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Paroxetine Mesylate Capsule — prescription drug image

Paroxetine Mesylate

PARoxetine Mesylate 7.5MG

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What is Paroxetine Mesylate?

Brisdelle is a prescription medication used to treat symptoms of menopause. Paroxetine is the generic version of Brisdelle. The average price of Brisdelle is around $212 for a supply of 30, 7.5 mg capsules. Use our Rx.com savings offer to get great discounts on Brisdelle at participating pharmacies near you.

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What is Paroxetine Mesylate ?

Brisdelle is a prescription medication used to treat symptoms of menopause. Paroxetine is the generic version of Brisdelle. The average price of Brisdelle is around $212 for a supply of 30, 7.5 mg capsules. Use our Rx.com savings offer to get great discounts on Brisdelle at participating pharmacies near you.
  • Confusion, weakness, muscle twitching
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, nausea, vomiting, diarrhea, seeing or hearing things that are not there
  • Bone pain, tenderness, swelling, or bruising
  • Changes in behavior, thoughts of hurting yourself or others
  • Eye pain, vision changes, seeing halos around lights
  • Unusual bleeding or bruising
  • Loss in sexual ability, desire, drive, or performance, delayed or inability to have an orgasm, inability to have or keep an erection
  • Trouble keeping still, feeling restless and agitated, racing thoughts, excessive energy, trouble sleeping
  • It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
  • Tell your doctor if you are breastfeeding, or if you have kidney disease, liver disease, glaucoma, or a history of epilepsy or seizures.
  • For some children, teenagers, and young adults, this medicine may increase mental or emotional problems. This may lead to thoughts of suicide and violence. Talk with your doctor right away if you have any thoughts or behavior changes that concern you. Tell your doctor if you or anyone in your family has a history of bipolar disorder or suicide attempts.
  • This medicine may cause the following problems:Serotonin syndrome (may be life-threatening when used with certain other medicines)Increased risk of bleeding problemsIncreased risk of broken bonesSexual problems
  • Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
  • This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.
  • This medicine may decrease the amount of sperm men make and affect their ability to have children. If you plan to have children, talk with your doctor before using this medicine.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
What is paroxetine mesylate used for?
It depends on the brand. As Pexeva (tablets), paroxetine mesylate treats major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, and generalized anxiety disorder. As Brisdelle (7.5 mg capsules), it is approved only for moderate to severe hot flashes associated with menopause and is not used for psychiatric conditions.
What is the difference between paroxetine mesylate and paroxetine hydrochloride?
Both contain the same active drug, paroxetine, but paired with a different salt: mesylate versus hydrochloride. Paroxetine mesylate is sold as Pexeva and Brisdelle, while paroxetine hydrochloride is sold as Paxil and as generic paroxetine. The salt form can affect which brand and indication applies, so follow the exact product your prescriber ordered.
Is paroxetine mesylate the same as Paxil?
Not exactly. Paxil is paroxetine hydrochloride, while paroxetine mesylate is sold under the brands Pexeva and Brisdelle. Both are forms of the same active ingredient, paroxetine, but they use different salts and are marketed under different names. Ask your pharmacist if you are unsure which one you have.
What is the difference between Pexeva and Brisdelle?
Both are paroxetine mesylate, but they are approved for different purposes. Pexeva is a tablet used for depression, OCD, panic disorder, and generalized anxiety disorder. Brisdelle is a 7.5 mg capsule approved only for moderate to severe menopausal hot flashes and is not indicated for any psychiatric condition.
Does paroxetine mesylate (Brisdelle) help with menopause hot flashes?
Yes. Brisdelle, a 7.5 mg paroxetine mesylate capsule, is FDA-approved specifically for moderate to severe vasomotor symptoms (hot flashes) associated with menopause. It is the only nonhormonal paroxetine product approved for this use. It is contraindicated in pregnancy, so discuss your health history with your provider.
How much does Paroxetine Mesylate cost without insurance?
The price of Paroxetine Mesylate without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Paroxetine Mesylate?
Common side effects of Paroxetine Mesylate may include: Confusion, weakness, muscle twitching, Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, nausea, vomiting, diarrhea, seeing or hearing things that are not there, Bone pain, tenderness, swelling, or bruising, Changes in behavior, thoughts of hurting yourself or others. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Paroxetine Mesylate?
Generic versions may be available for Paroxetine Mesylate. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Paroxetine Mesylate on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Paroxetine Mesylate?
The cheapest pharmacy for Paroxetine Mesylate depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Paroxetine Mesylate near you.

Paroxetine Mesylate Coupons & Prices

PARoxetine Mesylate 7.5MG

Women's Health Care
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Paroxetine Mesylate Capsule — prescription drug image
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Paroxetine Mesylate 7.5mg (30)
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Looking for a paroxetine mesylate coupon? Paroxetine mesylate is a generic selective serotonin reuptake inhibitor (SSRI), sold under the brand names Pexeva and Brisdelle, and a generic version is available. Even as a generic, the cash price can vary widely from one pharmacy to the next, so comparing matters. Rx.com compares prices across more than 60,000 pharmacies so you can find a lower price near you. Enter your ZIP above to see today's price and print or text yourself a free coupon.

What is paroxetine mesylate and how does it work?

Paroxetine mesylate is the mesylate salt of paroxetine, a selective serotonin reuptake inhibitor (SSRI) antidepressant. SSRIs work by increasing the amount of serotonin, a natural chemical messenger, available in the brain. Paroxetine mesylate is marketed under two brand names that have very different FDA-approved uses.

As Pexeva (tablets), it is approved to treat major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, and generalized anxiety disorder (GAD). As Brisdelle (7.5 mg capsules), it is approved specifically for moderate to severe hot flashes associated with menopause and is not indicated for any psychiatric condition. Paroxetine more broadly (including the hydrochloride salt sold as Paxil) is also used off-label for conditions such as social anxiety disorder, PTSD, and PMDD. Your prescriber decides which form and dose is right for you.

How much does generic paroxetine mesylate cost without insurance?

Because paroxetine mesylate is available as a generic, it is generally a lower-cost medication than the brand-name versions. That said, the cash price you pay without insurance can differ significantly depending on which pharmacy you use, even within the same town. That is exactly why comparing prices before you fill is worth the few seconds it takes.

Rx.com checks current cash prices across more than 60,000 pharmacies and shows you a free coupon you can use at the counter, with or without insurance. Prices change often and are shown live on this page, so enter your ZIP above to see today's price near you. There is no manufacturer savings card for this generic; the coupon is simply a discounted cash price.

Paroxetine mesylate vs. other paroxetine forms and SSRIs

Paroxetine comes in more than one salt form. The mesylate salt (Pexeva, Brisdelle) and the hydrochloride salt (Paxil, generic paroxetine) deliver the same active paroxetine, though brand indications and dosing can differ. If you were prescribed a specific brand, compare it against the plain generic to see which costs less.

Paroxetine is one of several SSRIs. If you and your prescriber are weighing options, other commonly prescribed SSRIs include sertraline, escitalopram, and fluoxetine. You can also look up the specific brands Pexeva and Brisdelle. Never switch medications on your own; only your provider should change your treatment.

Important safety information

Paroxetine carries a boxed warning for an increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults under 25, especially during the first months of treatment or after a dose change. Watch for new or worsening mood changes and stay in close contact with your prescriber. Do not take paroxetine with, or within 14 days of, an MAO inhibitor because of the risk of serotonin syndrome.

Other risks include serotonin syndrome, abnormal bleeding (especially when taken with NSAIDs, aspirin, or blood thinners), low sodium (hyponatremia), and discontinuation syndrome if the drug is stopped suddenly, so any change should be tapered under medical guidance. Paroxetine is associated with an increased risk of heart-related birth defects, and Brisdelle is contraindicated in pregnancy. It may also impair judgment or motor skills. This is a summary, not medical advice; talk with your doctor or pharmacist about your full health history and all medicines you take.

Sources & accuracy

This Paroxetine Mesylate information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Paroxetine Mesylate on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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