Depression Drug Adverse Reactions Like Body Weight, Blood Pressure Variations Range by Drug

- An large latest investigation discovered that the unwanted effects of antidepressant medications vary substantially by drug.
- Certain pharmaceuticals led to weight loss, whereas others caused increased body weight.
- Heart rate and BP also diverged notably across medications.
- Patients encountering ongoing, serious, or concerning side effects ought to consult a medical provider.
New research has found that antidepressant medication unwanted effects may be more extensive than once assumed.
This extensive investigation, released on October 21, examined the effect of antidepressant drugs on over 58,000 participants within the first two months of commencing medication.
The researchers analyzed 151 research projects of 30 medications commonly prescribed to manage major depression. Although not everyone experiences side effects, some of the most frequent noted in the research were changes in body weight, arterial pressure, and metabolic parameters.
There were striking differences across antidepressant medications. For instance, an two-month regimen of agomelatine was linked to an mean reduction in body weight of about 2.4 kilograms (about 5.3 pounds), while maprotiline patients gained close to 2 kg in the equivalent period.
Additionally, marked changes in heart function: fluvoxamine was likely to reduce pulse rate, in contrast nortriptyline raised it, causing a gap of approximately 21 beats per minute between the two drugs. Arterial pressure fluctuated too, with an 11 millimeters of mercury disparity seen between nortriptyline and doxepin.
Antidepressant Side Effects Include a Broad Array
Clinical experts observed that the research's findings are not recent or surprising to mental health professionals.
"We've long known that different antidepressant medications range in their effects on weight, blood pressure, and further metabolic indicators," one specialist explained.
"Nonetheless, what is notable about this investigation is the comprehensive, comparative quantification of these variations throughout a broad spectrum of bodily measurements using data from over 58,000 participants," the professional commented.
The investigation delivers robust proof of the magnitude of side effects, certain of which are more frequent than other effects. Common depression drug unwanted effects may comprise:
- gastrointestinal symptoms (sickness, bowel issues, constipation)
- sexual dysfunction (lowered desire, anorgasmia)
- body weight fluctuations (increase or reduction, according to the drug)
- sleep disturbances (inability to sleep or sleepiness)
- mouth dryness, sweating, head pain
Additionally, less common but therapeutically relevant unwanted effects may include:
- increases in blood pressure or heart rate (notably with serotonin-norepinephrine reuptake inhibitors and certain tricyclic antidepressants)
- reduced blood sodium (notably in elderly individuals, with selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors)
- increased liver enzymes
- QTc lengthening (chance of abnormal heart rhythm, notably with citalopram and certain tricyclics)
- emotional blunting or lack of interest
"A key factor to note here is that there are multiple varying types of antidepressant medications, which lead to the varying unwanted drug side effects," a different specialist stated.
"Furthermore, depression treatments can affect each person distinctly, and adverse reactions can vary based on the exact drug, dosage, and individual factors such as metabolism or comorbidities."
While some unwanted effects, including variations in rest, hunger, or stamina, are fairly typical and often get better over time, other effects may be less frequent or longer-lasting.
Speak with Your Doctor Regarding Intense Unwanted Effects
Antidepressant unwanted effects may vary in intensity, which could require a change in your treatment.
"A change in depression drug may be appropriate if the person experiences continuing or unbearable unwanted effects that fail to enhance with time or management strategies," one specialist stated.
"Additionally, if there is an development of new medical conditions that may be exacerbated by the present treatment, for instance hypertension, irregular heartbeat, or significant increased body weight."
You may furthermore contemplate consulting with your doctor about any deficiency of significant progress in depressive or anxiety-related indicators following an appropriate testing period. The appropriate evaluation duration is typically 4–8 weeks duration at a effective amount.
Individual preference is furthermore significant. Some individuals may prefer to avoid particular side effects, including sexual dysfunction or {weight gain|increased body weight|mass addition