Antidepressant Adverse Reactions Such as Body Weight, BP Fluctuations Differ Depending on Medication

- A comprehensive recent study determined that the side effects of antidepressant medications differ significantly by drug.
- Some medications caused reduced body weight, while different drugs resulted in increased body weight.
- Heart rate and blood pressure furthermore varied markedly across treatments.
- Those experiencing continuing, severe, or troubling adverse reactions must consult a medical provider.
Recent investigations has discovered that antidepressant medication unwanted effects may be more diverse than earlier believed.
This extensive research, published on October 21, analyzed the effect of antidepressant drugs on in excess of 58,000 individuals within the first eight weeks of starting medication.
The researchers analyzed 151 studies of 30 drugs frequently employed to treat clinical depression. While not everyone encounters adverse reactions, several of the most prevalent noted in the investigation were fluctuations in weight, blood pressure, and metabolic indicators.
There were notable differences among depression treatments. For instance, an two-month regimen of one medication was associated with an typical weight loss of around 2.4 kg (about 5.3 pounds), while another drug users increased nearly 2 kg in the same duration.
Furthermore, significant variations in cardiovascular activity: fluvoxamine often would decrease cardiac rhythm, whereas nortriptyline increased it, creating a gap of around 21 beats per minute between the two drugs. Blood pressure differed as well, with an 11 mmHg variation seen between one drug and another medication.
Antidepressant Adverse Reactions Encompass a Broad Spectrum
Healthcare specialists commented that the investigation's findings are not considered new or startling to mental health professionals.
"We've long known that distinct depression drugs range in their effects on weight, arterial pressure, and other metabolic indicators," one expert explained.
"However, what is significant about this investigation is the rigorous, comparison-based assessment of these disparities throughout a broad spectrum of bodily measurements utilizing information from in excess of 58,000 participants," the specialist added.
This research delivers comprehensive support of the extent of side effects, several of which are more frequent than different reactions. Frequent depression drug unwanted effects may comprise:
- digestive issues (nausea, diarrhea, irregularity)
- intimacy issues (lowered desire, inability to orgasm)
- mass variations (addition or loss, according to the medication)
- sleep problems (inability to sleep or sedation)
- dry mouth, moisture, head pain
Additionally, rarer but therapeutically relevant adverse reactions may include:
- increases in BP or heart rate (especially with SNRIs and certain tricyclics)
- hyponatremia (especially in senior patients, with selective serotonin reuptake inhibitors and SNRIs)
- liver enzyme elevations
- Corrected QT interval prolongation (risk of arrhythmia, particularly with one medication and certain tricyclics)
- reduced emotions or lack of interest
"One thing to consider in this context is that there are multiple varying categories of antidepressants, which result in the distinct adverse pharmaceutical side effects," a different specialist commented.
"Additionally, depression treatments can affect each person variably, and negative side effects can differ based on the particular drug, dosage, and individual elements like metabolic rate or co-occurring conditions."
While some side effects, including fluctuations in sleep, hunger, or vitality, are fairly typical and frequently improve as time passes, different reactions may be less common or longer-lasting.
Speak with Your Doctor Regarding Severe Unwanted Effects
Depression drug unwanted effects may differ in severity, which could warrant a modification in your treatment.
"A change in antidepressant medication may be warranted if the patient experiences persistent or unacceptable unwanted effects that fail to enhance with passing days or supportive measures," one specialist commented.
"Moreover, if there is an development of recently developed health problems that may be worsened by the current medication, such as hypertension, irregular heartbeat, or substantial weight gain."
Patients may furthermore think about speaking with your healthcare provider regarding any lack of substantial progress in low mood or anxiety indicators following an appropriate evaluation duration. An sufficient trial period is typically 4â8 weeks' time at a treatment dosage.
Patient preference is additionally important. Certain people may prefer to prevent certain side effects, such as sexual dysfunction or {weight gain|increased body weight|mass addition