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Prescription medicine · generic available

Paroxetine

Also listed by the FDA as: paroxetine hydrochloride hemihydrate · paroxetine hydrochloride · paroxetine hydrochloride anhydrous · paroxetine mesylate

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Paroxetine used for?
The FDA-approved label (Brisdelle, Legacy Pharma USA, Inc., April 28, 2025) says: “BRISDELLE is indicated for the treatment of moderate to severe vasomotor symptoms (VMS) associated with menopause. Limitations of Use: BRISDELLE is not indicated for the treatment of any psychiatric condition. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Paroxetine have a boxed warning?
Yes. The FDA label for Brisdelle has a boxed warning (“WARNING: SUICIDAL THOUGHTS AND BEHAVIORS”), the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Paroxetine?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Paroxetine been recalled?
FDA enforcement reports list 16 recalls of products of this medicine; the newest started September 23, 2026 (Class II). A recall usually concerns specific lots, not every product.
Who makes Paroxetine?
43 companies list prescription products of Paroxetine in the FDA NDC Directory, including Remedyrepack Inc., Apotex Corp. and Aphena Pharma Solutions - Tennessee, LLC.

What Paroxetine is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

BRISDELLE is indicated for the treatment of moderate to severe vasomotor symptoms (VMS) associated with menopause. Limitations of Use: BRISDELLE is not indicated for the treatment of any psychiatric condition. …

— FDA label: Brisdelle, Legacy Pharma USA, Inc., effective April 28, 2025. Read the full label on DailyMed →

The FDA has 83 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Conditions named on the label

These condition names appear word for word in the label’s “Indications and Usage” text (matched with a reviewed table). Each page lists hospitals whose own websites name the condition.

Related medical specialties

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

This label has a boxed warning. Its heading: WARNING: SUICIDAL THOUGHTS AND BEHAVIORS. Read it on the full label →

81 of 83 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsTablet, film coated · Tablet, film coated, extended release · Capsule · Suspension
RouteOral
Prescription products168 in the FDA NDC Directory
Brand namesPaxil, Paxil CR, Brisdelle

What pharmacies pay (NADAC)

The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.

This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.

NADAC per unit for Paroxetine, by strength and form
Strength and formGeneric or brandPharmacies pay
paroxetine hydrochloride 10 mg
tablet, film coated
Generic $0.0634 per tablet
paroxetine hydrochloride 12.5 mg
tablet, film coated, extended release
Generic $0.4823 per tablet
paroxetine hydrochloride 20 mg
tablet, film coated
Generic $0.0625 per tablet
paroxetine hydrochloride 20 mg
tablet, film coated
Brand: Paxil $10.74 per tablet
paroxetine hydrochloride 25 mg
tablet, film coated, extended release
Generic $0.3980 per tablet
paroxetine hydrochloride 25 mg
tablet, film coated, extended release
Brand: Paxil CR $10.80 per tablet
paroxetine hydrochloride 30 mg
tablet, film coated
Generic $0.0991 per tablet
paroxetine hydrochloride 30 mg
tablet, film coated
Brand: Paxil $10.81 per tablet
paroxetine hydrochloride 37.5 mg
tablet, film coated, extended release
Generic $0.4394 per tablet
paroxetine hydrochloride 40 mg
tablet, film coated
Generic $0.0979 per tablet
paroxetine hydrochloride 40 mg
tablet, film coated
Brand: Paxil $11.50 per tablet
paroxetine hydrochloride anhydrous 10 mg
tablet, film coated
Generic $0.0634 per tablet
paroxetine hydrochloride anhydrous 20 mg
tablet, film coated
Generic $0.0625 per tablet
paroxetine hydrochloride anhydrous 30 mg
tablet, film coated
Generic $0.0991 per tablet
paroxetine hydrochloride anhydrous 40 mg
tablet, film coated
Generic $0.0979 per tablet
paroxetine hydrochloride hemihydrate 10 mg
tablet, film coated
Generic $0.0634 per tablet
paroxetine hydrochloride hemihydrate 10 mg/5 mL
suspension
Generic $1.40 per mL
paroxetine hydrochloride hemihydrate 12.5 mg
tablet, film coated, extended release
Generic $0.4823 per tablet
paroxetine hydrochloride hemihydrate 20 mg
tablet, film coated
Generic $0.0625 per tablet
paroxetine hydrochloride hemihydrate 25 mg
tablet, film coated, extended release
Generic $0.3980 per tablet
paroxetine hydrochloride hemihydrate 30 mg
tablet, film coated
Generic $0.0991 per tablet
paroxetine hydrochloride hemihydrate 37.5 mg
tablet, film coated, extended release
Generic $0.4394 per tablet
paroxetine hydrochloride hemihydrate 40 mg
tablet, film coated
Generic $0.0979 per tablet
paroxetine mesylate 7.5 mg
capsule
Generic $2.64 per capsule

NADAC list of November 4, 2026; these prices took effect between August 19, 2026 and October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.

Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
  • ANDA: Abbreviated New Drug Application: how a generic version is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA020031
PAXIL
ApotexDecember 29, 1992 64, latest September 23, 2026
2026: Labeling · 2024: Labeling · 2023: Labeling
NDA020936
PAXIL CR
ApotexFebruary 16, 1999 42, latest September 23, 2026
2026: Labeling · 2024: Labeling · 2023: Labeling
NDA204516
BRISDELLE
LegacyJune 28, 2013 9, latest February 11, 2025
2025: Labeling · 2025: Labeling · 2023: Labeling

Generic approvals (15)

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

From FDA enforcement reports, matched by the product’s NDC code. A recall usually covers specific lots only: check the lot number on your package and ask your pharmacist. Do not stop a medicine on your own.

  1. September 23, 2026 · Class II · Ongoing · D-0877-2026

    Failed dissolution specifications.

    Paroxetine Extended-Release Tablets, 37.5mg, 30-count bottle, Rx only, Manufactured by: Apotex Inc., Toronto, Ontario, Canada M9L 1T9, Manufactured for: Apotex Corp., Weston, Florida 33326, NDC 60505-1318-3 — Apotex Corp.

  2. August 13, 2026 · Class II · Ongoing · D-0804-2026

    Failed Dissolution Specifications; product failed to meet 24-month stability testing acceptance criteria

    Paxil CR, Paroxetine, Extended-Release Tablets, 37.5mg, 30 count bottle, Rx only, Manufactured by: Apotex Inc., Toronto, Ontario, Canada M9L 1T9, Manufactured for: Apotex Corp., Weston, Florida 33326, NDC 60505-4379-3 — Apotex Corp.

  3. November 10, 2023 · Class II · Terminated · D-0129-2024

    Failed Impurities/Degradation Specifications-Manufacturer Apotex Inc. recalling lots due to Out of specification results for the excipient Amadori Glucose adduct of Paroxetine

    PAROXETINE tablets, USP, 20 mg, Packaged as a) 90-count bottle NDC 60429-735-90; b)1000-count bottle, NDC 60429-735-10; Rx Only, Manufactured by Apotex, Inc., Toronto, Ontario, Canada, M9L 1T9, Packaged by GSMS, Incorpor — Golden State Medical Supply Inc.

  4. November 10, 2023 · Class II · Terminated · D-0130-2024

    Failed Impurities/Degradation Specifications-Manufacturer Apotex Inc. recalling lots due to Out of specification results for the excipient Amadori Glucose adduct of Paroxetine

    PAROXETINE tablets, USP, 40 mg, Packaged as a) 30-count bottle, NDC 60429-737-30; b) 90-count bottle NDC 60429-737-90; c)1000-count bottle, NDC 60429-737-10; Rx Only, Manufactured by Apotex, Inc., Toronto, Ontario, Canad — Golden State Medical Supply Inc.

  5. November 10, 2023 · Class II · Terminated · D-0128-2024

    Failed Impurities/Degradation Specifications-Manufacturer Apotex Inc. recalling lots due to Out of specification results for the excipient Amadori Glucose adduct of Paroxetine

    PAROXETINE tablets, USP, 10 mg, Packaged as a) 30-count bottle, NDC 60429-734-30; b) 90-count bottle NDC 60429-734-90; c)1000-count bottle, NDC 60429-734-10; Rx Only, Manufactured by Apotex, Inc., Toronto, Ontario, Canad — Golden State Medical Supply Inc.

  6. November 1, 2023 · Class II · Ongoing · D-0119-2024

    Failed Impurities/Degradation Specifications-Out of specification (OOS) results for the excipient Amadori Glucose adduct of Paroxetine

    Paroxetine Hydrochloride Tablets USP, RX only, 10 mg a) 30-count bottle, NDC#: 60505-0097-1; b) 100-count bottle, NDC#: 60505-0097-2; c) 1000-count bottle, NDC#: 60505-0097-4, Manufactured by: Apotex Inc., Toronto, Ontar — Apotex Corp.

  7. November 1, 2023 · Class II · Ongoing · D-0120-2024

    Failed Impurities/Degradation Specifications-Out of specification (OOS) results for the excipient Amadori Glucose adduct of Paroxetine

    Paroxetine Hydrochloride Tablets USP, RX only, 20 mg, a) 100-count bottle, NDC#:60505-0083-2; b) 1000-count bottle, NDC#: 60505-0083-4 Manufactured by: Apotex Inc., Toronto, Ontario, Canada M9L 1T9, Manufactured for: Apo — Apotex Corp.

  8. November 1, 2023 · Class II · Ongoing · D-0122-2024

    Failed Impurities/Degradation Specifications-Out of specification (OOS) results for the excipient Amadori Glucose adduct of Paroxetine

    Paroxetine Hydrochloride Tablets USP, RX only, 40 mg, 1000-count bottle, NDC#:60505-0101-4 Manufactured by: Apotex Inc., Toronto, Ontario, Canada M9L 1T9, Manufactured for: Apotex Corp., Weston, Florida 33326. — Apotex Corp.

  9. November 1, 2023 · Class II · Ongoing · D-0121-2024

    Failed Impurities/Degradation Specifications-Out of specification (OOS) results for the excipient Amadori Glucose adduct of Paroxetine

    Paroxetine Hydrochloride Tablets USP, RX only, 30 mg, a)30-count bottle, NDC#: 60505-0084-1, b)100-count bottle, NDC#:60505-0084-2, c)1000-count bottle, NDC#: 60505-0084-4, Manufactured by: Apotex Inc., Toronto, Ontario, — Apotex Corp.

  10. November 20, 2017 · Class II · Terminated · D-0101-2018

    Presence of Foreign Tablets/Capsules: Risperidone Tablets were found in bottle of Paroxetine Tablets

    Paroxetine Tablets USP, 30 mg, a) 30 count (NDC 68382-099-06), b) 500 count (NDC 68382-099-05), and c) 1000 count (NDC 68382-099-10) count bottles, Rx Only, Manufactured by: Cadila Healthcare Ltd, Ahmedabad, India Distri — Zydus Pharmaceuticals USA Inc

  11. October 24, 2017 · Class II · Terminated · D-0091-2018

    Presence of Foreign Tablets/Capsules.

    Paroxetine Tablets, USP, 30mg, 100 tablets (10 x 10) , Rx Only, Distributed by: American Health Packaging, Columbus, Ohio 43217. Columbus, Ohio 43217, NDC 68084-046-01 — Amerisource Health Services

  12. August 18, 2017 · Class II · Terminated · D-1137-2017

    Presence of Foreign tablets/capsules: risperidone Tablets were found in bottle of paroxetine Tablets

    Paroxetine tablets USP, 30mg, 30-count bottles, Rx Only, Manufactured by: Cadila Healthcare Ltd, Ahmedabad, India Distributed by: Zydus Pharmaceuticals USA, Inc., Pennington, NJ 08534, NDC 68382-099-06, UPC 3 6838209906 — Zydus Pharmaceuticals USA Inc

  13. June 22, 2017 · Class III · Terminated · D-0974-2017

    Failed Dissolution Specifications: out of specification observed in dissolution testing at 3 month long term stability study.

    Paroxetine Extended-Release Tablets USP, 12.5 mg, 30 count bottle, Rx only, Manufactured for: Lupin Pharmaceuticals, Inc. Baltimore, Maryland, 21202, Manufactured by: Lupin Limited, Pithampur (M.P.) 454 775, India, NDC: — Lupin Pharmaceuticals Inc.

  14. March 24, 2014 · Class II · Terminated · D-1577-2014

    Chemical Contamination: Product were manufactured with active pharmaceutical ingredient (API) batches contaminated with residual materials and solvents.

    Paroxetine HCL Controlled-Release Tablets 37.5 mg, 30-count bottle, Rx only, Manufactured by GlaxoSmithKline, RTP, NC 27709, Manufactured for Apotex Corp., Weston, FL 33328, NDC 60505-3675-3 — Apotex Inc.

  15. March 24, 2014 · Class II · Terminated · D-1576-2014

    Chemical Contamination: Product were manufactured with active pharmaceutical ingredient (API) batches contaminated with residual materials and solvents.

    Paroxetine HCL Controlled-Release Tablets 25 mg, 30-count bottle, Rx only, Manufactured by GlaxoSmithKline, RTP, NC 27709, Manufactured for Apotex Corp., Weston, FL 33328, NDC 60505-3674-3 — Apotex Inc.

  16. March 24, 2014 · Class II · Terminated · D-1574-2014

    Chemical Contamination: Product were manufactured with active pharmaceutical ingredient (API) batches contaminated with residual materials and solvents.

    Paroxetine HCL Controlled-Release Tablets 12.5 mg, 30-count bottle, Rx only, Manufactured by GlaxoSmithKline, RTP, NC 27709, Manufactured for Apotex Corp., Weston, FL 33328, NDC 60505-3673-3 — Apotex Inc.

What do the recall classes mean?

Class I: The most serious type: there is a reasonable chance that using the product will cause serious health problems or death.
Class II: Using the product may cause temporary or medically reversible health problems, or the chance of serious problems is remote.
Class III: Using the product is not likely to cause health problems (for example a labeling or packaging issue).

Official identifiers

RxCUI (RxNorm)312242, 1430122, 1430128, 1738483, 1738495, 1738503, 1738511, 1738803, 1738805, 1738807
SPL set ID of the quoted label502311b3-b617-4cbd-a3ab-a60f2c62880a
FDA labels (SPL)83
FDA applicationsNDA020031, NDA020936, NDA204516, 15 ANDA
Active ingredients (FDA)PAROXETINE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Brisdelle, Legacy Pharma USA, Inc., effective April 28, 2025; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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