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Health Information

Antidepressants

Tricyclic antidepressants, selective serotonin reuptake inhibitors and monoamine oxidase inhibitors are major classes of antidepressant medications. There can be affect of SSRI on the serotonin levels in the brain. Sertaline (Zoloft), fluxvoxamine (Luvox), escitalopram (lexapro), fluoxetine (Prozac), Paraoxetine (Paxil) and citalopram (Celexa) are some other medications.

TCAs can be used in severe depression when SSRI medications become ineffective. There can be affect of these medications on the brain chemicals. There can be fewer side effects of SSRI in comparison with TCSs in premenstrual women. TCAs can be good for depression treatment in men. Clomipramine (Anafranil), Doxepin (Adapin), nortriptyline (Pamelor) and amitriptyline (Elavil) are some TCAs which can be used for treatment.

Atypical neuroleptic medications are prescribed for people with unipolar depression. Clozapine can be used in this condition but it can cause bone marrow and severe anemia which is not good for depressed patients. Olanzapine (Zyprexa), quetiapine (seroquel), risperidone (Risperdal), asenapine (Saphris) and aripiprazole (Abilify) are some atypical neuroleptics. You can have the option of using non neuroleptic mood stabilizers if you have unipolar depression. It can be good for people who don’t have any affect of other antidepressants. Lithium, carbamazepine (Tegretol), divalproex sodium (Depakote) and lamotrigine (Lamictal) are some examples of the non neuroleptic mood stabilizer medications. Lamictal can be used for the effective treatment of unipolar depression and it can be good antidepressant.

MAOIs can be taken with many other medicines because of their interaction with medicines and foods. You should also avoid some foods which are high in tyramine like wines, cheese and cured meats. Phenelzine and trabylcpromine are some examples of MAOIs. The effect of atypical antidepressant medications is different from SSRIs. Mirtazapine (Remeron), trazodone (Desyrel), duloxetine (Cymbalta) and bupropion (Wellbutrin) can be taken if SSRIs are not effective. Antidepressants are taken by most of the people to get better. It can take from one to six weeks for medicines to show their effect and you might not feel better at the beginning. You should take these medicines until you feel better.

You should continue taking these medicines for few weeks even if you get better. The symptoms can return if these medicines are stopped too soon. These medicines are prescribed for longer period for some people to keep depression from returning. These medications should not be stopped without consulting health care provider. There can be withdrawal effects if these medicines are stopped abruptly. There can be some side effects of antidepressants like sexual dysfunction, tremor, nausea, blurred vision, insomnia, dizziness, constipation and dry mouth. You will need to keep diet in case of MAOI medications taking. The patients can become too depressed in some cases. It is important for you to ask about the side effects off these antidepressants if it is prescribed for you.



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