For instance, researchers associate a deficiency of serotonin with depression and obsessive-compulsive disorder and implicate it in panic disorder and other psychological problems.
These medications are called selective serotonin reuptake inhibitors, abbreviated SSRIs. SSRIs can be helpful for depression, panic disorder, social anxiety, obsessive compulsive disorder, generalized anxiety and PTSD.
Whom it may be suitable for: Depression sufferers with fatigue-like symptoms (norepinephrine works on the adrenal system); also a good option when SSRIs don’t work; not ideal for patients with hypertension.
Pros: This SSRI has fewer overall side effects than some antidepressants, but the serotonin-related side effects can be powerful.
They are well tolerated medications that are safe for medically ill or frail patients and safe in overdose. It takes four to six weeks to notice significant therapeutic benefits from the SSRIs. Patients often experience a temporary worsening of anxiety symptoms during the first two weeks of treatment.
There are no withdrawal effects unless the patient stops them abruptly, and no dependency develops. Abrupt discontinuation of the SSRIs could cause flu-like symptoms. SSRIs cause sexual problems more than other antidepressants or benzodiazopines. Nervousness and tremors, sweating, nausea, anxiety, diarrhea, difficulty falling asleep or frequent awakenings, difficulty achieving orgasm, decreased libido, headache, loss of appetite, postural hypotension, drowsiness or fatigue, upset stomach. Prozac comes in 10 and 20 mg capsules and liquid oral solution that the patient usually takes in the morning.
These drugs offer a different chemical structure than the cyclic antidepressants and therefore produce different effects on the brain.Pros: This noradrenergic/specific serotonergic (Na SSA, the newest class of antidepressants) also blocks receptors that cause sexual dysfunction in other antidepressants; less jitteriness and nausea.Side effects: Sedation, fatigue, dry mouth, constipation, increased appetite, weight gain.Many psychiatric disorders are accompanied by disturbance of sleep.In addition to resolving sleep-related symptoms through their primary therapeutic effects, many psychiatric medications have secondary effects on sleep that can contribute to their overall therapeutic benefit or sometimes counter them through adverse effects.