Antidepressant Medication – Major depressive disorder, or depression, is defined by symptoms like poor energy, difficulty focusing, difficulty sleeping, loss of interest, and feelings of guilt or hopelessness that have persisted for longer than two weeks. Antidepressant Medications are frequently used to treat it, either with or without talk therapy.
One of the most prevalent mental health issues is depression. It is estimated that more than 20 million Americans experienced at least one episode of major depression in 2020. About 66% of the adults took medication to address their depression.
Depression can affect you or a loved one. You may have considered taking medication. But which antidepressants are the most efficient, given the wide range of options? Here, we’ll go through the different Antidepressants Medicine on the market and how you and your doctor can select the one that will work best for you.
Who Is At A Greater Risk For Depression?
Anyone can get depression, although some groups are more at risk than others. Less access to mental health services is an acknowledged healthcare inequity that historically underrepresented communities experience.
Black adults in the United States are more likely than white ones to feel hopeless, unworthy, and depressed. However, only one-third of Black individuals who require mental health therapy obtain it.
Talking up about problems with one’s mental health can frequently be fraught with societal stigma. These sentiments of humiliation or shame may prevent someone from seeking the necessary assistance. 63% of Black adults, In a study conducted by the National Mental Health Association (NMHA), think that having depression is a sign of personal weakness.
The Black community is more likely to have a wide range of health issues due to these attitudes, racial trauma, and limited access to healthcare. In actuality, Black Americans are 20% more likely to suffer from more severe mental health issues than the general population.
You’re not alone, we’re here to tell you. Finding the best therapist is a crucial first step, so learn how to do it. It’s critical to comprehend the antidepressants that are frequently supplied.
What Are The Best Antidepressant Medication?
Numerous antidepressants have been compared in research throughout the years. After assessing the existing literature, the American Psychiatric Association (APA) concluded that no antidepressant was more beneficial than others in treating depression. Instead, antidepressants are often prescribed depending on their costs, side effects, and if you’ve previously had success with a particular drug.
People usually begin with SSRIs or SNRIs (serotonin and norepinephrine reuptake inhibitors). In general, these drugs are tolerated better than other Antidepressant Medications. Additionally, they can cure diseases like anxiety that people occasionally suffer and depression.
But in the end, the most effective antidepressant is the one that has the fewest adverse effects. Finding the best depression treatment is a unique path for each person.
What Are The Different Types Of Antidepressant Medication?
One of the following five categories of drugs includes antidepressants:
- Various types of antidepressants
- tricyclic mood stabilizers (TCAs)
- inhibitors of monoamine oxidase (MAOIs)
We’ll go through a few well-known antidepressants and the classifications to which they belong below.
I will not cover the dangers on this page, side effects, and drug interactions associated with each type of antidepressant. For more details about your drug, please consult your doctor or pharmacist.
The five well-known SSRIs for treating depression that have FDA approval are:
- Citalopram (Celexa)
- Escitalopram (Lexapro)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Sertraline (Zoloft)
When treating depression, SSRIs are seen to be the best option. Serotonin is a hormone that aids in mood regulation, and it is thought that these drugs act by increasing the quantity of this hormone in the brain. They can take up to 6 weeks to start working, but they are useful in treating depression
The FDA has authorized the use of three well-known SNRIs to treat depression:
- Desvenlafaxine (Pristiq)
- Duloxetine (Cymbalta)
- Venlafaxine (Effexor)
Another first-choice choice is SNRIs. Serotonin and norepinephrine levels are increased, which is how it works. These hormones support increased focus and alertness. Similar to SSRIs, it may take up to 6 weeks for these drugs to start symptom relief.
Atypical Antidepressant Medication:
Antidepressants that don’t fall under other pharmaceutical classes are included in this group. The three atypical antidepressants that are frequently administered are:
- Bupropion (Wellbutrin)
- Mirtazapine (Remeron)
- Trazodone (Desyrel)
It’s unclear exactly how some of these antidepressants function. SSRIs and SNRIs are comparable in effectiveness to bupropion and mirtazapine. Furthermore, both are regarded as the best solutions for treating depression. But trazodone might be a better option if someone has both sadness and insomnia (trouble sleeping).
TCAs come in a variety of forms, but four are most frequently employed:
- Desipramine (Norpramin)
- Nortriptyline (Pamelor)
In the brain, serotonin and norepinephrine are increased. TCAs can alleviate Depression. According to certain research, they might work better for some patients with severe depression. However, they also run a higher chance of negative side effects. Healthcare professionals frequently prescribe them after you’ve tried other prescriptions first because they aren’t as well tolerated as the antidepressants previously mentioned.
Due to their potential for substantial side effects, the need for dietary restrictions, and numerous prescription interactions, MAOIs are normally not advised for most persons with depression. However, research has shown they can help treat depression resistant to treatment or depression that does not get better when taken with conventional antidepressants.
How Does A Healthcare Provider Decide Which Antidepressant Is Best For You?
You should always start with an antidepressant if you’ve had success. A drug that has been proven effective increases your chance of experiencing advantages. However, healthcare professionals frequently consider the potential of adverse effects when choosing a medicine if you have never taken medication for depression previously.
More recent antidepressants, such as SSRIs and SNRIs, are typically more well-tolerated than older ones. You might choose SNRIs over SSRIs if you also suffer from a persistent pain issue. This is so that SNRIs can help with the condition’s symptoms.
Compared to other antidepressants, SSRIs and SNRIs tend to be more frequently associated with sexual issues like erectile dysfunction. Bupropion (Wellbutrin), if sexual adverse effects occur, would be a preferable option. These negative effects are quite rare when using this drug. If your current antidepressant successfully treats your depression, you may want to add bupropion to your list of prescription drugs.
Trazodone is an option if you suffer from both depression and insomnia. Due to the high level of sleepiness this drug frequently produces, your doctor may advise against using it to improve your sleep.
Which Class Of Antidepressants Is The Most Commonly Prescribed?
The most often prescribed group of antidepressants is SSRIs. This is because they are efficient Antidepressant Medications with few adverse effects. Since many SSRIs are available as generic drugs, this therapy class is often less expensive. For the same reasons, SNRIs and bupropion are also popular options.
Which Antidepressant Medication Works The Fastest?
Unfortunately, it takes a few weeks for all antidepressants to start working. Each individual has a different threshold for when an antidepressant begins to function. You might generally anticipate side effects 4 to 6 weeks after starting your medicine. Inform your healthcare physician that it isn’t working if you notice no change after eight weeks.
Which Antidepressant Is The Hardest To Come Off Of?
One drawback is that SSRIs and SNRIs might be challenging to discontinue using. This is because abruptly lowering your dose of these medications may result in withdrawal symptoms. Make careful to adhere to your healthcare provider’s recommendations for dose reduction.
These medicines’ withdrawal effects could include the following:
- flu-like signs
- “Pins-and-needles” sensations
- sensations akin to an “electric shock.”
Inform your healthcare practitioner if you have these side effects after trying to stop taking your Antidepressant Medication. However, these signs should go away within a week or two.
The Bottom Line:
Numerous drugs are available to treat depression, a prevalent mental health issue. Some of the most popular Antidepressant Medications that doctors prescribe are SSRIs, SNRIs, and bupropion. However, research shows that all Antidepressant Medication work similarly.
Because of this, medical professionals frequently decide which antidepressant to prescribe for you based on its potential adverse effects or its capacity to treat other medical disorders you may have. Depending on your needs and how you respond to medication, you should tailor depression therapies to you. After beginning an antidepressant, let your healthcare professional know how you are doing. They can therefore alter your antidepressant regimen if necessary.