Antidepressant Side Effects Like Weight, BP Fluctuations Vary Based on Pharmaceutical

- A comprehensive new research discovered that the unwanted effects of depression drugs differ considerably by drug.
- Certain medications caused weight loss, while other medications resulted in weight gain.
- Heart rate and blood pressure additionally diverged significantly across medications.
- Those encountering persistent, intense, or troubling side effects should consult a healthcare professional.
Recent research has revealed that depression drug unwanted effects may be more extensive than previously thought.
This extensive investigation, published on October 21st, assessed the influence of antidepressant drugs on over 58,000 participants within the first two months of beginning therapy.
The investigators analyzed 151 studies of 30 pharmaceuticals typically employed to treat clinical depression. Although not every patient develops unwanted effects, several of the most prevalent noted in the research were variations in body weight, arterial pressure, and metabolic markers.
The study revealed striking disparities between depression treatments. For instance, an two-month regimen of agomelatine was connected with an mean weight loss of about 2.4 kilograms (about 5.3 lbs), while another drug users gained almost 2 kg in the same timeframe.
There were also, marked variations in heart function: fluvoxamine often would decrease cardiac rhythm, while another medication elevated it, causing a difference of approximately 21 heartbeats per minute among the two drugs. Blood pressure varied too, with an 11 millimeters of mercury difference observed among nortriptyline and another medication.
Depression Drug Adverse Reactions Comprise a Broad Range
Medical professionals noted that the research's findings are not new or surprising to psychiatrists.
"Clinicians have long recognized that distinct antidepressant medications differ in their influences on weight, BP, and additional metabolic indicators," one expert explained.
"Nonetheless, what is significant about this investigation is the thorough, comparison-based quantification of these disparities across a extensive array of physical indicators employing findings from more than 58,000 individuals," this specialist noted.
The investigation provides strong proof of the degree of unwanted effects, some of which are more frequent than different reactions. Common antidepressant side effects may comprise:
- stomach problems (nausea, loose stools, irregularity)
- sexual dysfunction (reduced sex drive, inability to orgasm)
- mass variations (increase or reduction, depending on the drug)
- rest issues (insomnia or sedation)
- mouth dryness, perspiration, migraine
Meanwhile, less frequent but medically important side effects may comprise:
- increases in arterial pressure or cardiac rhythm (especially with SNRIs and certain tricyclic antidepressants)
- reduced blood sodium (particularly in elderly individuals, with selective serotonin reuptake inhibitors and SNRIs)
- liver enzyme elevations
- Corrected QT interval lengthening (risk of irregular heartbeat, notably with citalopram and certain tricyclic antidepressants)
- reduced emotions or indifference
"One thing to note here is that there are several distinct classes of antidepressants, which result in the varying unwanted medication effects," a different professional commented.
"Additionally, antidepressant drugs can affect each patient distinctly, and adverse effects can differ according to the exact medication, dose, and individual elements including metabolic rate or comorbidities."
While some adverse reactions, such as fluctuations in sleep, hunger, or vitality, are fairly common and commonly enhance as time passes, different reactions may be less typical or continuing.
Talk with Your Doctor About Serious Unwanted Effects
Antidepressant adverse reactions may differ in severity, which could require a modification in your drug.
"An adjustment in antidepressant may be necessary if the individual encounters continuing or unbearable adverse reactions that do not improve with duration or management strategies," a expert stated.
"Additionally, if there is an development of recent medical issues that may be aggravated by the current drug, such as elevated BP, irregular heartbeat, or considerable increased body weight."
Patients may also contemplate consulting with your doctor concerning any lack of substantial progress in depression-related or worry indicators after an adequate trial period. The sufficient evaluation duration is typically 4–8 weeks duration at a therapeutic dosage.
Individual preference is furthermore significant. Some patients may choose to prevent specific side effects, including sexual dysfunction or {weight gain|increased body weight|mass addition