Antidepressant Medication Adverse Reactions Like Weight, BP Fluctuations Vary Depending on Medication

- A large latest investigation determined that the unwanted effects of antidepressants differ considerably by drug.
- Some pharmaceuticals caused weight loss, whereas other medications resulted in increased body weight.
- Heart rate and blood pressure furthermore varied notably among treatments.
- Patients suffering from continuing, severe, or worrisome adverse reactions ought to consult a medical provider.
Latest research has revealed that antidepressant side effects may be more varied than once assumed.
This comprehensive study, issued on October 21st, analyzed the influence of antidepressant medications on more than 58,000 participants within the initial two months of commencing treatment.
These scientists examined 151 research projects of 30 medications commonly used to manage clinical depression. Although not every patient encounters unwanted effects, some of the most common observed in the study were changes in body weight, arterial pressure, and metabolic markers.
There were striking differences between antidepressant medications. As an illustration, an two-month treatment period of agomelatine was connected with an typical decrease in mass of around 2.4 kilograms (about 5.3 lbs), while maprotiline users added nearly 2 kg in the identical period.
There were also, marked variations in heart function: fluvoxamine tended to reduce pulse rate, in contrast nortriptyline increased it, creating a difference of around 21 heartbeats per minute between the both treatments. Arterial pressure differed also, with an 11 millimeters of mercury disparity noted between nortriptyline and doxepin.
Antidepressant Adverse Reactions Include a Wide Spectrum
Medical experts observed that the study's findings are not novel or surprising to psychiatrists.
"It has long been understood that various antidepressants range in their effects on weight, BP, and other metabolic indicators," one expert explained.
"Nevertheless, what is remarkable about this study is the rigorous, comparison-based quantification of these differences across a broad array of bodily measurements using information from more than 58,000 subjects," the specialist added.
This study provides strong proof of the degree of unwanted effects, certain of which are more common than others. Common antidepressant unwanted effects may comprise:
- stomach problems (sickness, bowel issues, irregularity)
- intimacy issues (lowered desire, anorgasmia)
- body weight fluctuations (increase or reduction, depending on the agent)
- rest issues (insomnia or drowsiness)
- mouth dryness, perspiration, head pain
At the same time, less frequent but medically important side effects may encompass:
- rises in blood pressure or heart rate (notably with serotonin-norepinephrine reuptake inhibitors and some tricyclics)
- reduced blood sodium (notably in senior patients, with selective serotonin reuptake inhibitors and SNRIs)
- increased liver enzymes
- QTc extension (potential of irregular heartbeat, particularly with one medication and certain tricyclic antidepressants)
- diminished feelings or apathy
"A key factor to consider in this context is that there are multiple distinct classes of antidepressants, which lead to the distinct unwanted pharmaceutical effects," another specialist explained.
"Furthermore, antidepressant drugs can influence each patient variably, and unwanted side effects can vary according to the particular pharmaceutical, dose, and personal considerations such as metabolic rate or comorbidities."
While several unwanted effects, like variations in sleep, hunger, or stamina, are reasonably frequent and frequently improve with time, different reactions may be less frequent or continuing.
Speak with Your Doctor About Severe Adverse Reactions
Depression drug unwanted effects may differ in severity, which could warrant a adjustment in your drug.
"An adjustment in antidepressant may be necessary if the person experiences persistent or unacceptable side effects that do not improve with passing days or management strategies," one expert stated.
"Additionally, if there is an development of new medical conditions that may be worsened by the current drug, for example hypertension, abnormal heart rhythm, or considerable mass addition."
Patients may furthermore consider consulting with your physician about any lack of meaningful enhancement in depression-related or anxiety signs subsequent to an appropriate testing period. An sufficient trial period is generally 4–8 weeks duration at a effective dose.
Patient choice is also significant. Certain patients may choose to avoid particular adverse reactions, including sexual dysfunction or {weight gain|increased body weight|mass addition