Home/Medicines/Paroxetine
All medicines

Paroxetine

Prescription
Selective Serotonin Reuptake Inhibitor (SSRI)
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
2 available
Interactions
3 documented
Formulations
2

Mechanism of action

Most potent and selective SSRI that blocks serotonin reuptake transporter (SERT), increasing serotonergic neurotransmission. Also has mild anticholinergic and norepinephrine reuptake inhibition. Used for anxiety, compulsive disorders, and aggression.

At a glance

Class
Selective Serotonin Reuptake Inhibitor (SSRI)
Schedule
Prescription
Storage
Store at room temperature below 30°C

Dosing

🐕

Dog

Used for separation anxiety, noise phobias, compulsive disorders, and fear-based
Dose
0.5–2 mg/kg
Route
PO
Frequency
q24h
🐈

Cat

Used for urine spraying, inappropriate elimination, intercat aggression, and anx
Dose
0.5–1.5 mg/kg
Route
PO
Frequency
q24h
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Other — 2

Strength
Strength

Storage

Store at room temperature below 30°C

Safety

Monitoring parameters

Behavioral response at 4–8 weeksBody weightGI toleranceSeizure activity
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

Contraindicated — 1

Selegiline (L-Deprenyl)
contraindicated
SSRI + MAO inhibitor: serotonin syndrome — hyperthermia, seizures, rigidity, death.
Management: NEVER combine. Allow 2-week washout of paroxetine before selegiline.

Major — 2

Tramadol
major
Paroxetine potently inhibits CYP2D6, blocking tramadol conversion to active metabolite M1 (reduced analgesia) while increasing serotonin syndrome risk.
Management: Avoid. Paroxetine renders tramadol ineffective as analgesic while increasing toxicity risk.
Codeine
major
Paroxetine is the most potent CYP2D6 inhibitor among SSRIs. Completely blocks codeine conversion to morphine.
Management: Codeine will be ineffective. Use direct-acting opioid instead.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Brands

Other markets

Paxil
Brisdelle

FAQs

Frequently asked questions

What is Paroxetine?
Paroxetine is a selective serotonin reuptake inhibitor (ssri) used in pets. Most potent and selective SSRI that blocks serotonin reuptake transporter (SERT), increasing serotonergic neurotransmission. Also has mild anticholinergic and norepinephrine reuptake inhibition. Used for anxiety, compulsive disorders, and aggression.
What is Paroxetine used for in pets?
Paroxetine is used in veterinary medicine for: Used for separation anxiety, noise phobias, compulsive disorders, and fear-based; Used for urine spraying, inappropriate elimination, intercat aggression, and anx.
What is the Paroxetine dose for dogs?
For dogs, Paroxetine is typically dosed as follows — Used for separation anxiety, noise phobias, compulsive disorders, and fear-based: 0.5–2 mg/kg PO q24h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Paroxetine dose for cats?
For cats, Paroxetine is typically dosed as follows — Used for urine spraying, inappropriate elimination, intercat aggression, and anx: 0.5–1.5 mg/kg PO q24h. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
Does Paroxetine need a prescription?
Yes. Paroxetine is a prescription medication and should only be administered under veterinary supervision.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database

Related medicines

Other medicines in the same class (Selective Serotonin Reuptake Inhibitor).

Fluoxetine
Rx
Selectively inhibits serotonin (5-HT) reuptake at presynaptic neurons, increasing serotonergic neurotransmission; used for anxiety-based behavioural disorders
dogcat
Fluvoxamine
Rx
Selectively inhibits serotonin (5-HT) reuptake at the presynaptic neuron, increasing serotonergic neurotransmission. Also has sigma-1 receptor agonist activity (neuroprotective). No significant activity at norepinephrine, dopamine, or histamine receptors.
dogcat
Sertraline
Rx
Selectively inhibits presynaptic reuptake of serotonin, increasing serotonergic neurotransmission in the CNS
dogcat
Need help? 💬
Chat with us on WhatsApp