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Meta TitleWhat Are the Different Types of Antidepressants? | UPMC HealthBeat
Meta DescriptionDepression affects millions and is often treated with antidepressants. Learn about the different types of antidepressants and what your doctor may recommend.
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Depression is more than just feeling down every now and then. It’s a medical condition that needs treatment to get better. For many people, depression can affect their quality of life. It can affect their ability to function at work, in school, and in social situations. Each year, more than 8% of adults experience a major depressive episode. That’s according to the National Institute of Mental Health. Doctors often treat depression with a combination of antidepressants and talk therapy . How Do You Know You Need Antidepressants? Doctors and other professionals do a mental health screening before prescribing any medication. They also go over your mental health symptoms and your history. They review your mental health symptoms and your history. What are the symptoms of depression? Depressed, sad, or “empty” mood or loss of interest or pleasure lasting at least two weeks are some of the most common signs of a major depressive episode. You may also have: Changes in appetite or unexpected weight loss or gain. Fatigue, tiredness, or decreased energy . Feelings of hopelessness or negativity about life. Feelings of guilt, helplessness, or worthlessness. Headaches, muscle aches, cramps, or stomach problems without a clear physical cause or that don’t improve with treatment. Irritability, frustration, and restlessness. Loss of interest in hobbies or activities you once enjoyed. Problems concentrating, remembering, or making decisions. Problems sleeping, waking up too early, or oversleeping. Thoughts of death or suicide , or suicide attempts. (If you or someone you love has these thoughts, call, text, or chat 988 to reach the 988 Suicide & Crisis Lifeline.) Mental Health America also has an online depression test . You can use this as a first step to understanding your mental health. But always follow up with your doctor to ensure nothing else is causing your symptoms. What Are the Different Types of Antidepressants? Antidepressants are medications taken to treat depression. Doctors may also prescribe antidepressants to treat anxiety, insomnia, or chronic pain. The following — broken down into three main groups — are the most common antidepressants. Doctors prescribe these because they help improve a broad range of mental and behavioral health disorders. They are safe, effective, and have fewer side effects than older antidepressants. Selective serotonin reuptake inhibitors SSRIs are the most common antidepressant. That’s according to the National Library of Medicine. They stop the reabsorption (reuptake) of serotonin. This increases serotonin levels and activity in the brain. Doctors prescribe SSRIs for other mental health issues, too. These include eating disorders, obsessive-compulsive disorder, and post-traumatic stress disorder. They’re the most common antidepressants for pregnant women with mental health issues. Fluoxetine is the only depression medicine the U.S. Food and Drug Administration (FDA) has approved for children. The only FDA-approved medications to treat depression in teens are fluoxetine and escitalopram. But studies found that many medications are helpful for children and teens with depression. Mental health professionals may recommend other mental health medications to treat your child and teen, with careful monitoring. Serotonin-norepinephrine reuptake inhibitors SNRIs stop the reabsorption of the chemicals serotonin and norepinephrine. This increases these neurotransmitters in the brain. Norepinephrine-dopamine reuptake inhibitors NDRIs stop the reabsorption of the brain chemicals norepinephrine and dopamine. SSRI vs. SNRI Whether an SSRI or an SNRI is the better antidepressant varies from person to person. Consult with your doctor about finding out which is the best for you. Are There Other Depression Medications? Older depression medications include tricyclic antidepressants, atypical antidepressants, and monoamine oxidase inhibitors (MAOIs). For some people, these may work best. But they may have more serious side effects than today’s common antidepressants. Esketamine for treatment-resistant depression Sometimes people develop treatment-resistant depression. That means their symptoms don’t improve after trying at least two different antidepressants. Esketamine therapy is FDA-approved for treatment-resistant depression. It’s in a class of drugs called N-methyl D-aspartate (NMDA) antagonists. You need to go to a doctor’s office, clinic, or hospital to get this therapy through a nasal spray. It starts to work in minutes to hours to lift mood and relieve symptoms of depression. Esketamine can cause dissociation — feeling like you’re having an out-of-body experience. To keep you safe, you have to stay at the treatment facility for up to two hours so doctors can monitor your reaction. Brexanolone for postpartum depression Adults who struggle with postpartum depression may receive brexanolone for treatment. Brexanolone is a neuroactive steroid gamma-aminobutyric acid (GABA)-A receptor-positive modulator. It’s a continuous intravenous (IV) infusion given over a total of 60 hours. It has the potential to cause extreme tiredness and loss of consciousness. You have to stay overnight in the hospital so doctors can monitor your care. Are Antidepressants Safe to Take? Antidepressants are safe to take for most people. Doctors often start people on low doses. They then increase the dose to reduce the chance of side effects. What are common side effects of antidepressants? Among the newer antidepressants, common side effects include: Anxiety. Changes in appetite. Dizziness. Drowsiness. Dry mouth. Gastrointestinal problems, such as nausea or upset stomach. Headache. Sexual dysfunction. Shaking. Sleep problems. Sweating. Weight changes, often weight gain. What are the risks of antidepressants? Antidepressants don’t come without risks. SSRIs and other antidepressant medications have a black box warning . This is due to a possible increased risk of suicide in children and young adults up to age 25. Always tell your doctor about other mental health medications and supplements you take. Taking more than one medication that increases serotonin levels can cause serotonin syndrome. This is a life-threatening condition. If you’re pregnant or thinking of becoming pregnant, tell your doctor. Some antidepressants aren’t always safe to take while pregnant. What is the safest antidepressant? How you react to a medication is different from how someone else does. Doctors will look at other medical conditions you have and medications you take. This is how they figure out the safest antidepressant for you. Is It Dangerous to Suddenly Stop Taking Antidepressants? Stopping antidepressants suddenly can cause withdrawal symptoms. In some cases, it can cause serious or life-threatening side effects. How hard it is to get off an antidepressant depends on the half-life of the drug and the dose you take. Antidepressant withdrawal can cause dizziness, fatigue, insomnia, and flu-like symptoms. It can also cause mood changes. These can include aggression, irritability, anxiety, and panic attacks. Never stop taking an antidepressant without talking to your doctor. They can help you taper off the medication safely. When Will I Start to Feel Better? You need to take antidepressants for four to eight weeks to notice an improvement in your mood. Other symptoms, such as problems sleeping or concentrating, may improve sooner. Whether your doctor recommends an SSRI, an SNRI, or another antidepressant depends on your individual mental and physical health. Sources National Institute of Mental Health. Major Depression. Accessed April 30, 2025. https://www.nimh.nih.gov/health/statistics/major-depression NIH.gov UpToDate. DSM-5-TR diagnostic criteria for a major depressive episode. Accessed April 30, 2025. https://www.uptodate.com/contents/image?imageKey=PSYCH/89994 UpToDate.com National Institute of Mental Health. Depression. Accessed April 30, 2025. https://www.nimh.nih.gov/health/topics/depression NIH.gov National Institute of Mental Health. Mental Health Medications. Accessed April 30, 2025. https://www.nimh.nih.gov/health/topics/mental-health-medications#part_2358 NIH.gov StatPearls. Selective Serotonin Reuptake Inhibitors. Accessed April 30, 2025. https://www.ncbi.nlm.nih.gov/books/NBK554406/ NIH.gov Neurology International. New Serotonin-Norepinephrine Reuptake Inhibitors and Their Anesthetic and Analgesic Considerations. Accessed April 30, 2025. https://pubmed.ncbi.nlm.nih.gov/34698218/ NIH.gov March of Dimes. Untreated Depression Increases Preterm Birth Risk, Not Antidepressants. Accessed April 30, 2025. https://www.marchofdimes.org/our-work/research/blog/antidepressants-dont-increase-risk-preterm-birth-untreated-depression-does-ucsf-prc MarchOfDimes.org U.S. Food and Drug Administration. Depression Medicines. Accessed April 30, 2025. https://www.fda.gov/consumers/womens-health-topics/depression-medicines#NMDA FDA.gov UpToDate. Patient education: Depression treatment options for children and adolescents (Beyond the Basics). Accessed April 30, 2025. https://www.uptodate.com/contents/depression-treatment-options-for-children-and-adolescents-beyond-the-basics/print UpToDate.com American Psychological Association. How hard is it to stop antidepressants? Accessed April 30, 2025. https://www.apa.org/monitor/2020/04/stop-antidepressants APA.org
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[Our NewslettersOur Newsletters](https://share.upmc.com/email-preferences/ "Our Newsletters") - [Visit UPMC.comVisit UPMC.com](https://www.upmc.com/ "Visit UPMC.com") [UPMC HealthBeat en español](https://es-share.upmc.com/) ## [Family Health](https://share.upmc.com/category/wellness/family-health/) # What Are the Different Types of Antidepressants? July 4, 2025 5 Minute Read Reviewed by ![Andrew Sallavanti, DO](https://share-cdn-prod.azureedge.net/wp-content/uploads/2025/04/SALLAVANTI_ANDREW_DO_FP_20240604-100x100.jpg) ![Andrew Sallavanti, DO](https://share-cdn-prod.azureedge.net/wp-content/uploads/2025/04/SALLAVANTI_ANDREW_DO_FP_20240604-100x100.jpg) [Andrew Sallavanti, DO](https://providers.upmc.com/provider/andrew-sallavanti/3049846) Family Medicine ![](https://share-cdn-prod.azureedge.net/wp-content/uploads/2025/07/GettyImages-1471949524-e1751050251106-1142x493.jpg) Share this on:[![Facebook](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_facebook_32.png)![Facebook](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_facebook_32.png)](https://www.facebook.com/sharer.php?u=https%3A%2F%2Fshare.upmc.com%2Fvuhr8k1x-f "Share on Facebook")[![LinkedIn](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_linkedin_32.png)![LinkedIn](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_linkedin_32.png)](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fshare.upmc.com%2Fvuhr8k1x-l "Share on LinkedIn")[![Pinterest](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_pinterest_32.png)![Pinterest](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_pinterest_32.png)](https://pinterest.com/pin/create/button/?url=https%3A%2F%2Fshare.upmc.com%2Fvuhr8k1x-p&media=https://share-cdn-prod.azureedge.net/wp-content/uploads/2025/07/GettyImages-1471949524-e1751050251106.jpg&description=What+Are+the+Different+Types+of+Antidepressants%3F "Share on Pinterest")[![X (formerly Twitter)](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_x_twitter_32.png)![X (formerly Twitter)](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_x_twitter_32.png)](https://twitter.com/intent/tweet?url=https%3A%2F%2Fshare.upmc.com%2Fvuhr8k1x-t&text=What+Are+the+Different+Types+of+Antidepressants%3F&via=UPMC&related=UPMC%2CUPMCnews%2CUPMCMyHealth&original_referer=https%3A%2F%2Fshare.upmc.com "Share on X (formerly Twitter)")[![Email](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_email_32.png)![Email](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_email_32.png)](<mailto:?subject=I%20thought%20you%20might%20like%20this%20article%3A%20What Are the Different Types of Antidepressants?&body=Depression%20affects%20millions%20and%20is%20often%20treated%20with%20antidepressants.%20Learn%20about%20the%20different%20types%20of%20antidepressants%20and%20what%20your%20doctor%20may%20recommend.%20https%3A%2F%2Fshare.upmc.com%2Fvuhr8k1x-e> "Forward via email")[![Copy URL](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_link_32.png)![Copy URL](https://share-cdn-prod.azureedge.net/wp-content/plugins/socialized/assets/images/icon_link_32.png)](https://share.upmc.com/vuhr8k1x-c "Copy to clipboard") Copied\! [Depression](https://www.upmc.com/services/primary-care/conditions/depression) is more than just feeling down every now and then. It’s a medical condition that needs treatment to get better. For many people, depression can affect their quality of life. It can affect their ability to function at work, in school, and in social situations. Each year, more than 8% of adults experience a major depressive episode. That’s according to the [National Institute of Mental Health.](https://www.nimh.nih.gov/health/statistics/major-depression) Doctors often treat depression with a combination of antidepressants and [talk therapy](https://share.upmc.com/2019/06/types-of-therapy/ "talk therapy"). ## How Do You Know You Need Antidepressants? Doctors and other professionals do a [mental health screening](https://share.upmc.com/2023/11/depression-screening/#:~:text=Symptoms%20of%20depression%20include%3A,irritable%2C%20frustrated%2C%20or%20restless.) before prescribing any medication. They also go over your mental health symptoms and your history. They review your mental health symptoms and your history. ### What are the symptoms of depression? Depressed, sad, or “empty” mood or loss of interest or pleasure lasting at least two weeks are some of the most common signs of a major depressive episode. You may also have: - Changes in appetite or unexpected weight loss or gain. - [Fatigue, tiredness, or decreased energy](https://share.upmc.com/2020/10/fatigue-and-depression/ "Fatigue, tiredness or decreased energy."). - Feelings of hopelessness or negativity about life. - Feelings of guilt, helplessness, or worthlessness. - Headaches, muscle aches, cramps, or stomach problems without a clear physical cause or that don’t improve with treatment. - Irritability, frustration, and restlessness. - Loss of interest in hobbies or activities you once enjoyed. - Problems concentrating, remembering, or making decisions. - Problems sleeping, waking up too early, or oversleeping. - Thoughts of death or [suicide](https://share.upmc.com/2014/08/suicide-awareness-prevention/ "suicide"), or suicide attempts. (If you or someone you love has these thoughts, [call, text, or chat 988](https://988lifeline.org/ "call, text or chat to 988") to reach the 988 Suicide & Crisis Lifeline.) Mental Health America also has an [online depression test](https://screening.mhanational.org/screening-tools/depression/). You can use this as a first step to understanding your mental health. But always follow up with your doctor to ensure nothing else is causing your symptoms. ## Never Miss a Beat\! ### Subscribe to Our HealthBeat Newsletter\! (Tap to Join!)(Click to Join!) I understand that by providing my email address, I agree to receive emails from UPMC. I understand that I may opt out of receiving such communications at any time. Thank you for subscribing\! [You can now select the specific newsletters you'd like to receive](https://share.upmc.com/email-preferences/). You are already subscribed. [Subscribe to more newsletters in our email preference center](https://share.upmc.com/email-preferences/). Sorry, an error occurred. Please try again later. [Or try our email preference center instead](https://share.upmc.com/email-preferences/). ### Get Healthy Tips Sent to Your Phone\! ## What Are the Different Types of Antidepressants? Antidepressants are medications taken to treat depression. Doctors may also prescribe antidepressants to treat anxiety, insomnia, or chronic pain. The following — broken down into three main groups — are the most common antidepressants. Doctors prescribe these because they help improve a broad range of mental and behavioral health disorders. They are safe, effective, and have fewer side effects than older antidepressants. ### Selective serotonin reuptake inhibitors SSRIs are the most common antidepressant. That’s according to the National Library of Medicine. They stop the reabsorption (reuptake) of serotonin. This increases serotonin levels and activity in the brain. Doctors prescribe SSRIs for other mental health issues, too. These include eating disorders, obsessive-compulsive disorder, and post-traumatic stress disorder. They’re the most common antidepressants for pregnant women with mental health issues. Fluoxetine is the only depression medicine the U.S. Food and Drug Administration (FDA) has approved for children. The only FDA-approved medications to treat depression in teens are fluoxetine and escitalopram. But studies found that many medications are helpful for children and teens with depression. Mental health professionals may recommend other mental health medications to treat your child and teen, with careful monitoring. ### Serotonin-norepinephrine reuptake inhibitors SNRIs stop the reabsorption of the chemicals serotonin and norepinephrine. This increases these neurotransmitters in the brain. ### Norepinephrine-dopamine reuptake inhibitors NDRIs stop the reabsorption of the brain chemicals norepinephrine and dopamine. ### SSRI vs. SNRI Whether an SSRI or an SNRI is the better antidepressant varies from person to person. Consult with your doctor about finding out which is the best for you. ## Are There Other Depression Medications? Older depression medications include tricyclic antidepressants, atypical antidepressants, and monoamine oxidase inhibitors (MAOIs). For some people, these may work best. But they may have more serious side effects than today’s common antidepressants. ### Esketamine for treatment-resistant depression Sometimes people develop treatment-resistant depression. That means their symptoms don’t improve after trying at least two different antidepressants. Esketamine therapy is FDA-approved for treatment-resistant depression. It’s in a class of drugs called N-methyl D-aspartate (NMDA) antagonists. You need to go to a doctor’s office, clinic, or hospital to get this therapy through a nasal spray. It starts to work in minutes to hours to lift mood and relieve symptoms of depression. Esketamine can cause dissociation — feeling like you’re having an out-of-body experience. To keep you safe, you have to stay at the treatment facility for up to two hours so doctors can monitor your reaction. ### Brexanolone for postpartum depression Adults who struggle with [postpartum depression](https://share.upmc.com/2022/07/postpartum-depression/) may receive brexanolone for treatment. Brexanolone is a neuroactive steroid gamma-aminobutyric acid (GABA)-A receptor-positive modulator. It’s a continuous intravenous (IV) infusion given over a total of 60 hours. It has the potential to cause extreme tiredness and loss of consciousness. You have to stay overnight in the hospital so doctors can monitor your care. ## Are Antidepressants Safe to Take? Antidepressants are safe to take for most people. Doctors often start people on low doses. They then increase the dose to reduce the chance of side effects. ### What are common side effects of antidepressants? Among the newer antidepressants, common side effects include: - Anxiety. - Changes in appetite. - Dizziness. - Drowsiness. - Dry mouth. - Gastrointestinal problems, such as nausea or upset stomach. - Headache. - Sexual dysfunction. - Shaking. - Sleep problems. - Sweating. - Weight changes, often weight gain. ### What are the risks of antidepressants? Antidepressants don’t come without risks. SSRIs and other antidepressant medications have a [black box warning](https://share.upmc.com/2025/05/medication-boxed-warning/ "black box warning"). This is due to a possible increased risk of suicide in children and young adults up to age 25. Always tell your doctor about other mental health medications and supplements you take. Taking more than one medication that increases serotonin levels can cause serotonin syndrome. This is a life-threatening condition. If you’re pregnant or thinking of becoming pregnant, tell your doctor. Some antidepressants aren’t always safe to take while pregnant. ### What is the safest antidepressant? How you react to a medication is different from how someone else does. Doctors will look at other medical conditions you have and medications you take. This is how they figure out the safest antidepressant for you. ## Is It Dangerous to Suddenly Stop Taking Antidepressants? Stopping antidepressants suddenly can cause withdrawal symptoms. In some cases, it can cause serious or life-threatening side effects. How hard it is to get off an antidepressant depends on the half-life of the drug and the dose you take. Antidepressant withdrawal can cause dizziness, fatigue, insomnia, and flu-like symptoms. It can also cause mood changes. These can include aggression, irritability, anxiety, and panic attacks. Never stop taking an antidepressant without talking to your doctor. They can help you taper off the medication safely. ## When Will I Start to Feel Better? You need to take antidepressants for four to eight weeks to notice an improvement in your mood. Other symptoms, such as problems sleeping or concentrating, may improve sooner. Whether your doctor recommends an SSRI, an SNRI, or another antidepressant depends on your individual mental and physical health. ## Sources National Institute of Mental Health. Major Depression. Accessed April 30, 2025. https://www.nimh.nih.gov/health/statistics/major-depression [NIH.gov](https://www.nimh.nih.gov/ " Link.") UpToDate. DSM-5-TR diagnostic criteria for a major depressive episode. Accessed April 30, 2025. https://www.uptodate.com/contents/image?imageKey=PSYCH/89994 [UpToDate.com](https://www.uptodate.com/ "Link.") National Institute of Mental Health. Depression. Accessed April 30, 2025. https://www.nimh.nih.gov/health/topics/depression [NIH.gov](https://www.nimh.nih.gov/) National Institute of Mental Health. Mental Health Medications. Accessed April 30, 2025. https://www.nimh.nih.gov/health/topics/mental-health-medications\#part\_2358 [NIH.gov](https://www.nimh.nih.gov/ "Link. ") StatPearls. Selective Serotonin Reuptake Inhibitors. Accessed April 30, 2025. https://www.ncbi.nlm.nih.gov/books/NBK554406/ [NIH.gov](https://www.ncbi.nlm.nih.gov/ "NIH") Neurology International. New Serotonin-Norepinephrine Reuptake Inhibitors and Their Anesthetic and Analgesic Considerations. Accessed April 30, 2025. https://pubmed.ncbi.nlm.nih.gov/34698218/ [NIH.gov](https://pubmed.ncbi.nlm.nih.gov/ "Link.") March of Dimes. Untreated Depression Increases Preterm Birth Risk, Not Antidepressants. Accessed April 30, 2025. https://www.marchofdimes.org/our-work/research/blog/antidepressants-dont-increase-risk-preterm-birth-untreated-depression-does-ucsf-prc [MarchOfDimes.org](https://www.marchofdimes.org/ "Link. ") U.S. Food and Drug Administration. Depression Medicines. Accessed April 30, 2025. https://www.fda.gov/consumers/womens-health-topics/depression-medicines\#NMDA [FDA.gov](https://www.fda.gov/ "Link. ") UpToDate. Patient education: Depression treatment options for children and adolescents (Beyond the Basics). Accessed April 30, 2025. https://www.uptodate.com/contents/depression-treatment-options-for-children-and-adolescents-beyond-the-basics/print [UpToDate.com](https://www.uptodate.com/ "Link. ") American Psychological Association. How hard is it to stop antidepressants? Accessed April 30, 2025. https://www.apa.org/monitor/2020/04/stop-antidepressants [APA.org](https://www.apa.org/ " Link") ## Connect with UPMC [Find a Doctor](https://providers.upmc.com/) [Patient Portal](https://myupmc.upmc.com/) [Request Appointment](https://www.upmc.com/contact/appointments) ## About [UPMC](https://www.upmc.com/) Headquartered in Pittsburgh, [UPMC](https://www.upmc.com/) is a world-renowned health care provider and insurer. 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[Depression](https://www.upmc.com/services/primary-care/conditions/depression) is more than just feeling down every now and then. It’s a medical condition that needs treatment to get better. For many people, depression can affect their quality of life. It can affect their ability to function at work, in school, and in social situations. Each year, more than 8% of adults experience a major depressive episode. That’s according to the [National Institute of Mental Health.](https://www.nimh.nih.gov/health/statistics/major-depression) Doctors often treat depression with a combination of antidepressants and [talk therapy](https://share.upmc.com/2019/06/types-of-therapy/ "talk therapy"). ## How Do You Know You Need Antidepressants? Doctors and other professionals do a [mental health screening](https://share.upmc.com/2023/11/depression-screening/#:~:text=Symptoms%20of%20depression%20include%3A,irritable%2C%20frustrated%2C%20or%20restless.) before prescribing any medication. They also go over your mental health symptoms and your history. They review your mental health symptoms and your history. ### What are the symptoms of depression? Depressed, sad, or “empty” mood or loss of interest or pleasure lasting at least two weeks are some of the most common signs of a major depressive episode. You may also have: - Changes in appetite or unexpected weight loss or gain. - [Fatigue, tiredness, or decreased energy](https://share.upmc.com/2020/10/fatigue-and-depression/ "Fatigue, tiredness or decreased energy."). - Feelings of hopelessness or negativity about life. - Feelings of guilt, helplessness, or worthlessness. - Headaches, muscle aches, cramps, or stomach problems without a clear physical cause or that don’t improve with treatment. - Irritability, frustration, and restlessness. - Loss of interest in hobbies or activities you once enjoyed. - Problems concentrating, remembering, or making decisions. - Problems sleeping, waking up too early, or oversleeping. - Thoughts of death or [suicide](https://share.upmc.com/2014/08/suicide-awareness-prevention/ "suicide"), or suicide attempts. (If you or someone you love has these thoughts, [call, text, or chat 988](https://988lifeline.org/ "call, text or chat to 988") to reach the 988 Suicide & Crisis Lifeline.) Mental Health America also has an [online depression test](https://screening.mhanational.org/screening-tools/depression/). You can use this as a first step to understanding your mental health. But always follow up with your doctor to ensure nothing else is causing your symptoms. ## What Are the Different Types of Antidepressants? Antidepressants are medications taken to treat depression. Doctors may also prescribe antidepressants to treat anxiety, insomnia, or chronic pain. The following — broken down into three main groups — are the most common antidepressants. Doctors prescribe these because they help improve a broad range of mental and behavioral health disorders. They are safe, effective, and have fewer side effects than older antidepressants. ### Selective serotonin reuptake inhibitors SSRIs are the most common antidepressant. That’s according to the National Library of Medicine. They stop the reabsorption (reuptake) of serotonin. This increases serotonin levels and activity in the brain. Doctors prescribe SSRIs for other mental health issues, too. These include eating disorders, obsessive-compulsive disorder, and post-traumatic stress disorder. They’re the most common antidepressants for pregnant women with mental health issues. Fluoxetine is the only depression medicine the U.S. Food and Drug Administration (FDA) has approved for children. The only FDA-approved medications to treat depression in teens are fluoxetine and escitalopram. But studies found that many medications are helpful for children and teens with depression. Mental health professionals may recommend other mental health medications to treat your child and teen, with careful monitoring. ### Serotonin-norepinephrine reuptake inhibitors SNRIs stop the reabsorption of the chemicals serotonin and norepinephrine. This increases these neurotransmitters in the brain. ### Norepinephrine-dopamine reuptake inhibitors NDRIs stop the reabsorption of the brain chemicals norepinephrine and dopamine. ### SSRI vs. SNRI Whether an SSRI or an SNRI is the better antidepressant varies from person to person. Consult with your doctor about finding out which is the best for you. ## Are There Other Depression Medications? Older depression medications include tricyclic antidepressants, atypical antidepressants, and monoamine oxidase inhibitors (MAOIs). For some people, these may work best. But they may have more serious side effects than today’s common antidepressants. ### Esketamine for treatment-resistant depression Sometimes people develop treatment-resistant depression. That means their symptoms don’t improve after trying at least two different antidepressants. Esketamine therapy is FDA-approved for treatment-resistant depression. It’s in a class of drugs called N-methyl D-aspartate (NMDA) antagonists. You need to go to a doctor’s office, clinic, or hospital to get this therapy through a nasal spray. It starts to work in minutes to hours to lift mood and relieve symptoms of depression. Esketamine can cause dissociation — feeling like you’re having an out-of-body experience. To keep you safe, you have to stay at the treatment facility for up to two hours so doctors can monitor your reaction. ### Brexanolone for postpartum depression Adults who struggle with [postpartum depression](https://share.upmc.com/2022/07/postpartum-depression/) may receive brexanolone for treatment. Brexanolone is a neuroactive steroid gamma-aminobutyric acid (GABA)-A receptor-positive modulator. It’s a continuous intravenous (IV) infusion given over a total of 60 hours. It has the potential to cause extreme tiredness and loss of consciousness. You have to stay overnight in the hospital so doctors can monitor your care. ## Are Antidepressants Safe to Take? Antidepressants are safe to take for most people. Doctors often start people on low doses. They then increase the dose to reduce the chance of side effects. ### What are common side effects of antidepressants? Among the newer antidepressants, common side effects include: - Anxiety. - Changes in appetite. - Dizziness. - Drowsiness. - Dry mouth. - Gastrointestinal problems, such as nausea or upset stomach. - Headache. - Sexual dysfunction. - Shaking. - Sleep problems. - Sweating. - Weight changes, often weight gain. ### What are the risks of antidepressants? Antidepressants don’t come without risks. SSRIs and other antidepressant medications have a [black box warning](https://share.upmc.com/2025/05/medication-boxed-warning/ "black box warning"). This is due to a possible increased risk of suicide in children and young adults up to age 25. Always tell your doctor about other mental health medications and supplements you take. Taking more than one medication that increases serotonin levels can cause serotonin syndrome. This is a life-threatening condition. If you’re pregnant or thinking of becoming pregnant, tell your doctor. Some antidepressants aren’t always safe to take while pregnant. ### What is the safest antidepressant? How you react to a medication is different from how someone else does. Doctors will look at other medical conditions you have and medications you take. This is how they figure out the safest antidepressant for you. ## Is It Dangerous to Suddenly Stop Taking Antidepressants? Stopping antidepressants suddenly can cause withdrawal symptoms. In some cases, it can cause serious or life-threatening side effects. How hard it is to get off an antidepressant depends on the half-life of the drug and the dose you take. Antidepressant withdrawal can cause dizziness, fatigue, insomnia, and flu-like symptoms. It can also cause mood changes. These can include aggression, irritability, anxiety, and panic attacks. Never stop taking an antidepressant without talking to your doctor. They can help you taper off the medication safely. ## When Will I Start to Feel Better? You need to take antidepressants for four to eight weeks to notice an improvement in your mood. Other symptoms, such as problems sleeping or concentrating, may improve sooner. Whether your doctor recommends an SSRI, an SNRI, or another antidepressant depends on your individual mental and physical health. ## Sources National Institute of Mental Health. Major Depression. Accessed April 30, 2025. https://www.nimh.nih.gov/health/statistics/major-depression [NIH.gov](https://www.nimh.nih.gov/ " Link.") UpToDate. DSM-5-TR diagnostic criteria for a major depressive episode. Accessed April 30, 2025. https://www.uptodate.com/contents/image?imageKey=PSYCH/89994 [UpToDate.com](https://www.uptodate.com/ "Link.") National Institute of Mental Health. Depression. Accessed April 30, 2025. https://www.nimh.nih.gov/health/topics/depression [NIH.gov](https://www.nimh.nih.gov/) National Institute of Mental Health. Mental Health Medications. Accessed April 30, 2025. https://www.nimh.nih.gov/health/topics/mental-health-medications\#part\_2358 [NIH.gov](https://www.nimh.nih.gov/ "Link. ") StatPearls. Selective Serotonin Reuptake Inhibitors. Accessed April 30, 2025. https://www.ncbi.nlm.nih.gov/books/NBK554406/ [NIH.gov](https://www.ncbi.nlm.nih.gov/ "NIH") Neurology International. New Serotonin-Norepinephrine Reuptake Inhibitors and Their Anesthetic and Analgesic Considerations. Accessed April 30, 2025. https://pubmed.ncbi.nlm.nih.gov/34698218/ [NIH.gov](https://pubmed.ncbi.nlm.nih.gov/ "Link.") March of Dimes. Untreated Depression Increases Preterm Birth Risk, Not Antidepressants. Accessed April 30, 2025. https://www.marchofdimes.org/our-work/research/blog/antidepressants-dont-increase-risk-preterm-birth-untreated-depression-does-ucsf-prc [MarchOfDimes.org](https://www.marchofdimes.org/ "Link. ") U.S. Food and Drug Administration. Depression Medicines. Accessed April 30, 2025. https://www.fda.gov/consumers/womens-health-topics/depression-medicines\#NMDA [FDA.gov](https://www.fda.gov/ "Link. ") UpToDate. Patient education: Depression treatment options for children and adolescents (Beyond the Basics). Accessed April 30, 2025. https://www.uptodate.com/contents/depression-treatment-options-for-children-and-adolescents-beyond-the-basics/print [UpToDate.com](https://www.uptodate.com/ "Link. ") American Psychological Association. How hard is it to stop antidepressants? Accessed April 30, 2025. https://www.apa.org/monitor/2020/04/stop-antidepressants [APA.org](https://www.apa.org/ " Link")
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