Depression Drug Adverse Reactions Like Weight, Blood Pressure Fluctuations Differ by Drug

- An large recent study discovered that the adverse reactions of depression drugs differ substantially by drug.
- Some pharmaceuticals caused weight loss, while other medications resulted in increased body weight.
- Heart rate and blood pressure additionally differed significantly among treatments.
- Patients encountering ongoing, serious, or worrisome unwanted effects should consult a medical provider.
Latest investigations has revealed that antidepressant medication adverse reactions may be more extensive than earlier believed.
This extensive investigation, published on October 21, assessed the impact of depression treatments on in excess of 58,000 participants within the first eight weeks of starting therapy.
These scientists analyzed 151 investigations of 30 pharmaceuticals frequently employed to manage clinical depression. While not every patient develops adverse reactions, some of the most frequent observed in the investigation were fluctuations in weight, BP, and metabolic markers.
The study revealed notable differences between antidepressant drugs. For example, an two-month regimen of one medication was linked to an mean weight loss of about 2.4 kg (approximately 5.3 pounds), whereas maprotiline individuals increased nearly 2 kg in the identical period.
Additionally, notable fluctuations in heart function: fluvoxamine tended to slow heart rate, whereas nortriptyline elevated it, producing a disparity of about 21 heartbeats per minute among the two drugs. Blood pressure varied also, with an 11 mmHg disparity observed among nortriptyline and doxepin.
Depression Drug Side Effects Comprise a Extensive Spectrum
Healthcare professionals noted that the research's results are not recent or unexpected to mental health professionals.
"Clinicians have long recognized that distinct antidepressant medications differ in their impacts on body weight, BP, and other metabolic parameters," a specialist stated.
"Nevertheless, what is significant about this investigation is the comprehensive, relative measurement of these disparities among a broad spectrum of bodily measurements utilizing data from over 58,000 participants," the expert added.
This study provides comprehensive support of the extent of adverse reactions, certain of which are more common than others. Frequent depression drug unwanted effects may include:
- digestive issues (sickness, bowel issues, irregularity)
- sexual problems (decreased libido, orgasmic dysfunction)
- body weight fluctuations (gain or reduction, based on the drug)
- rest issues (insomnia or sleepiness)
- oral dehydration, moisture, migraine
At the same time, less frequent but clinically significant unwanted effects may comprise:
- elevations in arterial pressure or heart rate (particularly with SNRIs and some tricyclics)
- reduced blood sodium (notably in older adults, with selective serotonin reuptake inhibitors and SNRIs)
- increased liver enzymes
- QTc lengthening (potential of abnormal heart rhythm, notably with one medication and certain tricyclics)
- diminished feelings or apathy
"One thing to remember regarding this matter is that there are several varying types of antidepressant medications, which lead to the different adverse drug side effects," another expert stated.
"Additionally, depression treatments can influence each patient distinctly, and unwanted reactions can differ depending on the specific medication, amount, and personal factors like metabolic rate or co-occurring conditions."
While several adverse reactions, like fluctuations in rest, hunger, or vitality, are reasonably frequent and often improve with time, other effects may be less common or continuing.
Consult with Your Physician Concerning Intense Side Effects
Antidepressant adverse reactions may range in seriousness, which could warrant a modification in your treatment.
"A change in antidepressant medication may be appropriate if the person experiences persistent or unbearable adverse reactions that fail to enhance with passing days or supportive care," one expert commented.
"Furthermore, if there is an appearance of recently developed medical issues that may be worsened by the current treatment, for example elevated BP, irregular heartbeat, or considerable mass addition."
You may furthermore think about consulting with your physician regarding any absence of meaningful enhancement in depression-related or worry symptoms following an appropriate testing period. An adequate testing period is generally 4–8 weeks' time at a effective amount.
Personal inclination is additionally significant. Some patients may want to avoid specific unwanted effects, like intimacy issues or {weight gain|increased body weight|mass addition