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There
are several types of antidepressant medications used to treat
depressive disorders. These include newer medications—chiefly the
selective serotonin reuptake inhibitors (SSRIs)—the tricyclics, and
the monoamine oxidase inhibitors (MAOIs). The SSRIs—and other newer
medications that affect neurotransmitters such as dopamine or
norepinephrine—generally have fewer side effects than tricyclics.
Sometimes the doctor will try a variety of antidepressants before
finding the most effective medication or combination of medications.
Sometimes the dosage must be increased to be effective. Although some
improvements may be seen in the first few weeks, antidepressant
medications must be taken regularly for 3 to 4 weeks (in some cases,
as many as 8 weeks) before the full therapeutic effect occurs.
Antidepressant
drugs are not habit-forming. However, as is the case with any type of
medication prescribed for more than a few days, antidepressants have
to be carefully monitored to see if the correct dosage is being
given. The doctor will check the dosage and its effectiveness
regularly.
Anti-anxiety
drugs or sedatives are not antidepressants. They are sometimes
prescribed along with antidepressants; however, they are not
effective when taken alone for a depressive disorder. Stimulants,
such as amphetamines, are not effective antidepressants, but they are
used occasionally under close supervision in medically ill depressed
patients. |