Antidepressant Medication Adverse Reactions Like Weight, BP Variations Range by Drug

- An large new study determined that the adverse reactions of antidepressants range considerably by drug.
- Certain drugs resulted in decreased mass, whereas other medications led to added mass.
- Cardiac rhythm and BP additionally diverged markedly among medications.
- Individuals experiencing continuing, serious, or troubling unwanted effects should speak with a healthcare professional.
Latest research has revealed that antidepressant medication side effects may be more extensive than earlier believed.
The large-scale study, published on October 21st, analyzed the impact of antidepressant drugs on more than 58,000 individuals within the initial two months of beginning medication.
The scientists examined 151 studies of 30 pharmaceuticals frequently employed to address major depression. Although not everyone develops adverse reactions, certain of the most frequent observed in the study were fluctuations in weight, BP, and metabolic parameters.
The study revealed notable differences across antidepressant drugs. For example, an two-month treatment period of agomelatine was associated with an mean reduction in body weight of approximately 2.4 kilograms (about 5.3 pounds), while maprotiline users increased almost 2 kg in the same timeframe.
Additionally, significant variations in cardiovascular activity: one antidepressant was likely to slow cardiac rhythm, while nortriptyline increased it, creating a difference of about 21 heartbeats per minute between the both treatments. Blood pressure varied as well, with an 11 millimeters of mercury variation observed between one drug and doxepin.
Antidepressant Medication Unwanted Effects Encompass a Wide Array
Clinical experts commented that the study's findings are not new or startling to psychiatrists.
"Clinicians have long recognized that distinct antidepressants range in their influences on weight, blood pressure, and additional metabolic parameters," one expert stated.
"Nonetheless, what is notable about this investigation is the thorough, comparison-based assessment of these differences throughout a wide spectrum of physical indicators utilizing information from more than 58,000 subjects," the specialist commented.
The study provides comprehensive proof of the extent of unwanted effects, several of which are more common than other effects. Common antidepressant medication unwanted effects may encompass:
- digestive issues (sickness, diarrhea, irregularity)
- sexual problems (lowered desire, inability to orgasm)
- weight changes (increase or loss, based on the medication)
- sleep disturbances (sleeplessness or sedation)
- oral dehydration, moisture, head pain
Meanwhile, rarer but therapeutically relevant side effects may include:
- rises in arterial pressure or cardiac rhythm (notably with SNRIs and some tricyclic antidepressants)
- low sodium (particularly in elderly individuals, with selective serotonin reuptake inhibitors and SNRIs)
- increased liver enzymes
- Corrected QT interval lengthening (chance of irregular heartbeat, notably with citalopram and certain tricyclics)
- diminished feelings or lack of interest
"An important point to note in this context is that there are various distinct categories of antidepressants, which contribute to the different adverse pharmaceutical effects," a different specialist stated.
"Furthermore, antidepressant drugs can influence each patient variably, and unwanted side effects can vary depending on the specific medication, amount, and personal considerations like metabolic rate or simultaneous health issues."
Although some adverse reactions, including changes in rest, appetite, or energy levels, are quite typical and frequently improve with time, other effects may be less common or longer-lasting.
Talk with Your Doctor About Severe Adverse Reactions
Depression drug adverse reactions may range in intensity, which could require a adjustment in your drug.
"A change in antidepressant medication may be appropriate if the patient encounters continuing or unacceptable side effects that fail to enhance with time or supportive measures," a specialist stated.
"Additionally, if there is an development of recent health problems that may be worsened by the present medication, for example high blood pressure, irregular heartbeat, or considerable weight gain."
Individuals may furthermore think about talking with your healthcare provider concerning any lack of significant improvement in depressive or anxiety indicators subsequent to an adequate trial period. An appropriate evaluation duration is generally 4–8 weeks at a therapeutic amount.
Personal choice is furthermore crucial. Some individuals may choose to prevent particular adverse reactions, including intimacy issues or {weight gain|increased body weight|mass addition