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The analysis compared 30 antidepressants, some of which are not available in the United States, from older tricyclics such as amitriptyline to newer selective serotonin reuptake inhibitors (SSRIs) such as sertraline (Zoloft).
Experts said that the side effects listed are not new or surprising.
The study affirmed well-known observations about antidepressant side effects, Dr. Joseph Goldberg, a clinical professor of psychiatry at the Icahn School of Medicine at Mount Sinai, who was not involved in the study, told The Epoch Times in an email.
What's new, Goldberg noted, is the comprehensive review of the literature that reassures us, and helpfully quantifies for us, that many of these common side effects tend to have only modest impacts.
The findings reinforce the need for personalized choices and regular monitoring, especially for long-term users, because side effects can build over time.
Weight Gain, Blood Pressure, and Cholesterol Changes
People on antidepressants experienced a 9-pound difference in weight change across drugs.
The most extreme weight changes occurred in those taking agomelatine (Valdoxan) and maprotiline (Ludiomil), with the former associated with a weight loss of about five pounds and the latter with a weight gain of about four pounds.
Both of these drugs, however, are not approved for use in the United States.
Differences in heart rates exceeded 20 beats per minute, from fluvoxamine (Luvox), which slowed the heart by calming the nervous system, to nortriptyline (Pamelor), a stimulant that increased heart rates.
Blood pressure shifts were also notable, with the upper (systolic) number differing by about 11 points between certain tricyclics such as nortriptyline and doxepin (Silenor). These drugs directly act on the body's nervous system and blood vessel receptors, which can raise or lower blood pressure.