Paroxetine — questions and safety.

Side effects depend on the selected medication and may include:

• Nausea or stomach upset

• Headache

• Dizziness or sleepiness

• Dry mouth or constipation

• Sexual side effects

• Changes in sleep

• Blood pressure changes

• Medication interactions

• Liver-function abnormalities

Patients should review all prescription medications, over-the-counter products, and supplements with the prescriber.

Seek urgent medical attention for signs of liver injury, severe allergic symptoms, fainting, suicidal thoughts, severe confusion, or another serious reaction.

• First 1 to 2 weeks:

Side effects may appear before the full benefit becomes noticeable. The clinician may adjust the dose or administration time to improve tolerability.

• Weeks 4 to 8:

Reduction in hot flashes, night sweats, sleep disruption, or mood-related symptoms can usually be assessed. Response time varies by medication.

• Ongoing treatment:

The treatment plan may be adjusted according to symptom control, side effects, laboratory results, blood pressure, and other monitoring requirements.

• If the first medication is ineffective or poorly tolerated, another non-hormonal option may be considered based on the patient’s symptoms and medical history.

The goal of non-hormonal therapy is to provide meaningful menopausal symptom relief while respecting each patient’s medical needs, treatment preferences, and overall health.

Before prescribing a non-hormonal medication, the clinician will review:

• The patient’s primary menopausal symptoms

• Current medications and supplements

• Mental health history

• Blood pressure and cardiovascular history

• Seizure history

• Fall risk and sensitivity to sedating medications

• Potential medication interactions

Follow-up evaluates symptom reduction, sleep, mood, side effects, medication adherence, and whether treatment remains appropriate.

SSRIs and SNRIs should not be stopped abruptly unless specifically directed. A gradual taper may be required.

Yes, on every order. A physician licensed in your state reviews your intake before anything is prescribed.

Most treatments ship within 3 days of your clinician's approval. Timing can vary with your provider's review and the pharmacy filling your prescription. Shipping is free and the packaging is plain.

Any time. Dose, form and frequency are all adjustable, and changing costs nothing.

Any time, from your account. No call, no retention offer.

1010Rx, LLC works with a network of licensed dispensing pharmacy partners to fulfill prescriptions written by clinicians on our platform. When a prescription is issued, it is routed to one of these partner pharmacies based on the medication prescribed, the patient’s state of residence, and availability. Each partner pharmacy is independently licensed and responsible for dispensing, labeling, and shipping the medication directly to the patient. Our current pharmacy partners, including the licensed entity name that will appear on your prescription label, may include:

• DrugStore on East State — The Drugstore at O’Bleness LLC, 934 E State St, Athens, OH 45701 · (740) 566-4690
• DiRx Health — Direct Pharmacy Source, Inc., 3540 NW 56th St, Ste 204, Fort Lauderdale, FL 33309 · (877) 367-3479
• Curexa — Curexa Pharmacy, 501 Zion Rd, Ste 13-14, Egg Harbor Township, NJ 08234 · (855) 927-0390
• Mycelium — Mycelium Pharmacy LLC, 141 E Commercial Blvd, Fort Lauderdale, FL 33334 · (954) 890-1150
• ChemistryRx — Madame Rx, LLC d/b/a Chemistry Rx, 950 Henderson Blvd, Folcroft, PA 19032 · (855) 790-0100
• Brooksville Rx — Brooksville Pharmaceuticals, 16140 Flight Path Dr, Brooksville, FL 34604 · (352) 848-3446
• Epiq Scripts — Epiq Scripts LLC, 465 W President George Bush Hwy, Ste 240, Richardson, TX 75080 · (833) 654-3553
• Foothills — Foothills Professional Pharmacy Ltd, 2727 W Baseline Rd, Ste 1, Tempe, AZ 85283 · (833) 236-8080
• Southend — Southend Pharmacy, 4802 N Sam Houston Pkwy W, #100, Houston, TX 77086 · (855) 414-5356
• Wells — Wells Pharmacy Network, 3420 Fairlane Farms Rd, Wellington, FL 33414 · (800) 622-4510

Certain branded medications are fulfilled through manufacturer self-pay programs rather than our pharmacy network. These include NovoCare Pharmacy (CoAssist Pharmacy, LLC, 2400 Sand Lake Rd, Ste 200B, Orlando, FL 32809 · (833) 949-5527) and LillyDirect (GiftHealth, Inc., 266 N 4th St, Ste 200, Columbus, OH 43215 · (833) 614-4438).

This list may change from time to time.