Depression Drug Adverse Reactions Such as Weight, BP Variations Vary by Drug

- A large new investigation determined that the side effects of antidepressant medications differ considerably by drug.
- Some pharmaceuticals caused decreased mass, while other medications resulted in weight gain.
- Pulse rate and blood pressure additionally differed markedly across drugs.
- Patients experiencing persistent, serious, or concerning adverse reactions should discuss with a physician.
Latest studies has revealed that depression drug adverse reactions may be more diverse than previously thought.
The large-scale study, issued on October 21, assessed the effect of depression treatments on more than 58,000 subjects within the initial 60 days of starting therapy.
These investigators analyzed 151 studies of 30 pharmaceuticals frequently employed to manage depression. While not every patient encounters unwanted effects, some of the most common noted in the investigation were variations in body weight, arterial pressure, and metabolic parameters.
Researchers observed striking differences among antidepressant drugs. For instance, an 60-day treatment period of agomelatine was connected with an average reduction in body weight of about 2.4 kilos (roughly 5.3 lbs), whereas another drug users gained nearly 2 kg in the equivalent duration.
Furthermore, marked fluctuations in cardiac function: fluvoxamine was likely to slow cardiac rhythm, in contrast nortriptyline elevated it, causing a gap of approximately 21 BPM between the two drugs. Arterial pressure varied also, with an 11 millimeters of mercury difference noted between one drug and doxepin.
Antidepressant Side Effects Comprise a Wide Array
Clinical specialists noted that the research's conclusions are not new or startling to psychiatrists.
"Clinicians have long recognized that various antidepressant medications vary in their effects on body weight, blood pressure, and further metabolic parameters," one professional explained.
"Nevertheless, what is notable about this investigation is the comprehensive, comparative assessment of these disparities throughout a wide range of bodily measurements using data from more than 58,000 individuals," this professional commented.
This study offers strong proof of the degree of side effects, several of which are more frequent than others. Typical antidepressant unwanted effects may comprise:
- digestive issues (queasiness, loose stools, irregularity)
- intimacy issues (lowered desire, orgasmic dysfunction)
- body weight fluctuations (addition or decrease, based on the drug)
- sleep disturbances (insomnia or sedation)
- dry mouth, sweating, head pain
Meanwhile, less frequent but therapeutically relevant adverse reactions may encompass:
- elevations in arterial pressure or heart rate (particularly with serotonin-norepinephrine reuptake inhibitors and certain tricyclic antidepressants)
- reduced blood sodium (notably in senior patients, with SSRIs and SNRIs)
- elevated hepatic parameters
- QTc extension (risk of irregular heartbeat, especially with one medication and certain tricyclic antidepressants)
- diminished feelings or indifference
"A key factor to note here is that there are several varying classes of antidepressant medications, which contribute to the distinct unwanted medication reactions," another specialist explained.
"Additionally, antidepressant drugs can impact each patient distinctly, and unwanted side effects can differ depending on the specific pharmaceutical, amount, and individual considerations including body chemistry or co-occurring conditions."
While some unwanted effects, such as fluctuations in rest, hunger, or stamina, are quite frequent and commonly enhance with time, different reactions may be less frequent or more persistent.
Speak with Your Healthcare Provider Regarding Severe Unwanted Effects
Antidepressant side effects may vary in intensity, which could warrant a adjustment in your drug.
"An adjustment in depression drug may be appropriate if the individual experiences ongoing or intolerable unwanted effects that fail to enhance with passing days or supportive measures," a expert commented.
"Furthermore, if there is an appearance of new medical conditions that may be exacerbated by the present treatment, for instance high blood pressure, irregular heartbeat, or significant increased body weight."
You may also contemplate speaking with your physician about any lack of significant enhancement in low mood or anxiety-related indicators subsequent to an appropriate trial period. An sufficient trial period is generally 4–8 weeks' time at a therapeutic dose.
Individual inclination is furthermore crucial. Certain individuals may want to evade specific adverse reactions, like sexual problems or {weight gain|increased body weight|mass addition