Antidepressants are a conventional treatment option for those with depression. Although antidepressants may not cure depression may not cure depression they decrease your symptoms. The first antidepressant you try may work fine. But if it doesn’t reduce your symptoms, or it causes side effects that bother your, your may need to try another.
But this does not have to be the case. Some antidepressant are viable, and chances are you’ll be able to find one that works well for you.
Finding the correct antidepressant
There ae some antidepressant viable that work n slightly different ways and have different side effects. Most operate equally well to relieve depression, so choosing the right one involves subtle direness. When designating an antidepressant that likely to serve you well, your doctor may consider.
Your distinct symptoms, Symptoms of depression can differ, and one antidepressant may alleviate certain symptoms better than another. For example, if have difficulty sleeping, and antidepressant that’s sedating may be a good option.
Possible side effects, Side effects of antidepressants vary from one medication to another and from person to person. Bothersome side effects, such as the dry mouth, weight gain or sexual side effects, can make ist difficult to stick with treatments.
Has the medication worked for a relative close to you? If a medication has worked for a first-degree relative, such as a parent or a sister or brother, can indicate how well it might work for you.
Interaction with other medications. Some antidepressants can cause dangerous reactions when taken with other medications.
Whether you’re pregnant or breast-deeding- Many antidepressants may be safe for you baby when taken throughout pregnancy or succeeding when you’re breastfeeding. Work with your physician to find the best way manage your depression when you’re expecting or planning on becoming pregnant
What additional health conditions – Some antidepressants may cause difficulties if you have certain mental or physical health conditions. On the other hand, a certain antidepressant may help treat other physical or psychological health conditions along with depression. For instance, bupropion (Wellbutrin) may help relieve symptoms of both attention-deficit.Hyperactivity disorder (ADHD) and depression. Other examples include applying duloxetine (Cymbalta) to assist with pain symptoms or fibromyalgia or using amitriptyline to block migraine headaches.
Cost and health insurance coverage. Some antidepressants can be expensive, especially if there are not any generic version available.
What are the different types of antidepressants
Certain brain chemicals referred neurotransmitters are correlated with depression – particular serotonin norepinephrine and dopamine. Most antidepressants relieve depression by influencing these neurotransmitters. Each kind (class) of antidepressant affects these neurotransmitters in somewhat different ways.
Many types of antidepressant medicines are available to treat depression, including those below. Discuss possible major side effects with your doctor or pharmacist.
Selective serotonin reuptake inhibitors (SSRIs). Doctors often set by prescribing a SSRI. These medications are safer and cause fewer bothersome side effects than other types of antidepressants. SSRIs include fluoxetine (Prozac, Selfemra) paroxetine (Paxil, Prxeava), citalopram (Celexa) , sertraline (Zoloft) and escitalopram (Lexapro)
Serotonin and norepinephrine reuptake inhibitors (SNRIs) These include SNRI medications include venlafaxine (Effexor XR), duloxetine (Cymbalta), levomilnacipran (Fetzima). And desvenlafaxine (Pristiq, Khedezla).
Dopamine reuptake inhibitors (NDRIs) and Norepinephrine. Bupropion (Wellbutrin, Aplenzin, Forfivo XL) falls into this class. It’s one of the few antidepressants not frequently associated with sexual side effects.
Atypical antidepressants. These medications do not fit neatly into any of the other antidepressant categories. They include trazodone Oleptro, vortioxetine (Brintellix), mirtazapine (Remeron). Both are sedating and usually taken in the evening. Newer medications called vilazodone (Viibryd) is thought to have a low risk of sexual side effects.
Tricyclic Antidepressants, Tricyclic antidepressants such as imipramine (Tofranil), nortriptyline (Pamelor) amitriptyline, doxepin, =desipramine (Norpramin), Trimipramine (Surmontil), and protriptyline (Vivactil) – tend to produce more side effects than newer antidepressants. So tricyclic antidepressants aren’t preserved unless you tried a SSRI first without improvement.
Monoamine oxidase inhibitors (MAOIs). MAOIs – such s Phenelzine (Nardil), and isocarboxazid (Marplan), tranylcypromine (Parnate) – may be recommended, often when other medicines have not worked, because they can have serious side effects. Using a MAOI requires a very strict diet because of dangerous ( or even deadly) interactions with foods – such as certain cheese, wines, and pickles, some medications, including birth control pills, decongestant, and certain herbal supplements. Selegiline (Emsam) a new MAOI that you stick on your skin as a patch, may cause fewer side effects than other MAOIs. These medications ca not be combined with SSRAIs.
Other medications may be added to an antidepressant to enhance antidepressant effects. Your physician may suggest combining two antidepressants or medications such as mood stabilizers or antipsychotics. Antianxiety and stimulant medications might also be added for short term use.
Antidepressants and risk of Suicide
Most antidepressants are safe, but the Food and Drug Administration request that all antidepressants provide black box warnings, the strictest warnings for prescriptions. In some instances children, teenagers and young adults, under 25 may have more suicidal thoughts or behavior when using antidepressants, particularly in the first few weeks after starting or when the dose is changed.
Anyone taking an antidepressant should be evaluated closely for worsening depression or unusual behavior If you or someone you know have suicidal thought when taking antidepressants immediately contact your doctor or get emergency help.
Keep in mind that antidepressants are more likely to lessen suicide risk in the long run by improving your mood.
Making Antidepressants Work for You
Several steps can be done to help with antidepressants.
Bet patient. Once you and your doctor have chosen selected an antidepressant, it may take six or more weeks for it to be fully effective. With some medications, it makes take six or more weeks for it to be fully impactful. With some prescriptions, you can take the full dosage immediately. With others, you may require increasing your dose gradually. Talk to your doctor or therapist regarding coping with depression symptoms as you wait for medications to take effect.
Evaluate if your side effects improve. Many antidepressants cause effects when starting a SSRI can include dry mouth, nausea loose bowel movements, headaches and insomnia, but these symptoms usually go away as your body adjusts to the antidepressant.
If something does not work, you can try something else. If you have bothersome side effects or no notable improvement in your symptoms after six weeks, speak to your doctor about adjusting the dose, trying a different antidepressant (switching) or combining a second antidepressant or extra medication (augmentation) A medication combination may work better for your than a particular antidepressant.
Take your antidepressant routinely and at the exact dose. If your medication doesn’t seem to be working or is causing bothersome side effects, call your doctor before making any changes.
Don’t stop taking an antidepressant without initially talking to your doctor. Some antidepressants can cause dramatic withdrawal-like symptoms unless you slowly remove yourself from your dosages. Quitting suddenly may cause an immediate exacerbation of depression.
Try psychotherapy. In some cases, combined antidepressant with mental health counseling psychotherapy is more effective than taking antidepressants alone. It can also help point your description from returning once you are feeling better.
Avoid all alcohol and illegal drugs. There can be unpleasant side effects if you drink alcohol or illegal drugs. The interaction can make you feel very sick.Monoamine oxidase inhibitors (MAOIs or tricyclic antidepressants (TCAs), you may become drowsy and dizzy.