Paths to Wellness

For People Affected by Mental Illness and Addiction

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Antidepressant Drugs

Antidepressants are used primarily for the treatment of common mental disorders such as:

Major Depressive Disorder
Bipolar Disorder (depressed phase)
-  Mood Disorder with Seasonal Pattern
-  Obsessive Compulsive Disorder
-  Panic Disorder
-  Social Phobia
Generalized Anxiety Disorder
-  Post Traumatic Stress Disorder
-  Borderline Personality Disorder
-  Premenstrual Dysphoric Disorder
-  Attention Deficit Disorder

Many factors influence the treatment of depression. The first episode of acute depression may require medications that are introduced slowly and gradually and increased to a dosage that may be higher than a maintenance dose. The medications may than be reduced slowly and discontinued if patient has responded well to the medication. Many clinicians treat patients with antidepressants for a six-month to one-year period after the first episode in order to lessen the possibility of a relapse or reoccurrence.

For individuals who have had multiple episodes of depression, treatment remains long term. When stabilized, the individual should be treated with the lowest effective dose that manages the symptoms without producing adverse effects. Those individuals who have a history of suicide attempts while depressed may also be candidates for long term treatment. The suicide risk of an individual should also be a consideration when choosing an antidepressant due to their possible lethal effects. Elderly individuals may need to be treated for a several years before a trial of gradual discontinuation.

Antidepressant drugs: Brand name (generic name)

-  Celexa (citalopram)
-  Lexapro (escitalopram)
-  Prozac (fluoxetine)
-  Luvox (fluvoxamine)
-  Zolof (sertraline)
-  Paxil (paroxetine)
-  Serzone (nefazodone)
-  Desyrel (trazodone)
-  Cymbalta (duloxetine)
-  Effexo (venlafaxine)
-  Effexor XR (venlafaxine XR)
-  Edronex (reboxetine)
-  Remeron (mirtazapine)
-  Wellbutrin, Zyban (bupropion)
-  Wellbutrin SR (bupropion SR)
-  Wellbutrin XL (bupropion XL)
-  Elavil (amitriptyline)
-  Asendin (amoxapine)
-  Anafranil (clomipramine)
-  Norpramin (desipramine)
-  Sinequan (doxepin)
-  Tofranil (imipramine)
-  Ludiomil (maprotiline)
-  Aventyl (nortriptyline)
-  Triptil (protriptyline)
-  Surmontil (trimipramine)
-  Nardil (phenelzine)
-  Parnate (tranylcypromine)
-  Manerix (moclobemide)

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