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Medicines for Depression

para>Mood disorders caused by problems in the brain

Mood disorders, such as depression and bipolar disorder, are caused by chemical imbalances in the brain. Treatments for these conditions work by changing the chemistry of the brain.

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Mood disorders caused by problems in the brain

Mood disorders, such as depression and bipolar disorder, are caused by chemical imbalances in the brain. Treatments for these conditions work by changing the chemistry of the brain.

Graphic 60356 Version 3.0

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table 1Chance of side effects with certain antidepressant medicinesView Largetable 1Chance of side effects with certain antidepressant medicines

Generic name

US Brand name

Dry mouth Blurred vision Trouble urinating Constipation Dizziness

Drowsiness

Trouble sleeping Jitteriness

Nausea Vomiting Diarrhea

Weight gain

Sexual problems

Selective serotonin reuptake inhibitors (SSRIs)*

Citalopram

Celexa

None

None

Very low

Very low

Very low

Moderate

Escitalopram

Lexapro

None

None

Very low

Very low

Very low

Moderate

Fluoxetine

Prozac, Sarafem

None

None

Low

Very low

Very low

Moderate

Fluvoxamine

Luvox

None

Very low

Very low

Very low

Very low

Moderate

Paroxetine

Paxil, Pexeva, others

Very low

Very low

Very low

Very low

Low

High

Sertraline

Zoloft

None

None

Low

Low -

Very low

Moderate

Atypical agents

Bupropion

Wellbutrin, Aplenzin, Budeprion, others

None

None

Quick-release: Low

Sustained release: Very low

Very low

None

None

Mirtazapine

Remeron

Very low

High

None

None

High

Very low

Serotonin-norepinephrine reuptake inhibitors (SNRIs)*

Desvenlafaxine

Pristiq, Khedezla

None

Very low

Low

Very low (after week 1)

None

Moderate

Duloxetine

Cymbalta

None

None

Low

Low

None

Moderate

Milnacipran

Savella

Very low

Very low

None

Low

None

None

Venlafaxine

Effexor

None

Very low

Low

Quick-release: Low

Extended release: Very low

None

Moderate

Serotonin modulators

Trazodone

Desyrel (only sold as generic in US)

None

High

None

Sleep-aid dose: Very low

Antidepressant dose: Moderate

Sleep-aid dose: None

Antidepressant dose: Very low

Very low Ž ”

Vilazodone

Viibryd

None

None

Low

High

None

Low

Nefazodone ¢ — Š

Serzone (only sold as generic in US)

Very low

Low

None

Low

None

None

Graphic 81374 Version 12.0


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table 2Chance of side effects with certain antidepressant medicines, continuedView Largetable 2Chance of side effects with certain antidepressant medicines, continued

Generic name

US Brand name

Dry mouth Blurred vision Trouble urinating Constipation Dizziness

Drowsiness

Trouble sleeping Jitteriness

Nausea Vomiting Diarrhea

Weight gain

Sexual problems

Tricyclic and tetracyclic antidepressants (TCAs)

Amitriptyline

Elavil (only sold as generic in US)

High

High

None

Very low

High

Moderate to high

Amoxapine

Asendin (only sold as generic in US)

Low

Low

Low

None

Low

Unknown

Clomipramine

Anafranil

High

High

Very low

Very low

High

High

Desipramine

Norpramin

Very low

High

Very low

None

Very low

Unknown

Doxepin

Silenor, Sinequan

Moderate

Moderate

None

None

High

Moderate

Imipramine

Tofranil

Moderate

Moderate

Very low

Very low

High

Moderate

Maprotiline

Ludiomil (only sold as generic in US)

Low

Moderate

None

None

Low

Unknown

Nortriptyline

Pamelor

Low

Low

None

None

Very low

Unknown

Protriptyline

Vivactil

Low

Very low

Very low

Very low

Very low

Moderate to high

Trimipramine

Surmontil

High

High

Very low

None

High

Unknown

Monoamine oxidase inhibitors

Isocarboxazid

Marplan

Very low

Very low

Low

Very low

Very low

High

Phenelzine

Nardil

Very low

Low

Very low

Very low

Low

High

Selegiline

Eldepryl, Emsam, others

Very low

None

Very low

None

None

None

Tranylcypromine

Parnate

Very low

Very low

Low

Very low

Very low

High

Graphic 91671 Version 3.0


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This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. ‚ ©2014 UpToDate, Inc. All rights reserved. ‚  

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