Antidepressant Side Effects Such as Weight, BP Fluctuations Differ Based on Pharmaceutical

- A extensive new study discovered that the adverse reactions of depression drugs differ substantially by drug.
- Some pharmaceuticals resulted in weight loss, while others led to increased body weight.
- Heart rate and BP also diverged significantly across medications.
- Individuals encountering ongoing, serious, or troubling unwanted effects ought to speak with a healthcare professional.
Recent studies has discovered that antidepressant unwanted effects may be more extensive than once assumed.
This large-scale research, issued on the 21st of October, analyzed the impact of depression treatments on in excess of 58,000 subjects within the first 60 days of beginning treatment.
The scientists examined 151 investigations of 30 medications typically employed to treat depression. Although not all individuals experiences side effects, some of the most frequent noted in the research were fluctuations in body weight, BP, and metabolic parameters.
Researchers observed notable disparities across depression treatments. For example, an eight-week course of one medication was linked to an average reduction in body weight of approximately 2.4 kg (about 5.3 pounds), while maprotiline users gained nearly 2 kg in the equivalent period.
Additionally, notable changes in cardiovascular activity: fluvoxamine tended to reduce pulse rate, whereas nortriptyline raised it, causing a disparity of approximately 21 beats per minute between the two medications. Blood pressure varied too, with an 11 millimeters of mercury disparity observed between one drug and doxepin.
Antidepressant Medication Side Effects Encompass a Wide Range
Healthcare experts noted that the investigation's conclusions aren't recent or startling to mental health professionals.
"It has long been understood that different antidepressant medications differ in their impacts on body weight, arterial pressure, and additional metabolic indicators," a professional commented.
"Nevertheless, what is significant about this investigation is the thorough, comparison-based assessment of these differences across a wide spectrum of physiological parameters using findings from over 58,000 participants," the expert noted.
The research delivers comprehensive proof of the magnitude of side effects, some of which are more prevalent than other effects. Typical antidepressant medication side effects may comprise:
- digestive issues (nausea, bowel issues, constipation)
- intimacy issues (lowered desire, orgasmic dysfunction)
- mass variations (addition or loss, based on the drug)
- sleep problems (sleeplessness or drowsiness)
- mouth dryness, moisture, head pain
Additionally, less common but clinically significant adverse reactions may comprise:
- elevations in arterial pressure or cardiac rhythm (particularly with SNRIs and some tricyclic antidepressants)
- reduced blood sodium (particularly in older adults, with selective serotonin reuptake inhibitors and SNRIs)
- liver enzyme elevations
- QTc extension (chance of arrhythmia, notably with one medication and some tricyclic antidepressants)
- diminished feelings or indifference
"One thing to remember regarding this matter is that there are several different categories of antidepressant medications, which contribute to the varying adverse medication side effects," another professional explained.
"Moreover, depression treatments can affect each person differently, and negative side effects can vary based on the particular drug, dosage, and patient factors including metabolism or simultaneous health issues."
While some side effects, including fluctuations in rest, hunger, or stamina, are quite typical and often get better with time, other effects may be less typical or longer-lasting.
Consult with Your Physician Concerning Intense Unwanted Effects
Antidepressant side effects may range in seriousness, which could justify a adjustment in your drug.
"An change in antidepressant may be warranted if the individual suffers persistent or intolerable side effects that fail to enhance with time or supportive care," a professional said.
"Additionally, if there is an appearance of new medical conditions that may be aggravated by the present medication, for instance hypertension, abnormal heart rhythm, or substantial increased body weight."
Individuals may furthermore contemplate speaking with your doctor regarding any deficiency of meaningful enhancement in depressive or anxiety symptoms following an adequate trial period. The sufficient evaluation duration is typically 4–8 weeks at a treatment amount.
Patient preference is furthermore important. Certain patients may prefer to avoid certain adverse reactions, including intimacy issues or {weight gain|increased body weight|mass addition