[Antidepressants]

Brain Nerve. 2023 May;75(5):573-578. doi: 10.11477/mf.1416202381.
[Article in Japanese]

Abstract

Tricyclic antidepressants possess anticholinergic, alpha 1 anti-adrenergic, and H1 antihistaminic properties, and an overdose affects patients' quality of life, which has led to the development of novel antidepressant drugs. Selective serotonin reuptake inhibitors (SSRIs) are non-sedating drugs that selectively reuptake serotonin and are effective against anxiety. Adverse effects of SSRIs include gastrointestinal disturbances, sexual dysfunction, and bleeding tendency. Serotonin noradrenaline reuptake inhibitors (SNRIs) are non-sedating agents that are expected to improve volition. SNRIs are effective against chronic pain, although they are associated with gastrointestinal symptoms, tachycardia, and elevated blood pressure. Mirtazapine is a sedative drug used in patients with anorexia and insomnia. However, drowsiness and weight gain are known adverse effects of this medication. Vortioxetine is a non-sedative drug associated with gastrointestinal symptoms; however, insomnia and sexual dysfunction are less common.

Publication types

  • English Abstract

MeSH terms

  • Antidepressive Agents / adverse effects
  • Humans
  • Norepinephrine
  • Quality of Life
  • Selective Serotonin Reuptake Inhibitors
  • Serotonin / physiology
  • Serotonin and Noradrenaline Reuptake Inhibitors*
  • Sleep Initiation and Maintenance Disorders* / drug therapy

Substances

  • Selective Serotonin Reuptake Inhibitors
  • Serotonin and Noradrenaline Reuptake Inhibitors
  • Serotonin
  • Antidepressive Agents
  • Norepinephrine