Medications to Treat Depression

Types of Medications Used to Treat Depression

There are a number of depression meds that may help treat your condition. It’s important to understand how they work and in what ways they can help before you begin taking any antidepression medications.

SSRIs

Selective serotonin reuptake inhibitors (SSRIs) are a class of antidepressants often prescribed to treat depression. In fact, they’re the most commonly prescribed form of antidepressant medication used to treat depression.

SSRIs work by lowering serotonin reuptake in your brain. Serotonin imbalance is thought to likely play a role in depression, so reducing the uptake allows the serotonin to work more effectively in the brain.

Popular SSRIs to treat mild or severe depression include:

• Celexa (citalopram)
• Lexapro (escitalopram)
• Luvox (fluvoxamine)
• Paxil/Pexeva/Brisdelle (paroxetine)
• Prozac/Sarafem (fluoxetine)
• Zoloft (sertraline)

Possible side effects of SSRIs to treat severe or mild depression:

• Agitation
• Feeling shaky or anxious
• Indigestion
• Diarrhea or constipation
• Blurred vision
• Loss of appetite
• Weight loss
• Dizziness
• Sexual Side Effects

SNRIs

Serotonin and norepinephrine reuptake inhibitors (SNRIs) improve norepinephrine and serotonin levels in the brain, which can reduce symptoms of depression. SNRIs differ from SSRIs because they work on increasing low levels of norepinephrine and serotonin — SSRIs only work on serotonin levels.

Popular SNRIs to treat depression include:

• Cymbalta (duloxetine)
• Effexor XR (venlafaxine)
• Fetzima (levomilnacipran)
• Pristiq, Khedezla (desvenlafaxine)

Possible  side effects of SNRIs to treat depression:

• Dry mouth
• Nausea
• Headache
• Dizziness
• Excessive sweating

TCAs

Tricyclic antidepressants (TCAs) are an older generation of medication for depression. It’s not fully understood how TCAs work to improve depression. It’s thought that they’re effective because they block the action of the neurotransmitter acetylcholine while increasing levels of two other neurotransmitters, serotonin and norepinephrine, ultimately restoring balance in the brain and reducing symptoms of depression.

Popular TCAs to treat depression include:

• Amitriptyline
• Amoxapine
• Anafranil (clomipramine)
• Doxepin
• Norpramin (desipramine)
• Pamelor (nortriptyline)
• Protriptyline
• Surmontil (trimipramine)
• Tofranil (imipramine)

Possible side effects of TCAs to treat depression:

• Slightly blurred vision
• Dry mouth
• Constipation
• Dizziness
• Drowsiness
• Weight gain
• Difficulty urinating
• Excessive sweating (particularly at night)

Dopamine reuptake blocker

Another medication for depression is a Norepinephrine- dopamine reuptake Inhibitor. It works by blocking the presynaptic uptake of noradrenaline (NA) and dopamine (DA). One benefit to this drug is some of the negative side effects (like weight gain and reduced sex drive) that are common to other antidepressants don’t seem to be a factor with dopamine reuptake blockers.

There is only 1 dopamine Norepinephrine reuptake blocker on the market to treat depression:

• Aplenzin, Wellbutrin (bupropion)

Possible side effects of dopamine reuptake blockers to treat depression:

• Nausea
• Insomnia
• Weight loss
• Headache
• Constipation
• Anxiety

Tetracyclic antidepressant

Tetracyclic antidepressants can be prescribed to treat both depression as well as anxiety. Tetracyclic antidepressants work to ease depression symptoms by balancing out neurotransmitters.

There is only 1 tetracyclic antidepressant on the market to treat depression:

• Ludiomil (Maprotiline)

Possible side effects of Maprotiline to treat depression:

• Drowsiness
• Nausea
• Nightmares
• Weakness
• Tiredness
• Sensitivity to sunlight
• Dry mouth
• Constipation
• Change in appetite
• Weight change

5-HT1A receptor antagonist

An 5-HT1A receptor antagonist can balance neurotransmitters and serotonin levels in the brain, which can effectively treat depression. Note that 5-HT1A receptor antagonists typically aren’t a first-line treatment option for depression. Most often, other types of medication will be tried before an 5-HT1A receptor antagonist is offered.

There is only 1 5-HT1A receptor antagonist on the market to treat depression:

• Viibryd (vilazodone)

Possible side effects of Viibryd to treat depression:

• Nausea
• Vomiting
• Difficulty sleeping

5-HT2 receptor antagonists

5-HT2 receptor antagonists are older drugs used to treat depression. They work by altering the chemicals in your brain to reduce symptoms of depression.

Popular 5-HT2 receptor antagonists to treat depression include:

• Nefazodone
• Oleptro (trazodone) 

Possible side effects of 5-HT2 receptor antagonists to treat depression:

• Hypotension
• Dizziness
• Headache
• Fatigue

5-HT3 receptor antagonist

The 5-HT3 receptor antagonist can treat depression as well. It increases the release of several different neurotransmitters (serotonin, norepinephrine, dopamine, glutamate, acetylcholine, and histamine) and reduces the release of GABA through 3 different modes of action

There is only 1 5-HT3 receptor antagonist on the market to treat depression:

• Brintellix (vortioxetine)

Possible side effects of 5-HT3 receptor antagonists to treat depression:

• Muscle tension
• Headache
• Mood swings
• Dizziness
• Sudden angry outbursts
• Runny nose

MAOIs

Monoamine oxidase inhibitors (MAOIs) are another older drug that is sometimes prescribed to treat depression. MAOIs work by hindering the breakdown of dopamine, norepinephrine, and serotonin. A caveat to MAOIs is they often interact with other drugs (both prescription and over the counter) and they may interact with some foods, as well.

Popular MAOIs to treat depression include:

• Emsam (selegiline)
• Marplan (isocarboxazid)
• Nardil (phenelzine)
• Parnate (tranylcypromine)

Possible side effects of MAOIs to treat depression:

• Nausea
• Dry mouth
• Diarrhea or constipation
• Drowsiness
• Headache
• Insomnia
• Dizziness
• Lightheadedness

Noradrenergic antagonist

Primarily used for depression treatment, noradrenergic antagonists can alter various chemicals in the brain, alleviating some common depression symptoms.

There is only 1 noradrenergic antagonist on the market to treat depression:

• Remeron (mirtazapine)

Possible side effects of Remeron to treat depression:

• Sedation
• Hallucinations
• Agitation
• Fever
• Rapid/uneven heart rate
• Loss of coordination
• Stiff muscles
• Confusion
• Feeling unsteady
• Tremors
• Flu-like symptoms

Medications Commonly Prescribed for Depression

Because depression significantly impacts the brain, drugs that work in your brain are likely the most helpful. The following depression medication list shares some of the more commonly prescribed medications for depression.

Name Brand	Generic	Description
Lexapro	Escitalopram	An SSRI used to restore balance of serotonin in the brain. Can ​​improve energy level and feelings of well-being to help with symptoms of depression.
Celexa	Citalopram	SSRI that can improve energy levels and feelings of well-being to alleviate symptoms of depression.
Zoloft	Sertraline	Another SSRI that treats a variety of mood disorders. Helps with depression by restoring the balance of serotonin in the brain.
Paxil	Paroxetine	SSRI that restores serotonin levels in the brain to treat depression and other anxiety disorders. Can be used alone or with other medications.
Prozac	Fluoxetine	An antidepressant of the selective serotonin reuptake inhibitor (SSRI) class that’s used to treat depression.
Cymbalta	Duloxetine	An antidepressant that can treat depression and also treats nerve pain.
Effexor	Venlafaxine	Antidepressant and nerve pain medication that is effective on depression and other anxiety disorders.
Wellbutrin	Bupropion	Works in the brain and is used to treat depression; also a smoking cessation treatment.
Desyrel, Desyrel Dividose, Oleptro, and Trazodone D	Trazodone	Antidepressant and sedative.
Remeron	Mirtazapine	Antidepressant used to treat symptoms of depression. It’s not fully understood how Remeron works.
Pristiq	Desvenlafaxine	Treats major depressive disorder in adults.
Abilify	Aripiprazole	Antipsychotic medication that treats depression and a host of other conditions like: schizophrenia, bipolar disorder, and Tourette syndrome.
Seroquel	Quetiapine	Another antipsychotic that treats depression as well as schizophrenia and bipolar disorder.
Zyprexa	Olanzapine	Antipsychotic medication that works by helping to restore the balance of natural substances in the brain.
Lithium	–	Mood stabilizer that can be used to treat mood disorders like depression.
Lamictal	Lamotrigine	Prescribed for maintenance treatment of bipolar I disorder; these are more effective against depressive episodes than mania.

Talk to your psychiatrist or healthcare professional about the possible risks and benefits associated with the above medications before starting treatment.

How to Get Depression Medication

Considering depression medication? You should talk to your doctor sooner than later. With their help, you can come up with the most effective course of treatment so you can learn to manage your depression.

In order to get medication for depression, the following steps should be taken:

1. Get a diagnosis
   To be diagnosed, you’ll need a psychological and physical evaluation as well as lab tests. A mental health professional will likely use American Psychiatric Association’s (APA’s) criteria for depression listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
2. Begin therapy or treatment
   Therapy can help you manage depression.
3. Consider medication
   Medication can be prescribed in addition to treat your depression.
4. Talk to your prescriber
   A psychiatrist can help prescribe you the right medication for depression.

Should You Treat Depression with Medication?

Deciding to treat your depression with medication is a very personal decision but a lot times it is needed to prevent the worsening of the symptoms and prevent complications. Anytime you choose to take medication for a mental health condition, or for any health condition for that matter, it’s important that you understand as much as possible about what you’ll be taking.

Your doctor or psychiatrist can fully discuss your treatment options and go over everything you need to know about any depression medication you’re considering.

It’s important to keep in mind that the earlier you treat your depression, the more effective treatment tends to be. Equally important is understanding that there is no shame in taking medication for your depression. The Center for Disease Control and Prevention (CDC) reports that more than 13% of Americans took an antidepressant within a 30-day time period between 2015-2018. That number continues to grow, which means you’re not alone in dealing with your depression.

When you talk to a prescriber or psychiatrist, you can ask any of the following.

Questions to ask a prescriber:

• Should I consider depression medication?
  Your prescriber can help you weigh the pros and cons of any depression medication that you may be considering.
• What are possible side effects of this medication?
  It’s always important to understand potential side effects of any medication. This can help you make the best decision for you and your condition and determine whether or not a medication is right for you.
• What other treatments should I be considering for my depression?
  Medication isn’t your only option for treating depression. You can choose to combine depression meds with other treatments as well. Self-help techniques, therapy, and more can all be potentially helpful in treating depression.
• Should I consider treatment in conjunction with depression medication?
  Any time you make the decision to begin medication for a health condition, it’s smart to look at what else you can do. For example, maybe you want to think about trying online therapy in addition to your medication. A psychiatrist can help you decide.
• Are there any holistic or self-help techniques I can try?
  There are a number of self-help techniques and holistic tactics that you can implement to help manage depression. Things like journal writing, meditation, eating right, getting enough exercise and sleep might all help depression.
• Should I consider therapy in addition to medication?
  Certain forms of talk therapy — like cognitive behavioral therapy techniques — have proven effective in treating depression.
• Are there any other conditions going on that could be contributing to my depression?
  Depression is related to multiple other mental and physical conditions. If not dealt with, it can either lead to or worsen existing conditions like depression, substance abuse, insomnia, digestive problems, and other physical health issues like headaches, bowel problems, or migraines. 

 

If you’re ready to start treating your mental health condition with depression medicine, connect with a prescriber at Talkspace.