SSRIs are usually the first choice medicine for depression because they generally have fewer side effects than most other types of antidepressant.
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.
What are the most common antidepressants? Sertraline hydrochloride, used for multiple mental health and mood disorders, is the most prescribed antidepressant on the list with more than 18 million prescriptions in 2021.
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.
In general, SSRIs are considered the most well-tolerated antidepressants, per the Mayo Clinic; they typically have fewer side effects than other types and can be safely used at higher doses. Common side effects of SSRIs include sexual dysfunction, weight gain, trouble sleeping, drowsiness, dizziness, and nausea.
Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They can ease symptoms of moderate to severe depression, are relatively safe and typically cause fewer side effects than other types of antidepressants do.
The selective serotonin reuptake inhibitors (SSRIs) are probably the treatment of choice in treating depression and a gamut of comorbid anxiety disorders. The most used SSRI is escitalopram.
Driving and operating machinery. Some SSRIs can cause dizziness, drowsiness and blurred vision, particularly when you first start taking them. If you do experience these symptoms, you shouldn't drive or use heavy tools and machinery. The symptoms should be temporary, but speak to your doctor if you're unsure.
Bupropion, citalopram, escitalopram, and sertraline were better tolerated than the other antidepressants. Escitalopram and sertraline were found to have the best combination of efficacy and acceptability.
Exercise. Research suggests that regular exercise may be a more effective treatment for mild depression than antidepressants. Exercise helps boost levels of chemicals called serotonin and dopamine in the brain, which can lift your mood.
SSRIs are usually the first choice medicine for depression because they generally have fewer side effects than most other types of antidepressant.
A review of over 87 studies compared multiple SSRIs for the treatment of panic disorder. Zoloft was one of the most effective SSRIs with the lowest risk of side effects. Prozac was also effective but had a higher risk of side effects.
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 include fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertraline (Zoloft), citalopram (Celexa) and escitalopram (Lexapro).
Your Depression Worsens
“If your depression symptoms get worse as soon as you start taking an antidepressant, or they get better and then very suddenly get worse, it's a sign that the depression medication isn't working properly, and you should see your healthcare professional right away,” Hullett says.
The first-line medicine for patients with depression is generally a SSRI, e.g. citalopram, escitalopram, sertraline or fluoxetine (Tables 1 and 2).
Selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs) SSRIs and SNRIs are often the first-line treatment for anxiety. Common SSRI brands are Celexa, Lexapro, Luvox, Paxil, and Zoloft.
Those who had used antidepressants for >3 years reported more severe side effects, including “weight gain”, “addiction”, “feeling not like myself ”, “withdrawal symptoms”, and “suicidality”, than those who had been on antidepressants for ≤2 years.
Natural antidepressants include SAM-e, St John's Wort, and omega-3-fatty acids, among others. If a person thinks they have symptoms of depression, they should speak to a doctor before trying any natural antidepressants.
Meet the newest antidepressant: dextromethorphan/buproprion (Auvelity) Dextromethorphan/bupropion (Auvelity), was recently approved by the United States (US) Food and Drug Administration (FDA) for the treatment of depression.
Selective serotonin reuptake inhibitors (SSRIs) are the most prescribed type of antidepressant and include: Fluoxetine.