Antidepressant Unwanted Effects Like Weight, BP Changes Vary Depending on Medication

- An extensive recent study discovered that the unwanted effects of antidepressants differ substantially by drug.
- Certain medications resulted in decreased mass, while others caused weight gain.
- Cardiac rhythm and arterial pressure additionally differed markedly between medications.
- Those experiencing ongoing, severe, or concerning adverse reactions ought to discuss with a medical provider.
Recent investigations has found that depression drug adverse reactions may be more extensive than once assumed.
The extensive study, released on October 21, examined the influence of antidepressant drugs on over 58,000 subjects within the initial two months of commencing treatment.
These investigators examined 151 investigations of 30 drugs typically used to address clinical depression. While not all individuals develops side effects, certain of the most prevalent observed in the research were changes in weight, arterial pressure, and metabolic markers.
Researchers observed notable differences across depression treatments. As an illustration, an two-month course of agomelatine was associated with an typical weight loss of around 2.4 kilos (approximately 5.3 lbs), while maprotiline users gained nearly 2 kg in the equivalent period.
Additionally, marked changes in cardiac function: one antidepressant often would slow heart rate, whereas nortriptyline increased it, producing a disparity of approximately 21 heartbeats per minute among the two medications. BP varied too, with an 11 millimeters of mercury variation seen across one drug and another medication.
Depression Drug Side Effects Encompass a Broad Range
Medical experts commented that the research's results are not new or surprising to mental health professionals.
"Clinicians have long recognized that different antidepressants range in their impacts on body weight, arterial pressure, and additional metabolic indicators," a specialist stated.
"Nonetheless, what is notable about this study is the comprehensive, relative assessment of these disparities throughout a broad spectrum of bodily measurements employing data from over 58,000 subjects," the specialist added.
The research provides robust support of the extent of unwanted effects, some of which are more common than different reactions. Typical antidepressant side effects may encompass:
- digestive issues (queasiness, diarrhea, irregularity)
- sexual problems (decreased libido, inability to orgasm)
- mass variations (increase or reduction, based on the drug)
- sleep problems (inability to sleep or sleepiness)
- mouth dryness, sweating, head pain
Meanwhile, rarer but clinically significant adverse reactions may comprise:
- elevations in arterial pressure or cardiac rhythm (particularly with serotonin-norepinephrine reuptake inhibitors and certain tricyclics)
- reduced blood sodium (particularly in older adults, with SSRIs and SNRIs)
- increased liver enzymes
- Corrected QT interval prolongation (chance of irregular heartbeat, particularly with citalopram and certain tricyclics)
- diminished feelings or indifference
"One thing to consider regarding this matter is that there are multiple different categories of antidepressant medications, which result in the different unwanted pharmaceutical effects," a different expert commented.
"Furthermore, depression treatments can impact each person variably, and negative reactions can vary based on the particular drug, dosage, and individual elements such as body chemistry or simultaneous health issues."
While several adverse reactions, like fluctuations in rest, hunger, or energy levels, are fairly frequent and often enhance with time, different reactions may be less frequent or more persistent.
Talk with Your Physician About Serious Side Effects
Depression drug side effects may differ in intensity, which could require a adjustment in your medication.
"An modification in antidepressant may be necessary if the patient experiences ongoing or unacceptable adverse reactions that fail to enhance with duration or management strategies," a professional stated.
"Additionally, if there is an emergence of recently developed medical conditions that may be worsened by the present treatment, for instance elevated BP, arrhythmia, or substantial weight gain."
Patients may additionally think about talking with your healthcare provider regarding any deficiency of meaningful progress in depression-related or anxiety indicators following an appropriate evaluation duration. The adequate trial period is generally 4–8 weeks duration at a effective dosage.
Personal inclination is additionally important. Certain patients may choose to avoid particular adverse reactions, such as intimacy issues or {weight gain|increased body weight|mass addition