Antidepressant Side Effects Like Body Weight, Blood Pressure Variations Differ by Drug

- A extensive new research found that the adverse reactions of antidepressant medications range considerably by drug.
- Some pharmaceuticals caused weight loss, while others resulted in added mass.
- Pulse rate and BP additionally varied notably across drugs.
- Those experiencing continuing, intense, or concerning adverse reactions must speak with a medical provider.
Latest investigations has discovered that antidepressant medication side effects may be more diverse than once assumed.
This extensive study, released on October 21st, analyzed the effect of antidepressant drugs on over 58,000 participants within the initial eight weeks of beginning therapy.
The researchers examined 151 research projects of 30 medications frequently used to treat major depression. Although not all individuals develops adverse reactions, certain of the most frequent observed in the study were fluctuations in weight, BP, and metabolic indicators.
There were striking differences among antidepressant drugs. As an illustration, an eight-week course of agomelatine was connected with an typical reduction in body weight of about 2.4 kilograms (approximately 5.3 lbs), while another drug individuals added almost 2 kg in the same timeframe.
Additionally, marked changes in cardiac function: fluvoxamine was likely to reduce cardiac rhythm, whereas another medication increased it, creating a disparity of around 21 BPM between the both treatments. BP differed also, with an 11 mmHg difference observed among nortriptyline and another medication.
Depression Drug Adverse Reactions Include a Broad Range
Healthcare experts observed that the study's conclusions aren't recent or startling to mental health professionals.
"Clinicians have long recognized that various depression drugs range in their influences on body weight, BP, and other metabolic measures," a professional stated.
"Nevertheless, what is notable about this study is the thorough, relative measurement of these variations among a broad spectrum of bodily measurements utilizing findings from over 58,000 subjects," this specialist commented.
The investigation provides comprehensive proof of the degree of unwanted effects, several of which are more common than other effects. Typical antidepressant adverse reactions may comprise:
- stomach problems (queasiness, bowel issues, blockage)
- intimacy issues (lowered desire, orgasmic dysfunction)
- body weight fluctuations (gain or loss, based on the agent)
- sleep disturbances (insomnia or drowsiness)
- mouth dryness, sweating, migraine
Meanwhile, less frequent but therapeutically relevant unwanted effects may encompass:
- increases in blood pressure or pulse rate (notably with serotonin-norepinephrine reuptake inhibitors and some tricyclics)
- reduced blood sodium (especially in older adults, with selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors)
- elevated hepatic parameters
- QTc lengthening (risk of arrhythmia, notably with one medication and some tricyclics)
- emotional blunting or apathy
"A key factor to consider in this context is that there are several different classes of antidepressant medications, which contribute to the different unwanted medication reactions," another expert commented.
"Furthermore, antidepressant medications can influence each person differently, and unwanted reactions can differ depending on the specific medication, dose, and individual elements like body chemistry or comorbidities."
Although several side effects, including variations in rest, appetite, or stamina, are quite frequent and frequently enhance with time, other effects may be less frequent or more persistent.
Consult with Your Healthcare Provider About Severe Adverse Reactions
Depression drug adverse reactions may differ in intensity, which could justify a change in your medication.
"An modification in antidepressant medication may be warranted if the person encounters continuing or intolerable adverse reactions that do not improve with time or supportive measures," a expert said.
"Additionally, if there is an emergence of recently developed health problems that may be exacerbated by the current medication, such as high blood pressure, irregular heartbeat, or considerable weight gain."
You may additionally contemplate speaking with your healthcare provider regarding any lack of significant improvement in low mood or worry indicators subsequent to an sufficient testing period. The adequate testing period is typically 4–8 weeks duration at a therapeutic dosage.
Individual choice is additionally important. Some patients may choose to prevent specific unwanted effects, including sexual dysfunction or {weight gain|increased body weight|mass addition