Antidepressant Adverse Reactions Like Weight, Blood Pressure Fluctuations Range by Drug

- A large new study determined that the adverse reactions of depression drugs vary considerably by drug.
- Some drugs caused reduced body weight, whereas different drugs led to weight gain.
- Heart rate and arterial pressure also differed markedly among drugs.
- Patients encountering continuing, severe, or troubling adverse reactions should consult a healthcare professional.
Recent research has found that antidepressant medication side effects may be more diverse than previously thought.
The comprehensive study, released on October 21, assessed the effect of antidepressant drugs on over 58,000 participants within the first eight weeks of starting therapy.
These investigators examined 151 research projects of 30 pharmaceuticals frequently prescribed to address clinical depression. While not all individuals develops side effects, some of the most common noted in the research were variations in weight, blood pressure, and metabolic parameters.
The study revealed significant disparities among depression treatments. For example, an eight-week regimen of agomelatine was connected with an mean reduction in body weight of approximately 2.4 kg (roughly 5.3 pounds), while another drug patients increased almost 2 kg in the same period.
Furthermore, notable changes in cardiovascular activity: fluvoxamine often would slow pulse rate, whereas another medication raised it, producing a disparity of approximately 21 beats per minute between the two drugs. BP differed too, with an 11 mmHg variation seen across nortriptyline and another medication.
Antidepressant Medication Side Effects Comprise a Extensive Range
Medical professionals commented that the investigation's results are not considered new or surprising to mental health professionals.
"Clinicians have long recognized that various depression drugs range in their influences on body weight, arterial pressure, and further metabolic parameters," one specialist stated.
"Nonetheless, what is notable about this research is the thorough, comparative assessment of these differences throughout a wide spectrum of bodily measurements employing findings from in excess of 58,000 participants," this professional added.
This investigation provides robust proof of the extent of unwanted effects, some of which are more prevalent than others. Typical depression drug unwanted effects may comprise:
- stomach problems (nausea, diarrhea, blockage)
- sexual dysfunction (decreased libido, anorgasmia)
- mass variations (addition or decrease, according to the agent)
- rest issues (insomnia or sleepiness)
- mouth dryness, perspiration, migraine
Additionally, less frequent but therapeutically relevant unwanted effects may comprise:
- elevations in arterial pressure or pulse rate (especially with serotonin-norepinephrine reuptake inhibitors and some tricyclic antidepressants)
- low sodium (particularly in senior patients, with SSRIs and serotonin-norepinephrine reuptake inhibitors)
- liver enzyme elevations
- Corrected QT interval lengthening (chance of irregular heartbeat, particularly with one medication and some tricyclics)
- diminished feelings or lack of interest
"An important point to remember here is that there are multiple distinct types of antidepressants, which lead to the varying negative medication side effects," a different specialist commented.
"Moreover, depression treatments can influence each patient differently, and adverse reactions can range depending on the particular pharmaceutical, amount, and personal considerations such as metabolic rate or co-occurring conditions."
Although certain unwanted effects, including fluctuations in rest, hunger, or stamina, are fairly frequent and commonly get better as time passes, different reactions may be less common or more persistent.
Talk with Your Healthcare Provider Concerning Severe Side Effects
Depression drug side effects may vary in seriousness, which could require a adjustment in your treatment.
"An change in antidepressant medication may be warranted if the individual encounters ongoing or intolerable adverse reactions that don't get better with duration or supportive care," a expert commented.
"Furthermore, if there is an emergence of new health problems that may be worsened by the existing treatment, for example hypertension, arrhythmia, or substantial increased body weight."
Individuals may additionally think about consulting with your healthcare provider concerning any deficiency of meaningful progress in depressive or worry signs after an appropriate testing period. An sufficient testing period is generally 4–8 weeks at a therapeutic amount.
Patient inclination is additionally crucial. Certain individuals may choose to avoid particular side effects, including intimacy issues or {weight gain|increased body weight|mass addition