Antidepressant Medication Side Effects Including Body Weight, Blood Pressure Fluctuations Differ Based on Pharmaceutical

- A comprehensive latest study determined that the side effects of depression drugs range significantly by drug.
- Certain pharmaceuticals resulted in decreased mass, while different drugs led to increased body weight.
- Cardiac rhythm and BP additionally diverged significantly among medications.
- Those encountering ongoing, serious, or troubling side effects should consult a physician.
New investigations has revealed that antidepressant medication side effects may be more extensive than previously thought.
This extensive research, published on the 21st of October, assessed the influence of antidepressant medications on more than 58,000 subjects within the beginning two months of beginning treatment.
The investigators studied 151 investigations of 30 pharmaceuticals typically employed to manage major depression. While not all individuals experiences adverse reactions, several of the most prevalent recorded in the investigation were fluctuations in weight, blood pressure, and metabolic parameters.
There were notable variations across depression treatments. For example, an 60-day regimen of agomelatine was linked to an mean decrease in mass of about 2.4 kilograms (roughly 5.3 lbs), while another drug patients added almost 2 kg in the same timeframe.
Additionally, marked fluctuations in cardiac function: one antidepressant often would decrease pulse rate, while nortriptyline raised it, causing a difference of about 21 BPM across the two medications. Blood pressure fluctuated as well, with an 11 mmHg disparity noted across one drug and another medication.
Antidepressant Medication Unwanted Effects Comprise a Wide Spectrum
Clinical experts noted that the study's findings are not considered novel or startling to psychiatric specialists.
"We've long known that different depression drugs vary in their influences on weight, blood pressure, and further metabolic parameters," a expert explained.
"Nonetheless, what is significant about this research is the rigorous, comparison-based measurement of these variations across a broad range of bodily measurements utilizing information from over 58,000 participants," the specialist noted.
This research offers comprehensive support of the extent of adverse reactions, some of which are more frequent than other effects. Frequent depression drug unwanted effects may encompass:
- gastrointestinal symptoms (queasiness, loose stools, constipation)
- sexual problems (decreased libido, anorgasmia)
- weight changes (gain or reduction, depending on the agent)
- sleep disturbances (sleeplessness or drowsiness)
- oral dehydration, moisture, headache
Additionally, less common but therapeutically relevant unwanted effects may include:
- increases in arterial pressure or pulse rate (particularly with SNRIs and certain tricyclics)
- reduced blood sodium (particularly in elderly individuals, with selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors)
- increased liver enzymes
- Corrected QT interval prolongation (chance of abnormal heart rhythm, notably with citalopram and some tricyclics)
- diminished feelings or lack of interest
"An important point to remember in this context is that there are multiple varying types of antidepressants, which lead to the varying adverse pharmaceutical side effects," another expert stated.
"Additionally, antidepressant medications can influence each patient variably, and negative effects can vary according to the particular pharmaceutical, dose, and individual elements like metabolic rate or simultaneous health issues."
While several adverse reactions, including variations in rest, hunger, or stamina, are fairly typical and frequently get better with time, other effects may be less typical or longer-lasting.
Talk with Your Physician About Intense Unwanted Effects
Antidepressant medication side effects may differ in seriousness, which could justify a modification in your treatment.
"An modification in antidepressant medication may be warranted if the patient suffers persistent or intolerable side effects that do not improve with time or supportive care," a specialist commented.
"Additionally, if there is an emergence of recently developed medical conditions that may be aggravated by the existing drug, for instance hypertension, abnormal heart rhythm, or substantial mass addition."
Individuals may additionally think about consulting with your healthcare provider about any deficiency of significant enhancement in depressive or anxiety-related symptoms subsequent to an adequate testing period. The appropriate evaluation duration is typically 4–8 weeks duration at a effective dosage.
Personal choice is also important. Certain people may want to prevent particular side effects, like sexual problems or {weight gain|increased body weight|mass addition