Depression Drug Adverse Reactions Including Weight, BP Changes Vary Depending on Medication

Latest research delivers robust evidence of the broad array of antidepressant side effects.
  • An large latest investigation determined that the side effects of depression drugs differ significantly by drug.
  • Some pharmaceuticals resulted in weight loss, whereas others caused increased body weight.
  • Cardiac rhythm and arterial pressure also differed markedly across treatments.
  • Individuals encountering persistent, intense, or concerning unwanted effects ought to speak with a healthcare professional.

Latest research has found that antidepressant medication unwanted effects may be more diverse than once assumed.

The comprehensive investigation, released on October 21, assessed the effect of antidepressant medications on more than 58,000 individuals within the initial two months of starting therapy.

The researchers studied 151 studies of 30 medications commonly used to treat major depression. Although not all individuals encounters side effects, certain of the most common noted in the research were changes in body weight, arterial pressure, and metabolic markers.

There were notable disparities across antidepressant drugs. For instance, an two-month regimen of one medication was associated with an mean weight loss of around 2.4 kilos (roughly 5.3 lbs), whereas maprotiline patients added nearly 2 kg in the identical period.

There were also, significant fluctuations in cardiac function: fluvoxamine often would slow cardiac rhythm, whereas another medication elevated it, creating a disparity of about 21 heartbeats per minute across the both treatments. BP fluctuated also, with an 11 millimeters of mercury disparity noted between nortriptyline and another medication.

Antidepressant Side Effects Encompass a Wide Spectrum

Healthcare experts commented that the study's findings are not novel or unexpected to psychiatrists.

"We've long known that distinct depression drugs vary in their influences on weight, BP, and further metabolic parameters," one expert stated.

"However, what is notable about this research is the thorough, relative quantification of these disparities among a extensive array of physiological parameters employing information from more than 58,000 participants," this expert commented.

This study provides strong proof of the degree of side effects, certain of which are more frequent than other effects. Typical antidepressant adverse reactions may include:

  • gastrointestinal symptoms (sickness, bowel issues, blockage)
  • sexual dysfunction (reduced sex drive, orgasmic dysfunction)
  • body weight fluctuations (increase or loss, according to the agent)
  • sleep problems (sleeplessness or sleepiness)
  • dry mouth, sweating, migraine

Meanwhile, less common but clinically significant adverse reactions may encompass:

  • increases in BP or heart rate (especially with SNRIs and certain tricyclic antidepressants)
  • reduced blood sodium (especially in elderly individuals, with selective serotonin reuptake inhibitors and SNRIs)
  • liver enzyme elevations
  • QTc extension (potential of arrhythmia, especially with citalopram and some tricyclic antidepressants)
  • reduced emotions or lack of interest

"A key factor to note here is that there are multiple distinct categories of antidepressant medications, which lead to the different unwanted pharmaceutical side effects," another expert stated.

"Furthermore, antidepressant drugs can impact each patient variably, and unwanted side effects can vary based on the exact medication, amount, and individual considerations like metabolism or simultaneous health issues."

Although some adverse reactions, such as changes in sleep, appetite, or energy levels, are reasonably typical and frequently get better over time, others may be less frequent or continuing.

Speak with Your Doctor Regarding Severe Adverse Reactions

Antidepressant medication side effects may differ in intensity, which could require a adjustment in your treatment.

"A adjustment in antidepressant may be warranted if the patient experiences persistent or unbearable adverse reactions that do not improve with time or supportive care," a specialist stated.

"Additionally, if there is an appearance of recently developed health problems that may be worsened by the existing medication, for example elevated BP, abnormal heart rhythm, or substantial increased body weight."

Patients may furthermore contemplate consulting with your healthcare provider about any deficiency of significant improvement in depression-related or anxiety-related indicators following an adequate trial period. An sufficient evaluation duration is usually 4–8 weeks' time at a therapeutic amount.

Individual choice is additionally crucial. Certain individuals may prefer to prevent specific adverse reactions, like sexual dysfunction or {weight gain|increased body weight|mass addition

George Brown
George Brown

A productivity coach and mindfulness advocate with a passion for helping others achieve their goals through effective note-taking techniques.