Depression Drug Adverse Reactions Such as Body Weight, BP Changes Range Depending on Medication

- A large recent study determined that the side effects of depression drugs vary considerably by drug.
- Some drugs led to reduced body weight, while other medications resulted in increased body weight.
- Pulse rate and BP furthermore diverged markedly across treatments.
- Patients experiencing persistent, serious, or worrisome unwanted effects ought to discuss with a medical provider.
Recent studies has discovered that antidepressant adverse reactions may be more varied than earlier believed.
The large-scale study, published on October 21, examined the impact of antidepressant drugs on more than 58,000 individuals within the beginning two months of commencing treatment.
The investigators examined 151 investigations of 30 drugs typically prescribed to manage depression. Although not all individuals develops side effects, some of the most prevalent noted in the research were fluctuations in weight, arterial pressure, and metabolic markers.
Researchers observed striking differences across depression treatments. As an illustration, an 60-day course of one medication was linked to an typical decrease in mass of around 2.4 kg (about 5.3 pounds), whereas maprotiline individuals added almost 2 kg in the equivalent period.
Furthermore, notable changes in heart function: one antidepressant often would slow heart rate, whereas another medication raised it, producing a difference of about 21 BPM across the two drugs. BP differed also, with an 11 millimeters of mercury disparity seen among nortriptyline and another medication.
Antidepressant Unwanted Effects Comprise a Broad Spectrum
Clinical experts observed that the study's conclusions are not considered novel or unexpected to psychiatric specialists.
"We've long known that various antidepressant medications range in their impacts on body weight, arterial pressure, and other metabolic measures," a professional commented.
"Nonetheless, what is significant about this investigation is the rigorous, comparative assessment of these differences throughout a broad spectrum of physiological parameters utilizing information from in excess of 58,000 subjects," this specialist added.
The research offers strong evidence of the extent of side effects, several of which are more prevalent than different reactions. Typical antidepressant unwanted effects may comprise:
- digestive issues (queasiness, diarrhea, blockage)
- sexual dysfunction (reduced sex drive, anorgasmia)
- body weight fluctuations (gain or decrease, based on the drug)
- sleep disturbances (inability to sleep or drowsiness)
- mouth dryness, moisture, headache
Meanwhile, less common but clinically significant unwanted effects may comprise:
- rises in blood pressure or pulse rate (especially with serotonin-norepinephrine reuptake inhibitors and certain tricyclics)
- reduced blood sodium (particularly in elderly individuals, with SSRIs and serotonin-norepinephrine reuptake inhibitors)
- elevated hepatic parameters
- Corrected QT interval prolongation (potential of irregular heartbeat, especially with citalopram and certain tricyclics)
- emotional blunting or indifference
"An important point to remember in this context is that there are multiple distinct classes of antidepressant medications, which contribute to the varying adverse medication effects," another expert stated.
"Furthermore, antidepressant drugs can impact each person variably, and adverse reactions can vary depending on the particular medication, amount, and patient considerations including body chemistry or comorbidities."
Although several side effects, including fluctuations in sleep, hunger, or energy levels, are reasonably frequent and frequently enhance with time, others may be less typical or more persistent.
Consult with Your Physician Concerning Severe Side Effects
Antidepressant medication side effects may range in seriousness, which could justify a adjustment in your medication.
"A modification in antidepressant may be necessary if the person encounters continuing or unbearable side effects that do not improve with passing days or supportive measures," a professional stated.
"Additionally, if there is an emergence of recent medical conditions that may be worsened by the present treatment, such as elevated BP, arrhythmia, or significant mass addition."
You may additionally contemplate speaking with your doctor concerning any absence of significant improvement in low mood or anxiety-related indicators following an adequate trial period. An sufficient testing period is typically 4–8 weeks duration at a treatment dosage.
Individual choice is additionally significant. Certain individuals may choose to prevent particular unwanted effects, like sexual dysfunction or {weight gain|increased body weight|mass addition