Depression Drug Adverse Reactions Including Weight, Blood Pressure Changes Range by Drug

- An extensive recent research found that the unwanted effects of antidepressant medications range substantially by drug.
- Certain drugs resulted in decreased mass, whereas different drugs caused increased body weight.
- Heart rate and blood pressure additionally differed significantly across treatments.
- Individuals encountering continuing, serious, or concerning side effects should speak with a medical provider.
Recent investigations has found that antidepressant medication side effects may be more diverse than previously thought.
The large-scale investigation, issued on October 21st, examined the influence of antidepressant drugs on more than 58,000 individuals within the beginning eight weeks of commencing medication.
These researchers analyzed 151 studies of 30 medications frequently used to address clinical depression. Although not every patient experiences unwanted effects, some of the most prevalent recorded in the investigation were variations in weight, arterial pressure, and metabolic markers.
Researchers observed significant disparities among antidepressant drugs. For instance, an eight-week regimen of one medication was associated with an typical reduction in body weight of about 2.4 kilograms (approximately 5.3 pounds), while another drug users gained nearly 2 kg in the same duration.
Additionally, marked fluctuations in heart function: fluvoxamine often would decrease cardiac rhythm, whereas nortriptyline increased it, producing a gap of about 21 BPM between the two drugs. BP varied too, with an 11 millimeters of mercury disparity observed between one drug and doxepin.
Depression Drug Adverse Reactions Comprise a Broad Array
Healthcare professionals commented that the research's results are not new or startling to psychiatric specialists.
"Clinicians have long recognized that various antidepressant medications range in their impacts on body weight, arterial pressure, and additional metabolic measures," a expert stated.
"Nevertheless, what is remarkable about this investigation is the rigorous, comparison-based measurement of these variations across a broad spectrum of physical indicators employing findings from in excess of 58,000 subjects," this professional noted.
This investigation offers comprehensive support of the degree of adverse reactions, several of which are more common than others. Common antidepressant adverse reactions may include:
- digestive issues (nausea, bowel issues, blockage)
- sexual dysfunction (decreased libido, orgasmic dysfunction)
- body weight fluctuations (increase or decrease, based on the agent)
- sleep disturbances (sleeplessness or drowsiness)
- mouth dryness, sweating, migraine
Additionally, rarer but medically important adverse reactions may encompass:
- increases in BP or cardiac rhythm (particularly with serotonin-norepinephrine reuptake inhibitors and certain tricyclics)
- reduced blood sodium (particularly in elderly individuals, with selective serotonin reuptake inhibitors and SNRIs)
- increased liver enzymes
- QTc extension (risk of arrhythmia, notably with one medication and certain tricyclic antidepressants)
- reduced emotions or indifference
"One thing to consider regarding this matter is that there are several distinct categories of antidepressant medications, which contribute to the varying negative medication effects," a different specialist explained.
"Furthermore, antidepressant medications can influence each patient distinctly, and unwanted reactions can vary according to the specific medication, dose, and individual elements including metabolism or co-occurring conditions."
Although certain unwanted effects, including fluctuations in rest, hunger, or vitality, are quite common and commonly improve over time, others may be less typical or continuing.
Speak with Your Physician Concerning Serious Side Effects
Antidepressant side effects may vary in severity, which could justify a modification in your medication.
"An change in depression drug may be necessary if the patient experiences persistent or intolerable adverse reactions that fail to enhance with passing days or management strategies," a professional said.
"Moreover, if there is an emergence of new medical issues that may be worsened by the current treatment, for instance high blood pressure, abnormal heart rhythm, or considerable mass addition."
You may furthermore consider consulting with your physician concerning any deficiency of meaningful enhancement in low mood or worry symptoms after an sufficient evaluation duration. An appropriate testing period is generally 4–8 weeks' time at a effective dosage.
Individual inclination is additionally crucial. Some patients may choose to prevent particular unwanted effects, such as sexual problems or {weight gain|increased body weight|mass addition