Antidepressant Medication Unwanted Effects Like Weight, Blood Pressure Variations Differ Depending on Medication

- A large latest study determined that the adverse reactions of depression drugs differ substantially by drug.
- Some pharmaceuticals led to weight loss, whereas other medications resulted in increased body weight.
- Cardiac rhythm and BP additionally varied notably across drugs.
- Patients suffering from ongoing, intense, or worrisome unwanted effects should consult a medical provider.
Recent investigations has found that depression drug side effects may be more varied than previously thought.
This comprehensive study, published on the 21st of October, assessed the impact of depression treatments on in excess of 58,000 individuals within the initial 60 days of beginning treatment.
The researchers studied 151 studies of 30 medications frequently used to treat major depression. Although not everyone encounters adverse reactions, several of the most frequent observed in the investigation were variations in body weight, arterial pressure, and metabolic indicators.
There were significant disparities between depression treatments. For instance, an 60-day regimen of one medication was connected with an typical decrease in mass of approximately 2.4 kg (roughly 5.3 pounds), whereas maprotiline users increased close to 2 kg in the same duration.
Furthermore, marked variations in heart function: fluvoxamine often would slow pulse rate, in contrast nortriptyline raised it, producing a disparity of around 21 heartbeats per minute across the two drugs. BP differed also, with an 11 millimeters of mercury difference seen across one drug and doxepin.
Depression Drug Unwanted Effects Comprise a Wide Spectrum
Healthcare experts observed that the investigation's conclusions are not new or unexpected to psychiatric specialists.
"Clinicians have long recognized that different antidepressant medications differ in their influences on body weight, arterial pressure, and additional metabolic parameters," one specialist explained.
"Nonetheless, what is remarkable about this study is the thorough, comparative measurement of these differences throughout a broad range of physical indicators employing data from over 58,000 participants," the expert added.
The research offers comprehensive evidence of the extent of adverse reactions, some of which are more common than other effects. Frequent antidepressant unwanted effects may include:
- digestive issues (nausea, loose stools, constipation)
- intimacy issues (lowered desire, orgasmic dysfunction)
- body weight fluctuations (gain or decrease, based on the drug)
- sleep disturbances (inability to sleep or drowsiness)
- oral dehydration, perspiration, migraine
At the same time, less frequent but clinically significant unwanted effects may comprise:
- rises in blood pressure or heart rate (especially with serotonin-norepinephrine reuptake inhibitors and certain tricyclics)
- hyponatremia (especially in elderly individuals, with selective serotonin reuptake inhibitors and SNRIs)
- liver enzyme elevations
- Corrected QT interval extension (potential of irregular heartbeat, especially with citalopram and certain tricyclics)
- reduced emotions or lack of interest
"One thing to remember in this context is that there are multiple different types of antidepressants, which contribute to the different unwanted drug reactions," a different expert commented.
"Furthermore, antidepressant medications can affect every individual distinctly, and adverse effects can vary depending on the exact pharmaceutical, amount, and individual factors including metabolism or comorbidities."
While some unwanted effects, like changes in sleep, appetite, or stamina, are quite typical and frequently get better over time, different reactions may be less common or longer-lasting.
Talk with Your Healthcare Provider Concerning Severe Side Effects
Antidepressant side effects may differ in severity, which could justify a change in your treatment.
"A change in antidepressant medication may be warranted if the individual encounters persistent or unbearable side effects that do not improve with duration or supportive measures," one professional stated.
"Moreover, if there is an development of recent medical issues that may be aggravated by the present drug, such as hypertension, abnormal heart rhythm, or significant weight gain."
Patients may also think about talking with your healthcare provider about any lack of substantial progress in low mood or worry symptoms following an appropriate testing period. An appropriate trial period is generally 4–8 weeks at a effective dosage.
Individual preference is furthermore significant. Certain patients may want to avoid certain adverse reactions, such as intimacy issues or {weight gain|increased body weight|mass addition