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Antidepressants


What are antidepressants?

Antidepressants are drugs that are used to treat the symptoms of depression and anxiety. They are also used in the treatment of obsessive compulsive disorder, panic disorders and bulimia (anti-suppressant).

The body produces chemicals in the brain called neurotransmitters, among them are serotonin, norepinephrine and dopamine. When the body produces low levels of these chemicals, a chemical imbalance occurs in the brain. Antidepressants alter the level and flow of neurotransmitters across the neural synapses, reducing the symptoms of depression.

Antidepressants are not classified as uppers or stimulants. There are different classes of antidepressants, the most common being Selective Serotonin Reuptake Inhibitors (SSRI's) and Trycyclics. Antidepressants are classified by their action on the brain.

See Antidepressants by Drug Types below for the classes of antidepressants drugs common in Australia, Canada, the United Kingdom and The United States, along with their generic drug names and their equivalent brand / trade Name .

Why do people take antidepressants ?

Doctors prescribe antidepressants to relieve symptoms of depression, obsessive compulsive disorder and bulimia.

Types of antidepressants:

Antidepressants by Drug Types

 
  • Citalopram >> Celexa, Cipramil
  • Escitalopram oxalate >> Lexapro
  • Fluoxetine >> Prozac, Sarafem
  • Fluvoxamine >> Faverin, Luvox
  • Paroxetine >> Paxil, Seroxat
  • Sertraline >> Lustral, Zoloft
  • Trazodone >> Molipaxin, Desyrel
 
  • Venlafaxine >> Efexor, Effexor
  • Milnacipran
  • Amitriptyline >> Tryptizol, Elavil
  • Amoxapine >> Asendis, Asendin
  • Clomipramine >> Anafranil
  • Desipramine >> Norpramin
  • Dothepin>> Prothiaden, Pertofran
  • Doxepin >> Sinequan
  • Imipramine >> Tofranil
  • Lofepramine >> Gamanil
  • Nortriptyline >> Aventyl, Allegron, Pamelor
  • Protriptyline >> Concordin, Vivactil
  • Trimipramine >> Surmontil
  • Maprotiline >>> Ludiomil
  • Viloxazine Hydrochloride > Vivalan (Class = Morpholine)
 
  • Bupropion >> Wellbutrin, Zyban
 
  • Reboxetine >> Edronax, Vestra
    (Currently unavailable in the United States [April 3, 2003])
 
  • Trazodone >> Desyrel
  • Nefazodone >> Serzone (USA), Dutonin (UK)
 
  • Mirtazapine >> Remeron, Zispin, Norset, Avanza and Remergil
  • Mianserin
 
  • Isocarboxazid >> Marplan
  • Phenelzine >> Nardil
  • Tranylcypromine >>Parnate
 
  • Brofaromine >> Experimental
  • Moclobemide >> Mannerix

Antidepressants are also known as:

Amtrak, rainbows, blue devils, reds, yellows, yellow jackets ...

Antidepressants are taken orally (pill or capsule) or injected .

Effects related with antidepressant use vary widely by drug type. Check specific drug type for further information.

The following is but a short list of potential effects. For example, if you take a SSRI with an MAOI, this could result in a potentially serious or even fatal "serotonin syndrome"

  • Dry mouth
  • Constipation
  • Bladder problems
  • Sexual problems
  • Blurred vision, headaches
  • Nausea
  • Nervousness, agitation, insomnia
  • Increased heart rate

Serotonin Syndrome

  • Serotonin syndrome is characterized by fever, confusion, muscle rigidity, and cardiac, liver, or kidney problems.

Chronic / long term use of antidepressants may cause:

Research has yet to discover what the potential effects of long term antidepressant use are.



Risks related with pregnancy and antidepressant use vary widely by drug type. Check specific drug type for further information.
  • MAOI types of antidepressants should not be used as they are proven to be teratogenic, meaning that have the potential to cause birth defects and long term neurobehavioural effects.

Symptoms of antidepressants overdose:

  • Agitation, restlessness
  • Blurred vision, dilated pupils
  • Flushed red skin
  • Dry mouth
  • Nausea, vomiting
  • Slowed labored breathing
  • Irregular heartbeat, body temperature and low blood pressure
  • Convulsions, uncoordinated, muscle rigidity
  • Shock
  • Coma

Withdrawal symptoms:

When discontinuing an antidepressant, tapering off use into gradual withdrawal is generally advisable. Do not quit "Cold Turkey". Withdrawal symptoms include:
  • Drug-induced psychosis
  • Upset stomach, flu like symptoms
  • Dizzy spells
  • Anxiety
  • Depression, suicidal
  • Interrupted sleep pattern
  • Confusion, disorientation
  • Aggression, violence
  • Loss of conscious behavior


Full text - Articles, booklets and fact sheets:

Antidepressants
  Antidepressant pamphlet from the Royal College of Psychiatrists, 2006.
http://www.rcpsych.ac.uk/mentalhealthinformation/mentalhealthproblems/depression/
antidepressants.aspx

Drug Tables - Psychoactive Drugs

Provides information on individual drugs. Select antidepressant, antipsychotic, antianxiety to get a list of drugs for each. Includes lists of adverse effects when combining these drugs with others.
http://www.psyweb.com/Drughtm/jsp/menus/psydrugs.jsp
Neurotransmitters and Neuroactive Peptides
Explains how neurotransmitters work on the body. From "Explore the Brain and Spinal Cord" Neuroscience for Kids by Eric H. Chudler, Ph.D.
http://faculty.washington.edu/chudler/chnt1.html
Treatment of Children with Mental Disorders Link to booklet on Treatment of Children with Mental Disorders
 

Provides question and answers on the treatment of mental disorders in children. Includes a chart listing medications most prescribed for treating children.
National Institute of Mental Health - NIMH. National Institute of Health. U.S. Department of Health and Human Services. NIMH Publication No. NIH-00-4702. Printed September 2000. Updated June 18, 2001. Child and Adolescent Mental Health.
http://www.nimh.nih.gov/publicat/childqa.cfm

Web sites:

Family Practice Notebook.com
  On the "Psychiatric Book - Pharmacology Chapter - Antidepressants" page you can find information on the different types of antidepressant drugs used, their use, along with lists of adverse effects by name/type of drug.
http://www.fpnotebook.com/PSY163.htm
Internet Mental Health
  Provides information on mental disorders, treatment and current research. Features a discussion group, mental health magazine and mental health links.
http://www.mentalhealth.com/
NAMI
  Grass root organization advocating for the mentally ill and informing people on mental illness. Provides information on dual-diagnosis and integrated treatment for people who are suffering from a mental illness and substance abuse disorder. Web site has a child and youth section with support materials, resources, news, legislative alerts... NAMI support services are available across the United States. Information is available in English and in Spanish.
http://www.nami.org/

If you know of a good resource, feel free to recommend it by sending us a link and we will do our best to add it.


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