Antidepressant Medication Adverse Reactions Like Weight, Blood Pressure Variations Differ by Drug

- An comprehensive new research determined that the side effects of depression drugs vary significantly by drug.
- Some medications resulted in reduced body weight, whereas others led to increased body weight.
- Heart rate and arterial pressure furthermore differed markedly among medications.
- Patients experiencing persistent, serious, or concerning side effects ought to consult a medical provider.
New research has found that depression drug side effects may be more extensive than earlier believed.
The large-scale investigation, issued on the 21st of October, assessed the influence of depression treatments on more than 58,000 subjects within the initial 60 days of commencing medication.
These investigators studied 151 studies of 30 drugs frequently employed to manage major depression. Although not all individuals develops unwanted effects, certain of the most prevalent recorded in the study were changes in weight, blood pressure, and metabolic indicators.
There were striking differences between depression treatments. For instance, an two-month course of one medication was linked to an mean decrease in mass of approximately 2.4 kg (roughly 5.3 lbs), whereas another drug individuals gained close to 2 kg in the identical duration.
Furthermore, notable fluctuations in cardiovascular activity: fluvoxamine was likely to slow pulse rate, in contrast another medication elevated it, causing a difference of approximately 21 beats per minute between the both treatments. BP fluctuated as well, with an 11 mmHg difference observed across nortriptyline and another medication.
Antidepressant Side Effects Comprise a Extensive Spectrum
Clinical experts noted that the study's results are not novel or unexpected to mental health professionals.
"It has long been understood that distinct antidepressants range in their effects on body weight, arterial pressure, and other metabolic indicators," one specialist explained.
"However, what is remarkable about this study is the rigorous, relative assessment of these disparities throughout a extensive range of physiological parameters employing findings from more than 58,000 participants," the expert added.
This research provides strong evidence of the magnitude of unwanted effects, certain of which are more common than different reactions. Typical antidepressant adverse reactions may comprise:
- digestive issues (nausea, diarrhea, constipation)
- sexual problems (decreased libido, inability to orgasm)
- weight changes (increase or decrease, depending on the agent)
- rest issues (inability to sleep or drowsiness)
- mouth dryness, sweating, migraine
Additionally, less common but therapeutically relevant adverse reactions may include:
- increases in blood pressure or cardiac rhythm (notably with SNRIs and some tricyclic antidepressants)
- low sodium (notably in older adults, with selective serotonin reuptake inhibitors and SNRIs)
- elevated hepatic parameters
- QTc lengthening (risk of abnormal heart rhythm, notably with citalopram and certain tricyclic antidepressants)
- reduced emotions or indifference
"A key factor to consider in this context is that there are multiple distinct categories of antidepressants, which contribute to the varying adverse medication effects," a different professional commented.
"Moreover, depression treatments can influence each person differently, and unwanted effects can differ depending on the specific medication, dosage, and personal elements such as body chemistry or simultaneous health issues."
While some unwanted effects, including changes in sleep, appetite, or energy levels, are reasonably common and commonly enhance with time, different reactions may be less frequent or continuing.
Consult with Your Physician Concerning Serious Adverse Reactions
Antidepressant medication adverse reactions may vary in seriousness, which could justify a adjustment in your medication.
"An adjustment in depression drug may be warranted if the patient suffers ongoing or unbearable adverse reactions that fail to enhance with time or supportive measures," a professional commented.
"Furthermore, if there is an appearance of recent medical conditions that may be worsened by the existing drug, for example hypertension, arrhythmia, or significant mass addition."
Patients may also think about talking with your physician regarding any lack of meaningful improvement in low mood or worry signs following an sufficient trial period. The sufficient trial period is typically 4–8 weeks duration at a effective dose.
Personal inclination is additionally significant. Some individuals may prefer to prevent particular side effects, like intimacy issues or {weight gain|increased body weight|mass addition