Antidepressant Unwanted Effects Such as Weight, BP Fluctuations Range by Drug

- A large recent research determined that the unwanted effects of depression drugs differ significantly by drug.
- Some medications resulted in weight loss, while different drugs caused increased body weight.
- Heart rate and arterial pressure furthermore differed significantly among treatments.
- Those suffering from continuing, severe, or troubling unwanted effects ought to consult a healthcare professional.
Recent studies has found that antidepressant medication side effects may be more diverse than earlier believed.
This large-scale study, issued on October 21st, examined the effect of antidepressant medications on more than 58,000 individuals within the beginning eight weeks of starting treatment.
These scientists examined 151 investigations of 30 medications frequently employed to treat major depression. Although not all individuals experiences adverse reactions, certain of the most prevalent observed in the investigation were variations in body weight, BP, and metabolic parameters.
There were significant differences across antidepressant medications. For example, an two-month regimen of agomelatine was associated with an mean reduction in body weight of about 2.4 kg (approximately 5.3 lbs), whereas another drug individuals increased nearly 2 kg in the identical period.
Furthermore, significant fluctuations in cardiac function: one antidepressant was likely to slow cardiac rhythm, while another medication increased it, producing a disparity of around 21 BPM across the two medications. Blood pressure fluctuated also, with an 11 mmHg variation noted across nortriptyline and another medication.
Antidepressant Medication Unwanted Effects Encompass a Extensive Spectrum
Healthcare experts noted that the research's results are not new or unexpected to mental health professionals.
"We've long known that distinct antidepressant medications vary in their effects on body weight, arterial pressure, and other metabolic measures," a professional explained.
"However, what is remarkable about this study is the rigorous, comparison-based quantification of these disparities throughout a broad range of physical indicators employing findings from over 58,000 subjects," this expert noted.
This study delivers robust evidence of the magnitude of unwanted effects, several of which are more prevalent than others. Common antidepressant medication unwanted effects may encompass:
- stomach problems (sickness, bowel issues, constipation)
- sexual dysfunction (lowered desire, anorgasmia)
- mass variations (increase or loss, depending on the agent)
- rest issues (insomnia or sleepiness)
- mouth dryness, moisture, migraine
Additionally, rarer but therapeutically relevant unwanted effects may comprise:
- elevations in BP or pulse rate (especially with serotonin-norepinephrine reuptake inhibitors and some tricyclics)
- reduced blood sodium (particularly in senior patients, with selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors)
- increased liver enzymes
- QTc lengthening (potential of arrhythmia, especially with citalopram and certain tricyclic antidepressants)
- diminished feelings or lack of interest
"A key factor to consider regarding this matter is that there are various different classes of antidepressants, which contribute to the distinct adverse medication reactions," a different specialist stated.
"Moreover, depression treatments can influence every individual variably, and adverse side effects can differ based on the exact pharmaceutical, dosage, and personal factors like metabolism or co-occurring conditions."
Although certain adverse reactions, such as fluctuations in rest, appetite, or energy levels, are quite common and commonly enhance over time, different reactions may be less common or continuing.
Speak with Your Healthcare Provider Concerning Severe Side Effects
Depression drug unwanted effects may differ in severity, which could justify a change in your drug.
"An change in antidepressant medication may be appropriate if the individual experiences persistent or intolerable unwanted effects that do not improve with duration or management strategies," a specialist said.
"Furthermore, if there is an development of recently developed medical conditions that may be aggravated by the present drug, such as elevated BP, abnormal heart rhythm, or significant increased body weight."
You may additionally contemplate consulting with your healthcare provider concerning any absence of significant improvement in depressive or worry indicators after an appropriate trial period. An adequate evaluation duration is usually 4–8 weeks duration at a effective amount.
Individual preference is also crucial. Certain people may choose to prevent particular side effects, such as sexual problems or {weight gain|increased body weight|mass addition