SSRIs are usually the first choice medicine for depression because they generally have fewer side effects than most other types of antidepressant.
Selective serotonin reuptake inhibitors (SSRIs).
Health care providers often start by prescribing an SSRI . These antidepressants generally cause fewer bothersome side effects and are less likely to cause problems at higher therapeutic doses than other types of antidepressants.
SSRIs are the most commonly prescribed class of antidepressants. This is because they're effective and well-tolerated antidepressants with little side effects. With many SSRIs available as generic products, this medication class typically costs less. SNRIs and bupropion are also common choices for similar reasons.
SSRIs and SNRIs are often the first-line treatment for anxiety. Common SSRI brands are Celexa, Lexapro, Luvox, Paxil, and Zoloft. Common SNRI brands are Pristiq, Cymbalta, and Effexor XR. Pros: They are effective for a lot of people and they have a solid safety profile.
Selective Serotonin Reuptake Inhibitors (SSRIs)
This class includes sertraline, citalopram, escitalopram, paroxetine, fluoxetine and fluvoxamine. SSRIs are: the most commonly prescribed antidepressants in Australia. often a doctor's first choice for most types of depression.
Overall, citalopram appears to be the best-tolerated SSRI, followed by fluoxetine, sertraline, paroxetine, and fluvoxamine. The latter 2 drugs are associated with the most side effects and the highest discontinuation rates because of side effects in clinical trials.
Selective serotonin reuptake inhibitors (SSRIs) were launched in the mid to late 1980s. This generation of antidepressants is now the most common class used for depression. Examples include citalopram (Celexa), escitalopram (Lexapro), paroxetine (Paxil, Pexeva), fluoxetine (Prozac, Sarafem), and sertraline (Zoloft).
Ketamine. Ketamine is a medication originally used for anesthesia and pain relief, but medical professionals also use it to help people with treatment-resistant depression. Unlike other antidepressants, ketamine can improve depression symptoms in just a few hours.
Research suggests that antidepressants can be helpful for people with moderate or severe depression. They're not usually recommended for mild depression, unless other treatments like talking therapy have not helped.
Sertraline is the safest SSRI for people with a history of heart problems. Sertraline is also considered safe in pregnancy, breastfeeding, and is approved for use in teens as well as adults.
Specifically, weight gain seems to be a common long-term risk, especially the medications that affect serotonin levels. This could be because serotonin is associated with an increase in appetite. There is also a risk of higher blood sugar levels and diabetes with taking antidepressants long-term.
Antidepressants can cause dizziness and unsteadiness, increasing the risk of falls and bone fractures, especially in older people. Interactions with other medications can increase this risk. A very small number of people have had heart problems, epileptic fits or liver damage while taking antidepressants.
If You Do Have to Take Antidepressants Forever, You Will Be OK. Some recent studies suggest long-term antidepressant use may come with side effects previously unknown to scientists. “These risks include an increased risk of gastrointestinal bleeding, especially for SSRI users,” Dr.
SSRIs manage the brain's levels of serotonin, which is a chemical that regulates anxiety, happiness and mood. SSRIs are among the most frequently sold drugs in Australia.
Overall, the most commonly prescribed individual antidepressants were amitriptyline (19%), escitalopram (19%), sertraline (15%), mirtazapine (11%) and fluoxetine (7%); together these constituted 71% of all prescriptions.
Four new antidepressants have been recently marketed in Australia. They are the selective reversible monoamine oxidase A inhibitor, moclobemide, and the selective serotonin reuptake inhibitors (SSRIs), fluoxetine, paroxetine and sertraline.
Drugs such as Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), and Ativan (lorazepam) work quickly, typically bringing relief within 30 minutes to an hour. That makes them very effective when taken during a panic attack or another overwhelming anxiety episode.
Benzodiazepines, buspirone and hydroxyzine are Food and Drugs administration (FDA) approved for GAD and have relatively good evidence of efficacy. Other drugs (betablockers, zolpidem, riluzole, etc.)
Antidepressants are the first-line medications in the treatment of anxiety disorders. Anxiolytics may be used for a brief duration, but only if needed while an antidepressant is being initiated and titrated up.
Buspirone – This is a non-narcotic and non-addictive medication that works similarly to an SSRI, though it only affects one subtype of serotonin receptor within the brain, ultimately leading to fewer side effects. This is an ideal medication for those who are struggling with mild to moderate anxiety.