Skip to main content

What you need to know about antidepressants

What you need to know about antidepressants

When the doctor tells you that you have depression, the next big question that comes to mind is 'medication'. You may be very scared about this medication. "Will I get addicted to this?", "Will this cause me other problems?", "Is this medication right for me?", etc., are probably running through your mind. In fact, it is very normal to think these things. Today, let's talk about this medication that controls depression, and find answers to all the questions that are on your mind.

Why does it take me so long to find the right medicine?

This is the most important thing we need to understand first. Depression affects everyone differently. Also, the way the medication works for it also varies from person to person. Just like going to a store to choose a dress, it takes some time to find the right medication for your body and your condition.

Imagine, some people feel great relief from the very first medication they are given. But many people don't. A large study conducted in the United States found that only 30 out of 100 people who start taking medication experience complete relief from the first medication. This means that most people will have to work with their doctor for a while to find the right medication and dose. There are several reasons for this:

  • Other medical conditions: If you have other medical conditions, such as heart disease, liver, or kidney problems, some antidepressants may not be safe for you.
  • Medication side effects: Sometimes the medication you are given may not work for you, or the prescribed dose may not be enough.
  • Time: It can take several weeks, possibly up to two months, for the full effects of these medications to be felt.
  • Side effects: Some people experience more side effects, making it difficult to continue treatment.

So, don't worry if the first medicine doesn't work. That's normal. Your doctor will help you find the best solution for you.

What are these antidepressants?

Simply put, these are medications that balance the activity of certain chemicals (neurotransmitters) in our brain. An imbalance in these chemicals is a major cause of depression. Specifically, the chemicals serotonin and norepinephrine are involved. What these medications do is help maintain the right levels of these chemicals.

Often, psychotherapy or counseling is recommended along with these medications. When these two are used together, the results are very successful.

What are these medications?

There are several main types of medication for depression. If one type doesn't work, your doctor may try a different type. Let's look at the main types.

Type of medicine How it works and details in simple terms
Selective Serotonin Reuptake Inhibitors (SSRIs) These are the most commonly used types today. They increase serotonin levels in the brain. Examples: Fluoxetine, Sertraline, Citalopram.
Common side effects: Nausea, stomach upset, sexual dysfunction, fatigue, dizziness, insomnia, weight change, headache. These may be experienced initially, but they usually subside over time.
Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) These increase the levels of both serotonin and norepinephrine. Examples: Venlafaxine, Duloxetine.
Common side effects: Upset stomach, insomnia, sexual problems, anxiety, dizziness, fatigue.
Tricyclic Antidepressants (TCAs) These were one of the first medications used for depression. They are less commonly used today. Examples: Amitriptyline, Imipramine.
Common side effects: dry mouth, dizziness, stomach upset, changes in blood pressure and sugar levels.
Monoamine Oxidase Inhibitors (MAOIs) These are also very potent medications that were used in the early days. However , doctors prescribe them with great caution because they can cause serious interactions with certain foods (such as aged cheeses and preserved meats) and other medications .
Other (Atypical) typesThere are also medications that work in other ways, such as Bupropion, Mirtazapine, and Trazodone. For example, Mirtazapine is prescribed at night for people with sleep problems because it causes drowsiness. Bupropion is thought to have fewer sexual side effects.

Important warning: Some antidepressants carry a warning that they may slightly increase the risk of suicidal thoughts , especially in children, adolescents, and young adults under the age of 24. So if you notice any changes in your or your child's behavior or thoughts early in treatment, tell your doctor right away.

What should I do to get the most out of the treatment?

It's not enough to just take medicine. Your contribution is also very important. Here are some things you can do.

Keep a journal of your feelings.

Keep a diary of how you feel and your mood swings throughout the day. When you look at it once a week, you will know for yourself whether your condition is getting better or worse. If you have any problems, you can show it to your doctor and talk about it.

Bring people who help you closer.

It's hard to go through this journey alone. Talk to your husband/wife, family, best friends, someone you trust about this. Having a good group of people around you to support you is a great strength.

Follow the treatment exactly.

Take the prescribed dose at the prescribed time, as your doctor tells you. Don't skip your medication. It takes about 6-8 weeks for these medications to take full effect. So, don't stop halfway, saying, "It's not working yet." If you don't take the medication properly, it's like you're not giving it a chance to work.

Develop good habits.

Get into the habit of taking your medication at the same time every day. It's less likely to be forgotten if you combine it with other activities, such as eating breakfast or before going to bed at night. It's also a good idea to use a weekly pillbox to keep your medication in.

Don't ignore side effects

Side effects are a major reason for stopping medication. If you're having trouble with any side effects, don't keep quiet about them and talk to your doctor. They may be able to find a way to reduce them.

Remember, most side effects are most noticeable in the first few weeks of starting the medication, but they gradually decrease as the body gets used to the medication.

Do not stop taking your medication without your doctor's permission!

This is extremely important.Don't stop taking your medication just because you feel better. Doing so can make your depression worse and cause withdrawal symptoms. If you feel like you need to stop taking your medication, talk to your doctor about it. He or she will be able to gradually reduce your dose and show you how to safely stop taking your medication.

Take-Home Message

  • It's normal to take some time to find the right medication and dosage for your depression. Don't worry about it.
  • It takes a few weeks for the full effects of the medication to be felt, so have faith in the treatment and continue.
  • Talk openly with your doctor about any side effects you experience or any changes in your mood.
  • If you are taking medication for any other illness, be sure to tell the doctor who is treating your depression.
  • Never start, change the dosage, or stop taking medication without your doctor's advice.
  • You are not alone in this journey. With the right treatment and support, you can regain your mental well-being.

Depression, Mental Health, Antidepressants, Antidepressants, SSRI, SNRI, Depression Sinhala, Mental Well-being
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.

Add Your Comment

Please calculate: 7 + 1 =