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- By Tanner Walker
- 12 Nov 2025

Latest investigations has discovered that antidepressant adverse reactions may be more extensive than once assumed.
This large-scale study, published on October 21, analyzed the influence of antidepressant medications on over 58,000 participants within the first two months of beginning medication.
These researchers examined 151 studies of 30 medications commonly used to address major depression. Although not everyone encounters side effects, certain of the most frequent observed in the investigation were fluctuations in body weight, arterial pressure, and metabolic indicators.
Researchers observed striking variations between antidepressant medications. For example, an eight-week treatment period of agomelatine was connected with an average decrease in mass of around 2.4 kilos (roughly 5.3 lbs), whereas another drug individuals increased almost 2 kg in the equivalent timeframe.
Additionally, notable variations in heart function: one antidepressant was likely to slow cardiac rhythm, whereas another medication increased it, causing a disparity of around 21 BPM between the two drugs. Arterial pressure varied as well, with an 11 millimeters of mercury variation noted across nortriptyline and another medication.
Clinical experts noted that the study's findings aren't novel or startling to mental health professionals.
"It has long been understood that various depression drugs range in their influences on weight, arterial pressure, and additional metabolic indicators," a professional commented.
"However, what is remarkable about this research is the rigorous, relative measurement of these differences throughout a extensive array of physiological parameters employing data from more than 58,000 individuals," this expert noted.
This study provides robust support of the magnitude of side effects, several of which are more common than different reactions. Typical depression drug unwanted effects may encompass:
At the same time, less common but therapeutically relevant side effects may encompass:
"One thing to note regarding this matter is that there are multiple distinct categories of depression drugs, which result in the distinct adverse medication reactions," another specialist commented.
"Furthermore, depression treatments can impact each patient variably, and negative side effects can vary based on the particular pharmaceutical, dosage, and patient elements including metabolism or comorbidities."
Although several adverse reactions, such as changes in sleep, hunger, or stamina, are quite common and frequently enhance over time, different reactions may be less common or more persistent.
Depression drug adverse reactions may differ in severity, which could warrant a modification in your medication.
"A change in antidepressant may be appropriate if the individual encounters continuing or unbearable adverse reactions that do not improve with time or supportive measures," a expert said.
"Moreover, if there is an appearance of new health problems that may be aggravated by the present treatment, for example high blood pressure, arrhythmia, or substantial mass addition."
Patients may also consider speaking with your doctor regarding any lack of substantial enhancement in low mood or anxiety-related indicators subsequent to an appropriate evaluation duration. An appropriate testing period is usually 4–8 weeks at a effective dose.
Patient choice is additionally crucial. Some people may prefer to avoid particular adverse reactions, like sexual problems or {weight gain|increased body weight|mass addition