July 1, 2024
Author: (No Change)
Medical Reviewer: (No Change)
Primary Changes: Added new sections titled “How Much Does Paxil Cost?”, “What Can I Expect When Getting a Paxil Prescription?”, “Prescriber’s Tips”, “FAQs”, “Does Insurance Cover Paxil?”. Revised sections titled “Do I Need a Paxil Prescription?”, “How to Get a Paxil Prescription”, “What Are Paxil Alternatives?”, “Are There Over-the-Counter Paxil Options?”, “Questions to Ask Your Health Team About How to Get Paxil”. Reviewed and added relevant sources. Edited for readability and clarity.
January 25, 2023
Author: Diana Rangaves, PharmD, RPh
Reviewer: Heidi Moawad, MD
Show more Click here to open the article update history container.

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Talkiatry – Get help from a real doctor that takes your insurance. Talkiatry offers medication management and online visits with expert psychiatrists. Take the online assessment and have your first appointment in days. Free Assessment

Therapy for Anxiety & Medication Management

Brightside Health – develops personalized plans that are unique to you and offers 1 on 1 support from start to finish. Brightside Health accepts United Healthcare, Anthem, Cigna, and Aetna. Appointments in as little as 24 hours. Start Free Assessment

Talk Therapy

BetterHelp – Get support and guidance from a licensed therapist. BetterHelp has over 30,000 therapists who provide convenient and affordable online therapy.  BetterHelp starts at $65 per week and is FSA/HSA eligible by most providers. Take a Free Online Assessment and get matched with the right therapist for you. Take free assessment

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A free newsletter from the experts at ChoosingTherapy.com for those impacted by anxiety. Get helpful tips and the latest information. Sign Up

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Online Anxiety Test

A few questions from Talkiatry can help you understand your symptoms and give you a recommendation for what to do next.

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Best Online Psychiatry Services

Best Online Psychiatry Services

Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.

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Medication Newsletter

A free newsletter for those interested in starting therapy. Get helpful tips and the latest information.

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