Antidepressant Unwanted Effects Including Body Weight, Blood Pressure Fluctuations Differ Depending on Medication

- A large latest research determined that the unwanted effects of depression drugs range significantly by drug.
- Certain drugs resulted in reduced body weight, while different drugs resulted in increased body weight.
- Pulse rate and BP additionally diverged markedly among drugs.
- Individuals experiencing ongoing, serious, or troubling adverse reactions ought to consult a physician.
Latest investigations has revealed that antidepressant adverse reactions may be more diverse than earlier believed.
This comprehensive investigation, published on October 21st, examined the impact of antidepressant medications on over 58,000 individuals within the initial 60 days of commencing treatment.
These researchers examined 151 investigations of 30 pharmaceuticals commonly used to address depression. While not everyone develops adverse reactions, certain of the most prevalent recorded in the research were changes in body weight, BP, and metabolic parameters.
There were notable differences between antidepressant medications. For instance, an eight-week course of one medication was associated with an mean reduction in body weight of about 2.4 kg (about 5.3 pounds), while maprotiline users added close to 2 kg in the equivalent timeframe.
Additionally, notable changes in cardiac function: fluvoxamine often would reduce pulse rate, in contrast another medication elevated it, producing a gap of about 21 beats per minute across the both treatments. Arterial pressure fluctuated as well, with an 11 mmHg variation seen across nortriptyline and doxepin.
Antidepressant Medication Unwanted Effects Comprise a Wide Range
Clinical specialists noted that the investigation's conclusions are not considered recent or startling to psychiatrists.
"Clinicians have long recognized that different antidepressants differ in their influences on weight, BP, and additional metabolic indicators," a specialist commented.
"Nonetheless, what is significant about this research is the rigorous, comparison-based assessment of these disparities among a extensive range of bodily measurements using findings from more than 58,000 subjects," the expert noted.
This investigation provides strong proof of the magnitude of adverse reactions, some of which are more prevalent than different reactions. Typical antidepressant medication adverse reactions may encompass:
- digestive issues (sickness, loose stools, constipation)
- sexual problems (decreased libido, orgasmic dysfunction)
- mass variations (gain or decrease, based on the agent)
- rest issues (insomnia or sleepiness)
- oral dehydration, sweating, migraine
Additionally, less common but clinically significant adverse reactions may encompass:
- elevations in arterial pressure or cardiac rhythm (especially with SNRIs and certain tricyclic antidepressants)
- low sodium (notably in older adults, with selective serotonin reuptake inhibitors and SNRIs)
- increased liver enzymes
- Corrected QT interval prolongation (chance of irregular heartbeat, especially with one medication and some tricyclic antidepressants)
- reduced emotions or apathy
"One thing to consider here is that there are multiple varying types of antidepressants, which result in the distinct negative drug effects," another professional explained.
"Moreover, antidepressant medications can impact every individual distinctly, and adverse side effects can range based on the particular medication, dosage, and patient elements including metabolic rate or comorbidities."
Although several unwanted effects, like fluctuations in rest, hunger, or vitality, are reasonably typical and commonly enhance as time passes, others may be less typical or longer-lasting.
Talk with Your Doctor Concerning Intense Side Effects
Antidepressant medication adverse reactions may differ in seriousness, which could require a adjustment in your treatment.
"An change in depression drug may be warranted if the individual suffers ongoing or intolerable unwanted effects that don't get better with duration or supportive care," one expert stated.
"Additionally, if there is an emergence of recently developed medical issues that may be worsened by the present treatment, for example hypertension, arrhythmia, or significant weight gain."
Patients may furthermore consider talking with your healthcare provider about any absence of substantial enhancement in depression-related or anxiety signs following an appropriate evaluation duration. An sufficient testing period is generally 4–8 weeks duration at a treatment dose.
Personal preference is additionally crucial. Certain people may prefer to avoid certain side effects, such as sexual dysfunction or {weight gain|increased body weight|mass addition