Depression Medicines (anti-depressants) - DRHC Dubai Psychiatry Clinic

Choice of Antidepressants:

The choice of antidepressant medication depends on various factors, including the specific type of depression, individual patient characteristics, the patient's medical history, and potential side effects. Response to medication can vary from person to person, with variation in antidepressant response and side-effects experienced. It often takes a few weeks (4 to 6 weeks) for these medications to take full effect, although some effects can be seen within 2 weeks as well. The dosages are adjusted during this period, requiring regular frequent follow-up. It's crucial for individuals taking antidepressants to communicate regularly with their psychiatrist and attend regular follow-up appointments to monitor progress and address any concerns or side effects.

Types of Anti-depressants:

1. Selective Serotonin Reuptake Inhibitors (SSRIs) are the most commonly prescribed class of antidepressants. They work by increasing the levels of serotonin in the brain, which is a neurotransmitter associated with mood regulation. Some common SSRIs include fluoxetine (Prozac), sertraline (Zoloft), and escitalopram (Lexapro).
2. Serotonin-norepinephrine reuptake Inhibitors (SNRIs) increase the levels of both serotonin and norepinephrine. Medications like venlafaxine (Effexor), desvenlafaxine (Pristiq), and duloxetine (Cymbalta) are examples of SNRIs.
3. Atypical Antidepressants: This category includes antidepressants that don't fit into the above classes.

• Norepinephrine-dopamine reuptake Inhibitors (NDRIs), like bupropion, affect norepinephrine and dopamine levels and are known for having fewer sexual side effects compared to some other antidepressants.
• Noradrenergic and Specific Serotonergic Antidepressants (NASSAs) affect both norepinephrine and serotonin and are known for their soothing effect, which can help with sleep problems. Mirtazapine (Remeron) is an example and it can be used when insomnia or weight loss is a concern.
• Trazodone (Desyrel) is prescribed for depression and is used as a sleep aid in low doses as well.

1. Tricyclic Antidepressants (TCAs) were the earliest antidepressants developed, however, they are less frequently prescribed due to their side effects, but they can be effective in some cases. Examples include amitriptyline, nortriptyline, and imipramine.
2. Monoamine Oxidase Inhibitors (MAOIs) are another older class of antidepressants and are rarely used these days. Phenelzine (Nardil) and tranylcypromine (Parnate) are examples.

Potential side effects of antidepressants:

Most antidepressants can have some side effects and the type and severity of side effects can vary between individuals and medications. Some common side effects include nausea, diarrhea, constipation, dizziness, appetite changes, weight changes, sexual dysfunction, and others. Some of them are dose-related, while others settle down after a few days of starting treatment. It's essential to discuss any concerns or issues with the psychiatrist when starting the anti-depressant and on regular follow-up appointments.

Stopping of anti-depressants:

It's crucial to follow your healthcare provider's guidance when discontinuing antidepressants. Stopping abruptly or without proper supervision can lead to withdrawal symptoms. Your provider will help you taper off the medication gradually when it's appropriate. Antidepressants are not considered addictive in the same way that drugs of abuse, such as opioids or stimulants, are. However, some people may experience withdrawal symptoms when they stop taking antidepressants, especially if they do so abruptly. This is why it's important to taper off them under medical supervision.

Anti-depressants are an effective means to treat depression. It is important to work closely with the psychiatrist to find the most suitable medication and dosage schedule. An individualized treatment plan based on the specific needs and circumstances can be developed to provide maximal positive results.

If you are experiencing any signs and symptoms of a Depression Medicines (anti-depressants), please don't hesitate to contact our best psychiatrist in Dubai at the Dr. Rami Hamed Center, Call +97142798200 to Schedule Your Appointment Today. We have the best psychiatry doctor, and our psychiatry clinic is situated in Dubai Healthcare City. we support you every step of the way. Take the first step towards a brighter future.