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Antidepressants: Selecting one thats right for you Confused by the choice in antidepressants? With persistence, you and yourdoctor should find one that works so that you can enjoy life more fully again. Antidepressants are a popular treatment choice for those with moderate or severe depression. Although antidepressants may not cure depression, they can reduce your symptoms. The first antidepressant you try may work fine. But if it doesnt relieve your symptoms, or it causes side effects that bother you, you may need to try another. But dont give up. A number of antidepressants are available, and chances areyoull be able to find one that works well for you. Finding the right antidepressant There are a number of antidepressants available that work in slightly differentways and have different side effects. Most work equally well to relieve depression, sochoosing the right one generally involves subtle differences. When prescribing anantidepressant thats likely to work well for you, your doctor may consider:Your particular symptoms. Symptoms of depression can vary, and one antidepressantmay relieve certain symptoms better than another. For example, if your depressionsymptoms include low energy, an antidepressant thats slightly stimulating may be thebest choice. On the other hand, if you have trouble sleeping, an antidepressant thatsslightly sedating may be a good option.Possible side effects. Side effects of antidepressants vary from one medication toanother and from person to person. Bothersome side effects can make it difficult tostick with treatment. Sexual side effects are a particularly common reason people stoptaking an antidepressant Bestseller Keppra (Levetiracetam) is used for treating partial-onset, myoclonic, or generalized tonic-clonic seizures in patients with epilepsy. Buy Keppra athttp://buyingkeppra.orgWhether it worked for a close relative. How a medication worked for a first-degreerelative, such as a parent or sibling, can indicate how well it might work for you. 1
Interaction with other medications. Some antidepressants can cause dangerousreactions when taken with other medications.Whether youre pregnant or breast-feeding. Many antidepressants may not be safe foryour baby when taken during pregnancy or later when youre breast-feeding. Workwith your doctor to find the best way to manage your depression when youreexpecting.Your other health conditions. Some antidepressants may cause problems if you havecertain mental or physical health conditions. On the other hand, certainantidepressants may help treat other physical or mental health conditions along withdepression.Cost and health insurance coverage. Some antidepressants can be very expensive,especially if theres no generic version available. Types of antidepressants Certain brain chemicals called neurotransmitters are associated with depression, particularly the neurotransmitters serotonin (ser- oh-TOE-nin), norepinephrine (nor-ep-ih-NEF-rin) and dopamine (DOE-puh-mene). Most antidepressants relieve depression by affecting these neurotransmitters. Each type (class) of antidepressant affects these neurotransmitters in slightly different ways.Selective serotonin reuptake inhibitors (SSRIs).Many doctors start depression treatmentby prescribing an SSRI. SSRIs are safe and relieve depression for most people. However,like many antidepressants, they can cause sexual side effects — most commonly failureto achieve orgasm in women and delayed ejaculation in men. SSRIs include bestantidepressant - Lexapro(Escitalopram). We recommend you to buy this drug athttp://buyinglexapro.orgSerotonin and norepinephrine reuptake inhibitors (SNRIs)SNRIsinclude Cymbalta(Duloxetine). Duloxetine may help relieve physicalpain in addition to depression — but it isnt clear yet whether it worksbetter than other antidepressants for pain relief. Duloxetine can causea number of side effects. Nausea, dry mouth and constipation areparticularly common. You shouldnt take duloxetine if youre a heavydrinker or you have certain liver or kidney problems. We recommend you to buy thisdrug at http://buyingcymbalta.org 2
Atypical antidepressants.These medications are called "atypical" because they dont fitneatly into other categories. Generally, atypical antidepressants cause fewer sexualside effects than other antidepressants do.Tricyclic and tetracyclic antidepressants.These older antidepressants are effective, butare usually not a first-choice treatment for depression because of numerous side effectssuch as dry mouth, constipation, difficulty urinating, sedation, weight gain and sexualside effects. In some cases, a low dose of a cyclic antidepressant may be added toanother antidepressant, such as an SSRI, to increase the antidepressant effect.Overdosing on a cyclic antidepressant can be deadly. These medications are notusually given to older adults or people who have low blood pressure or certain heartproblems.Monoamine oxidase inhibitors (MAOIs).Monoamine oxidase inhibitors are used as a lastresort because of numerous bothersome and potentially dangerous serious side effects.However, MAOIs can be effective for some forms of depression when othermedications havent worked. Side effects can include dizziness, dry mouth, upsetstomach, difficult urination, twitching muscles, sexual side effects, drowsiness and sleepproblems. MAOIs can cause potentially fatal high blood pressure when combined withcertain foods and beverages and certain other medications. Bestseller Risperdal (Risperidone) is used to treat schizophrenia orbipolar mania. Buy Risperdal at http://buyingrisperdal.org Antidepressants and risk of suicideAntidepressants are generally safe. However, insome cases children, adolescents and youngadults ages 18 to 24 may have an increase insuicidal thoughts or behavior when takingantidepressants, especially in the first few weeksafter starting an antidepressant or changing adosage. Because of this risk, they must be closelymonitored by loved ones, caregivers and healthcare providers while taking antidepressants. TheFood and Drug Administration (FDA) now requires that all antidepressant medicationscarry a warning about suicide. 3
Making antidepressants work for you There are several steps you can take to get the best results:Be patient. Once you and your doctor have selected an antidepressant, it may take sixor more weeks for it to be fully effective. And with some medications, you can take thefull dosage immediately. With others, you may need to gradually increase your dose.Talk to your doctor or therapist about coping with depression symptoms as you wait formedications to take effect.See if the side effects improve. Many antidepressants cause side effects that improvewith time. For example, initial side effects when starting an SSRI can include nausea,loose bowel movements, headache and insomnia, but these symptoms usually goaway as your body adjusts to the antidepressant. Sexual side effects may be eased byadding or substituting bupropion.If it doesnt work — try something else. If you have no significant improvement in yoursymptoms after six weeks, talk to your doctor about trying a different antidepressant(switching) or adding a second antidepressant or another medication (augmentation).A medication combination may work better for you than does a single antidepressant.Take your antidepressant consistently and at the correct dose. If your medicationdoesnt seem to be working or is causing bothersome side effects, call your doctorbefore making any changes.Dont stop taking an antidepressant without talking to your doctor first. Someantidepressants can cause significant withdrawal-like symptoms unless you slowly taperoff your dose.Try psychotherapy. In many cases, combining an antidepressant with mental healthcounseling (psychotherapy) is more effective than taking an antidepressant alone. Itcan also help prevent your depression from returning once youre feeling better. Bestseller Abilify (Aripiprazole) is used for treating schizophrenia and certain symptoms of bipolar disorder. Buy Abilify at http://buyingabilify.org 4