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Medications for Depression

Depression is a mood condition characterized by persistent and overwhelming feelings of sadness that can affect your day-to-day activities and how you think, feel, and behave. Sometimes it can affect your outlook on life and make you feel that life isn’t worth living. Depression may also be called major depressive disorder or clinical depression.

What Causes Depression?

Experts aren’t exactly sure what causes depression but believe it is due to a combination of different factors, such as genetic vulnerability, faulty mood regulation by the brain, stress, chemicals in the brain, medications, or medical problems, that all interact together to bring on depression.

The risk of developing depression is higher in women and people:

  • Aged 45 to 64 years of age or the elderly
  • With chronic or acute health conditions
  • Who are undergoing a major life event, such as a job loss, divorce, workplace stress, or physical or mental abuse
  • With severe grief due to the death of a loved one
  • Taking prescription drugs that may cause a low mood
  • Abusing alcohol or drugs.

What are the Symptoms of Depression?

Depression is not just feeling blue occasionally. It affects daily feelings, thoughts, and actions over a longer period. (MDD), can result in difficulties with family life, work, and social activities.

Symptoms may vary depending on how severe a person’s depression is but may include:

  • A prolonged and persistent low mood, tearfulness, or a sense of hopelessness that has lasted for at least 2 weeks
  • Irritability
  • Anxiety
  • Agitation or restlessness
  • Avoidance or refusal to participate in activities that were previously enjoyed
  • Withdrawal socially, from family, friends, and relationships
  • Changes in sleeping or eating habits
  • Unexplained physical problems, such as back pain or headaches
  • Alcohol, drug, or substance abuse
  • Engaging in risky or destructive behaviors
  • Self-harm or attempts at suicide.

In children and teens, symptoms may include clinginess, worry, aches and pain, and refusal to go to school.

In older adults, symptoms may be less obvious and include memory difficulties or personality changes, physical aches and pains, and fatigue.

How is Depression Diagnosed?

If your mood has been low for a while and you are having difficulty coping with day to day activities, talk to your doctor or a trusted professional. Your doctor will ask you questions about your symptoms and your medical history and may ask you to complete a questionnaire that may help to diagnose depression or refer you to a psychiatrist.

You can also call the National Suicide Prevention Hotline at 1-800-273-8255, 24 hours a day, 7 days a week, or have an online chat (http://suicidepreventionlifeline.org/). All information is confidential and free.

How is Depression Treated?

Depression is treatable with high rates of success. Treatments may include:

  • Psychotherapy
  • Antidepressants, such as Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin Norepinephrine Reuptake Inhibitors (SNRIs), tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs).

Responses to antidepressants vary, and most antidepressants take 4 to 6 weeks for full effect. About 50% of patients respond to the first treatment, whereas others may have to try a few different types of antidepressants before they find the best one for them.

There are several things you can do to help with your symptoms as well, such as:

  • Setting realistic and daily goals
  • Developing strategies to work through crises situations
  • Developing coping and problem-solving skills
  • Learning how to develop positive relationships
  • Replacing negative thoughts with positive ones.

Drugs used to treat Depression

The medications listed below are related to or used in the treatment of this condition.

Drug name Rating Reviews Activity ? Rx/OTC Pregnancy CSA Alcohol
bupropion 7.0 1384 reviews for bupropion to treat Depression Rx C N X
Generic name:
bupropion systemic
Brand names:
Wellbutrin XL, Wellbutrin SR, Forfivo XL, Budeprion SR, Aplenzin
Drug class:
miscellaneous antidepressants, smoking cessation agents
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Cymbalta 6.3 616 reviews for Cymbalta to treat Depression Rx C N X
Generic name:
duloxetine systemic
Drug class:
serotonin-norepinephrine reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
sertraline 6.9 1264 reviews for sertraline to treat Depression Rx C N X
Generic name:
sertraline systemic
Brand name:
Zoloft
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Lexapro 7.2 622 reviews for Lexapro to treat Depression Rx C N X
Generic name:
escitalopram systemic
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Zoloft 6.8 624 reviews for Zoloft to treat Depression Rx C N X
Generic name:
sertraline systemic
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
citalopram 7.2 727 reviews for citalopram to treat Depression Rx C N X
Generic name:
citalopram systemic
Brand name:
Celexa
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
fluoxetine 7.0 728 reviews for fluoxetine to treat Depression Rx C N X
Generic name:
fluoxetine systemic
Brand name:
Prozac
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Wellbutrin XL 7.4 308 reviews for Wellbutrin XL to treat Depression Rx C N X
Generic name:
bupropion systemic
Drug class:
miscellaneous antidepressants
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Prozac 7.0 433 reviews for Prozac to treat Depression Rx C N X
Generic name:
fluoxetine systemic
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
escitalopram 7.2 932 reviews for escitalopram to treat Depression Rx C N X
Generic name:
escitalopram systemic
Brand name:
Lexapro
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Celexa 7.2 365 reviews for Celexa to treat Depression Rx C N X
Generic name:
citalopram systemic
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
venlafaxine 6.0 1023 reviews for venlafaxine to treat Depression Rx C N X
Generic name:
venlafaxine systemic
Brand names:
Effexor XR, Effexor
Drug class:
serotonin-norepinephrine reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
duloxetine 6.3 754 reviews for duloxetine to treat Depression Rx C N X
Generic name:
duloxetine systemic
Brand names:
Cymbalta, Irenka
Drug class:
serotonin-norepinephrine reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Abilify 6.5 343 reviews for Abilify to treat Depression Rx C N X
Generic name:
aripiprazole systemic
Drug class:
atypical antipsychotics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Rexulti 7.0 157 reviews for Rexulti to treat Depression Rx N X
Generic name:
brexpiprazole systemic
Drug class:
atypical antipsychotics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Effexor XR 6.5 359 reviews for Effexor XR to treat Depression Rx C N X
Generic name:
venlafaxine systemic
Drug class:
serotonin-norepinephrine reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
modafinil Off-label 8.8 75 reviews for modafinil to treat Depression Rx C 4
Generic name:
modafinil systemic
Drug class:
CNS stimulants
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Off-label:
Yes
brexpiprazole 7.1 170 reviews for brexpiprazole to treat Depression Rx N X
Generic name:
brexpiprazole systemic
Brand name:
Rexulti
Drug class:
atypical antipsychotics
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
armodafinil Off-label 8.4 46 reviews for armodafinil to treat Depression Rx C 4
Generic name:
armodafinil systemic
Drug class:
CNS stimulants
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Off-label:
Yes
trazodone 6.7 138 reviews for trazodone to treat Depression Rx C N X
Generic name:
trazodone systemic
Drug class:
phenylpiperazine antidepressants
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
mirtazapine 6.7 652 reviews for mirtazapine to treat Depression Rx C N X
Generic name:
mirtazapine systemic
Brand names:
Remeron, Remeron SolTab
Drug class:
tetracyclic antidepressants
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Pristiq 6.9 797 reviews for Pristiq to treat Depression Rx C N X
Generic name:
desvenlafaxine systemic
Drug class:
serotonin-norepinephrine reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Effexor 5.5 342 reviews for Effexor to treat Depression Rx C N X
Generic name:
venlafaxine systemic
Drug class:
serotonin-norepinephrine reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Paxil 6.4 193 reviews for Paxil to treat Depression Rx D N X
Generic name:
paroxetine systemic
Drug class:
selective serotonin reuptake inhibitors
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
amitriptyline 8.2 140 reviews for amitriptyline to treat Depression Rx C N X
Generic name:
amitriptyline systemic
Drug class:
tricyclic antidepressants
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information

Frequently asked questions

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Topics under Depression

Alternative treatments for Depression

The following products are considered to be alternative treatments or natural remedies for Depression. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. However, there may be historical, cultural or anecdotal evidence linking their use to the treatment of Depression.

Legend

Rating For ratings, users were asked how effective they found the medicine while considering positive/adverse effects and ease of use (1 = not effective, 10 = most effective).
Activity Activity is based on recent site visitor activity relative to other medications in the list.
Rx Prescription only.
OTC Over-the-counter.
Rx/OTC Prescription or Over-the-counter.
Off-label This medication may not be approved by the FDA for the treatment of this condition.
EUA An Emergency Use Authorization (EUA) allows the FDA to authorize unapproved medical products or unapproved uses of approved medical products to be used in a declared public health emergency when there are no adequate, approved, and available alternatives.
Expanded Access Expanded Access is a potential pathway for a patient with a serious or immediately life-threatening disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available.
Pregnancy Category
A Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).
B Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.
C Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
D There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
X Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits.
N FDA has not classified the drug.
Controlled Substances Act (CSA) Schedule
M The drug has multiple schedules. The schedule may depend on the exact dosage form or strength of the medication.
U CSA Schedule is unknown.
N Is not subject to the Controlled Substances Act.
1 Has a high potential for abuse. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision.
2 Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence.
3 Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.
4 Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3.
5 Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4.
Alcohol
X Interacts with Alcohol.

Further information

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