For Adults: Take Care with Antidepressants
Antidepressants are an important way to treat depression. Most adults with depression
get better when treated with antidepressants. Treatment may be just with these medicines.
Or it may be a combination of these medicines and psychotherapy or counseling.
Depression is a complex brain disorder. It changes how well nerve cells in certain
parts of the brain work. Antidepressants help some of those brain cells work better.
They also change how certain chemicals in the brain called neurotransmitters work.
Antidepressants are strong medicines. They affect people mentally, emotionally, and
physically. These medicines must be taken with care to make sure they work as they
should. Taking them as directed also makes it less likely that you will have any serious
Many types of antidepressants are available. Sometimes you and your healthcare provider
may need to try several to find the one that is best for you. Also, these medicines
take time to work. It may take a few weeks before your symptoms get better. Your provider
will help you find the one medicine or a combination of medicines that work.
It's important to take antidepressants exactly as prescribed. Talk with your healthcare
provider and pharmacist about your symptoms. Tell them about how you are using these
medicines and if you have any questions.
These are some of the antidepressants that are available to treat depression:
SSRIs (selective serotonin reuptake inhibitors)
Serotonin and norepinephrine reuptake inhibitors
Norepinephrine and dopamine reuptake inhibitors
MAOIs (monoamine oxidase inhibitors)
Possible side effects
Most antidepressants cause side effects. Many of the side effects get better after
you take the medicine for a period of time. Ask your healthcare provider or pharmacist
what side effects to expect. Ask what side effects you should report. Don't stop taking
medicines or take less of them because of side effects. Always check with your provider
first. Different medicines have different side effects. Among common side effects
Tips include the following:
Stick with your medicine. It often takes 3 to 8 weeks before you start feeling better.
Avoid drinking alcohol while take antidepressant medicines.
Ask about medicine interactions. Antidepressants can have an effect on many other
medicines. And many medicines can affect antidepressants. When you're taking an antidepressant,
tell your healthcare provider and pharmacist about all the other medicines you take.
This includes over-the-counter medicines and herbal health products.
St. John's wort is an herbal product that some people use for mild depression. It’s
not approved by the FDA to treat depression. And it can interact with other antidepressants.
Let your healthcare provider know if you are taking St. John's wort.
Follow instructions exactly. It’s very important to take an antidepressant exactly
as prescribed. This can even mean at a certain time of day. You should never stop
taking your medicine without checking with your healthcare provider. If you stop,
your depression could come back. You may be at risk for suicide. Or stopping could
cause symptoms from the sudden withdrawal. The safe way to stop taking an antidepressant
is to taper off how much you take. Your provider will tell you how to do this.
Follow any warnings carefully. Some antidepressants cause drowsiness. This can make
some activities like driving dangerous. Call your healthcare provider right away if
your depression gets worse. Also call your provider right away if you start to have
thoughts of suicide or you begin to think of ways to commit suicide.
Tell your healthcare provider if you become pregnant or start to breastfeed a child.
You may have to change medicines.