Antidepressant Side Effects Like Weight, BP Variations Differ Based on Pharmaceutical

- An large recent study determined that the side effects of antidepressants vary substantially by drug.
- Certain medications resulted in reduced body weight, whereas different drugs resulted in added mass.
- Heart rate and arterial pressure additionally varied markedly across treatments.
- Those encountering persistent, severe, or concerning adverse reactions ought to speak with a physician.
New studies has found that antidepressant adverse reactions may be more extensive than once assumed.
The large-scale study, released on October 21st, examined the effect of antidepressant medications on over 58,000 subjects within the initial 60 days of starting medication.
The researchers studied 151 research projects of 30 medications commonly employed to manage clinical depression. While not all individuals develops adverse reactions, several of the most prevalent observed in the study were changes in body weight, BP, and metabolic markers.
Researchers observed significant differences among antidepressant drugs. As an illustration, an eight-week regimen of agomelatine was connected with an average reduction in body weight of approximately 2.4 kg (approximately 5.3 lbs), whereas maprotiline patients increased close to 2 kg in the identical period.
Furthermore, notable changes in heart function: one antidepressant often would decrease cardiac rhythm, while another medication elevated it, creating a difference of around 21 beats per minute between the two drugs. Arterial pressure differed also, with an 11 millimeters of mercury disparity observed across one drug and doxepin.
Depression Drug Side Effects Encompass a Broad Array
Healthcare professionals commented that the study's findings are not recent or surprising to psychiatric specialists.
"It has long been understood that various depression drugs differ in their impacts on weight, BP, and additional metabolic parameters," a professional commented.
"However, what is remarkable about this study is the comprehensive, relative assessment of these differences across a extensive range of physiological parameters utilizing findings from over 58,000 subjects," the expert noted.
The research offers comprehensive support of the degree of unwanted effects, several of which are more prevalent than others. Typical antidepressant medication unwanted effects may include:
- gastrointestinal symptoms (queasiness, diarrhea, irregularity)
- intimacy issues (decreased libido, inability to orgasm)
- mass variations (gain or loss, based on the agent)
- sleep problems (sleeplessness or sleepiness)
- mouth dryness, sweating, migraine
Meanwhile, less frequent but clinically significant adverse reactions may include:
- increases in BP or cardiac rhythm (notably with SNRIs and certain tricyclic antidepressants)
- hyponatremia (especially in elderly individuals, with selective serotonin reuptake inhibitors and SNRIs)
- elevated hepatic parameters
- QTc lengthening (risk of abnormal heart rhythm, particularly with one medication and certain tricyclics)
- reduced emotions or apathy
"A key factor to consider regarding this matter is that there are multiple different categories of antidepressants, which lead to the distinct adverse pharmaceutical effects," a different expert stated.
"Furthermore, antidepressant medications can impact each person distinctly, and adverse reactions can vary based on the particular drug, dose, and individual elements like body chemistry or comorbidities."
While certain side effects, including changes in rest, hunger, or vitality, are reasonably frequent and often improve as time passes, others may be less frequent or more persistent.
Talk with Your Healthcare Provider About Severe Unwanted Effects
Depression drug adverse reactions may differ in intensity, which could require a modification in your treatment.
"A adjustment in depression drug may be warranted if the person experiences persistent or unacceptable unwanted effects that fail to enhance with duration or supportive care," a expert stated.
"Moreover, if there is an appearance of recently developed medical issues that may be exacerbated by the existing medication, such as hypertension, arrhythmia, or significant increased body weight."
Individuals may also contemplate talking with your physician about any absence of substantial enhancement in low mood or anxiety-related signs subsequent to an adequate evaluation duration. The adequate testing period is typically 4–8 weeks' time at a effective dose.
Patient preference is furthermore significant. Certain patients may want to avoid certain adverse reactions, such as sexual problems or {weight gain|increased body weight|mass addition