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| Boilerpipe Text | If you are dealing with depression, you should know you are not alone — far from it, in fact. The 2019 National Survey on Drug Use and Health
reported
that more than 19 million adults in the U.S. experienced at least one major depressive episode during the previous year.
In addition to
behavioral therapy for depression
, one way to approach treatment for
depression
is through medication.Â
A mental health professional can best help you figure out if you are depressed and will be able to guide you on treatment options — including possible medications.Â
Until then, you may be curious about some of the best medications for depression — including moderate depression, major depression or clinical depression.Â
Keep reading to learn about some of them. But, first, let us arm you with a bit more info about depression.
A depressive disorder can be caused by a variety of factors. It’s often connected to low levels of certain neurotransmitters in your brain (like serotonin).
Neuro-what? Neurotransmitters
relay
information between your neurons.Â
There are more than 100 different neurotransmitters, and a number of them are
essential
to how your brain and body function.
There are a few different neurotransmitters that may be related to depression and its symptoms,
including:
Serotonin,
which regulates things like your mood, hunger and sleep. Plus, it helps inhibit pain. There is research suggesting that some with depression have low levels of serotonin transmission in the brain.
Norepinephrine
, which boosts your blood pressure and constricts blood vessels. But it may have an effect on mood, too — like influencing your level of motivation. It is thought that norepinephrine has a hand in depression.
Dopamine
, a neurotransmitter you may have heard about. It has been connected to your perception of reality and also is involved in helping you feel motivated. Dopamine also plays a leading role in your brain’s reward system.
Acetylcholine
, which
can help memory
and is related to learning. It also aids in
focusing
on tasks.
Gamma-aminobutyric acid (GABA)
, which prevents certain types brain activity.
Research
points to people with depression possibly having lower levels of GABA.
Antidepressant medication
works by increasing levels of some neurotransmitters to help with symptoms of depression.Â
Wondering what the symptoms of depression look like? Common side effects
include
:
Constant feelings of sadness, anxiety or hopelessness
Feeling irritable, helpless or worthless
Low energy or tiredness
Changes in weight
Difficulty sleeping
Decreased appetite
Thoughts of self-harm or suicide
If you notice that you have some of the symptoms listed above, you should seek help from a mental health professional.Â
Whether you are dealing with mild or severe depression, a healthcare professional will be able to help identify the best course of treatment for you.Â
Therapy and medication are both commonly used to treat depression — often in conjunction with one another,Â
One thing to know about antidepressants: It can take
four to eight weeks
before you’ll see any improvement in your symptoms.
There are many different types of medications that can
treat
depression. The four main types are selective serotonin reuptake inhibitors (SSRIs), serotonin–norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors.
A prescription drug called
bupropion
(also sold as the brand name Wellbutrin
®
) is often prescribed for depression, and often also used to treat seasonal affective disorder and depressive episodes
associated
with bipolar disorder.Â
Bupropion is considered an atypical antidepressant — which just means it doesn’t fall under the four main classes of antidepressants.
In addition to
buying bupropion online
, the other most common types of antidepressants prescribed for depression are SSRIs and SNRIs.Â
Selective Serotonin Reuptake Inhibitors
Selective serotonin reuptake inhibitors (SSRIs)
are by far the most common type of antidepressant
prescribed
in the United States.Â
This is partially because they do not have as many drug interactions or side effects as older antidepressants.
SSRIs increase serotonin levels in your brain by
preventing your brain cells
from reabsorbing existing serotonin.
Here are some common SSRIs prescribed for varying degrees of depression—including severe depression:Â
Citalopram
. Also sold as the brand name Celexa
®
, this commonly prescribed oral antidepressant comes in tablet or liquid form. It’s also sometimes used to treat eating disorders, alcoholism and panic disorder.
Escitalopram. Also available under the brand name Lexapro
®
, this medication is
prescribed
to treat depression and generalized anxiety disorder (GAD).
Fluoxetine
. This popular medication (which is also sold under the brand name Prozac
®
) can be
used
to treat depression along with conditions like obsessive-compulsive disorder (OCD), panic disorder, and bulimia nervosa. You can
buy fluoxetine online
and other medications using Hers mental health services.
Sertraline online
. Also sold under the brand name Zoloft
®
, this SSRI is commonly
prescribed
in the treatment of depression. Like fluoxetine, it is also used to treat OCD and panic disorder.Â
You can
buy escitalopram online
and other medications using our online
mental health medication
services.
Serotonin–Norepinephrine Reuptake Inhibitors
Serotonin–norepinephrine reuptake inhibitors (SNRIs) are another type of antidepressant.Â
They are similar to SSRIs in that they prevent the reabsorption of serotonin, but they also block the reabsorption of
norepinephrine
(another neurotransmitter), as well.Â
Low levels of norepinephrine have been linked to
symptoms
of depression — like difficulty concentrating and feeling sluggish.
SNRIs that may be prescribed for depression include:Â
Desvenlafaxine, which is sold under the brand name Pristiq
®
. This SNRI is not only
used
in the treatment of depression, it is also prescribed off-label to treat certain symptoms such as hot flashes in menopausal women.
Duloxetine
, which is sold under the brand name Cymbalta
®
, is another SNRI
that may help
to treat depression along with generalized anxiety disorder.
Venlafaxine
, which is sold under the brand name Effexor
®
. This
medication
for depression also comes in an extended release form that may sometimes be prescribed to treat certain anxiety disorders.  You can
buy venlafaxine online
by using Hers online mental health service.
There’s no magic equation when it comes to identifying the best antidepressant for you.Â
You can
get depression medicine online
to get diagnosed and determine if medication will be the best course of treatment.Â
From there, your healthcare provider will take into consideration your depression symptoms, other medical issues you may have and any other prescription drugs you are taking (as well as non-prescription meds). They may then prescribe you medication.Â
You should feel free to ask any questions you may have — like about common side effects, if there is potential risk involved, alternative treatments for depression, and more.Â
Research
has shown that the different antidepressants work as well as one another. However, people react differently to the various medications.Â
For this reason, you may have to try a few different medications before landing on one that works best for you.Â
As previously mentioned, you should give the medication you're taking at least a month to see if it works.Â
If it doesn’t, it’s important not to stop taking your medication suddenly, as that can cause withdrawal symptoms.Â
Instead, speak to your healthcare provider to discuss the best approach for coming off one medication and trying another.Â
You should also call your healthcare provider immediately if you notice any bothersome side effects from taking prescription antidepressants.Â
There are a number of different medications used to treat depression. Two of the more common types are selective serotonin reuptake inhibitors (SSRIs) and serotonin–norepinephrine reuptake inhibitors (SNRIs). This is partially because they tend to have mild potential side effects.Â
It takes an average of four to six weeks for antidepressants to start working, so you will need to be patient to see if a specific medication works for you. Â
It’s also important to remember that you may need to try a few different options before settling on one that helps your depression.Â
Untreated depression is no way to live. To figure out the best medication to treat your depression, you’ll need to work closely with a mental healthcare professional. Â
Related Drug Comparisons
Adderall vs. Lexapro
Cymbalta vs. Prozac
Buspirone vs. Xanax
Cymbalta vs. Zoloft
Cymbalta vs. Lexapro
Lexapro vs. Prozac
Lexapro vs. Wellbutrin
Lexapro vs. Zoloft
Prozac vs. Zoloft
Sertraline vs. Zoloft
23 Sources
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.
Major Depression. (2019, February). Retrieved from
https://www.nimh.nih.gov/health/statistics/major-depression.shtml
Hyman, S.E. (2005, March 8). Neurotransmitters. Current Biology. 15 (5), PR154-R158. Retrieved from
https://www.cell.com/current-biology/comments/S0960-9822(05)00208-3
Cooper, J.R., (2001). Neurotransmitters. International Encyclopedia of the Social and Behavioral Sciences. Retrieved from
https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/neurotransmitters
What causes depression? (2019, June 24). Retrieved from
https://www.health.harvard.edu/mind-and-mood/what-causes-depression
Higley, M.J. & Picciotto, M.R. (2014, December). Neuromodulation by Acetylcholine: Examples from Schizophrenia and Depression. Current Opinion in Neurobiology. 29, 88–95. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/
Luscher, B., Shen, Q. & Sahir, N. (2011, April). The GABAergic Deficit Hypothesis of Major Depressive Disorder. Molecular Psychiatry. 16 (4), 383–406. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412149/
Depression of Women: 5 Things to Know. National Institute of Mental Health. Retrieved from
https://www.nimh.nih.gov/health/publications/depression-in-women
Depression. (2021). Retrieved from
https://www.nimh.nih.gov/health/publications/depression/index.shtml
What Meds Treat Depression? Mental Health America. Retrieved from
https://screening.mhanational.org/content/what-meds-treat-depression/
Bupropion. Medline Plus. Retrieved from
https://medlineplus.gov/druginfo/meds/a695033.html
Atypical Antidepressants. Mental Health America. Retrieved from
https://screening.mhanational.org/content/atypical-antidepressants/
Commonly Prescribed Antidepressants and How They Work. Medline Plus. Retrieved from
https://magazine.medlineplus.gov/article/commonly-prescribed-antidepressants-and-how-they-work
Chu, A., Wadhwa, R., (2021, May 10). Selective Serotonin Reuptake Inhibitors. Stat Pearls. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK554406/
Citalopram. Medline Plus. Retrieved from
https://medlineplus.gov/druginfo/meds/a699001.html
Highlights of Prescribing Information, Lexapro. FDA. Retrieved from
https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021323s052,021365s037lbl.pdf
Highlights of Prescribing Information, Prozac. FDA. Retrieved from
https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/018936s109lbl.pdf
Highlights of Prescribing Information, Zoloft. FDA. Retrieved from
https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/019839s091lbl.pdf
Sansone, R., Sansone, L., (2014). Serotonin Norepinephrine Reuptake Inhibitors: A Pharmacological Comparison. Innovations in Clinical Neuroscience. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008300/
Morel, C., Briley, M., (2011). The importance of norepinephrine in depression. Neuropsychiatric Disease and Treatment. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131098/
Desvenlafaxine. Medline Plus. Retrieved from
https://medlineplus.gov/druginfo/meds/a608022.html#:~:text=Desvenlafaxine%20is%20used%20to%20treat,that%20help%20maintain%20mental%20balance
.
Highlights of Prescribing Information, Cymbalta. FDA. Retrieved from
https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021427s053lbl.pdf
Venlafaxine. Medline Plus. Retrieved from
https://medlineplus.gov/druginfo/meds/a694020.html
Gartlehner, G., Hansen, R., Morgan, L., et al. (2007). Second-Generation Antidepressants in the Pharmacologic Treatment of Adult Depression. Agency for Healthcare Research and Quality. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK83442/ | |||||||||
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Content
1. [A Word on Depression](https://www.forhers.com/blog/best-medication-for-depression#a-word-on-depression)
2. [The Best Medications for Depression](https://www.forhers.com/blog/best-medication-for-depression#the-best-medications-for-depression)
3. [Finding the Best Depression Medicine](https://www.forhers.com/blog/best-medication-for-depression#finding-the-best-depression-medicine)
4. [The Best Medication for Your Depression](https://www.forhers.com/blog/best-medication-for-depression#the-best-medication-for-your-depression)
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3. The Best Medication for Depression
# The Best Medication for Depression

Reviewed by [Katelyn Hagerty, FNP](https://www.forhers.com/medical-experts/katelyn-hagerty-fnp)
Written by Our Editorial Team
Published 11/06/2021
Updated 11/07/2021
If you are dealing with depression, you should know you are not alone — far from it, in fact. The 2019 National Survey on Drug Use and Health [reported](https://www.nimh.nih.gov/health/statistics/major-depression.shtml) that more than 19 million adults in the U.S. experienced at least one major depressive episode during the previous year.
In addition to [behavioral therapy for depression](https://www.forhers.com/blog/therapy-for-depression), one way to approach treatment for [depression](https://www.forhers.com/blog/dealing-with-depression) is through medication.
A mental health professional can best help you figure out if you are depressed and will be able to guide you on treatment options — including possible medications.
Until then, you may be curious about some of the best medications for depression — including moderate depression, major depression or clinical depression.
Keep reading to learn about some of them. But, first, let us arm you with a bit more info about depression.
Content
1. [A Word on Depression](https://www.forhers.com/blog/best-medication-for-depression#a-word-on-depression)
2. [The Best Medications for Depression](https://www.forhers.com/blog/best-medication-for-depression#the-best-medications-for-depression)
3. [Finding the Best Depression Medicine](https://www.forhers.com/blog/best-medication-for-depression#finding-the-best-depression-medicine)
4. [The Best Medication for Your Depression](https://www.forhers.com/blog/best-medication-for-depression#the-best-medication-for-your-depression)
[**A Word on Depression**](https://www.forhers.com/blog/best-medication-for-depression#a-word-on-depression)
Copy Link
A depressive disorder can be caused by a variety of factors. It’s often connected to low levels of certain neurotransmitters in your brain (like serotonin).
Neuro-what? Neurotransmitters [relay](https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/neurotransmitters) information between your neurons.
There are more than 100 different neurotransmitters, and a number of them are [essential](https://www.ncbi.nlm.nih.gov/books/NBK10795/) to how your brain and body function.
There are a few different neurotransmitters that may be related to depression and its symptoms, [including:](https://www.health.harvard.edu/mind-and-mood/what-causes-depression)
- **Serotonin,** which regulates things like your mood, hunger and sleep. Plus, it helps inhibit pain. There is research suggesting that some with depression have low levels of serotonin transmission in the brain.
- **Norepinephrine**, which boosts your blood pressure and constricts blood vessels. But it may have an effect on mood, too — like influencing your level of motivation. It is thought that norepinephrine has a hand in depression.
- **Dopamine**, a neurotransmitter you may have heard about. It has been connected to your perception of reality and also is involved in helping you feel motivated. Dopamine also plays a leading role in your brain’s reward system.
- **Acetylcholine**, which [can help memory](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/) and is related to learning. It also aids in [focusing](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/) on tasks.
- **Gamma-aminobutyric acid (GABA)**, which prevents certain types brain activity.[Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412149/) points to people with depression possibly having lower levels of GABA.
[Antidepressant medication](https://www.forhers.com/blog/depression-medications) works by increasing levels of some neurotransmitters to help with symptoms of depression.
Wondering what the symptoms of depression look like? Common side effects [include](https://www.nimh.nih.gov/health/publications/depression):
- Constant feelings of sadness, anxiety or hopelessness
- Feeling irritable, helpless or worthless
- Low energy or tiredness
- Changes in weight
- Difficulty sleeping
- Decreased appetite
- Thoughts of self-harm or suicide
[**The Best Medications for Depression**](https://www.forhers.com/blog/best-medication-for-depression#the-best-medications-for-depression)
Copy Link
If you notice that you have some of the symptoms listed above, you should seek help from a mental health professional.
Whether you are dealing with mild or severe depression, a healthcare professional will be able to help identify the best course of treatment for you.
Therapy and medication are both commonly used to treat depression — often in conjunction with one another,
One thing to know about antidepressants: It can take [four to eight weeks](https://www.nimh.nih.gov/health/publications/depression/index.shtml) before you’ll see any improvement in your symptoms.
There are many different types of medications that can [treat](https://screening.mhanational.org/content/what-meds-treat-depression/) depression. The four main types are selective serotonin reuptake inhibitors (SSRIs), serotonin–norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors.
A prescription drug called [bupropion](https://www.forhers.com/drugs/info/buproprion) (also sold as the brand name Wellbutrin®) is often prescribed for depression, and often also used to treat seasonal affective disorder and depressive episodes [associated](https://medlineplus.gov/druginfo/meds/a695033.html) with bipolar disorder.
Bupropion is considered an atypical antidepressant — which just means it doesn’t fall under the four main classes of antidepressants.
In addition to [buying bupropion online](https://www.forhers.com/psychiatry/bupropion), the other most common types of antidepressants prescribed for depression are SSRIs and SNRIs.
### **Selective Serotonin Reuptake Inhibitors**
[Selective serotonin reuptake inhibitors (SSRIs)](https://www.forhers.com/blog/ssri-drugs-overview-types) are by far the most common type of antidepressant [prescribed](https://magazine.medlineplus.gov/article/commonly-prescribed-antidepressants-and-how-they-work) in the United States.
This is partially because they do not have as many drug interactions or side effects as older antidepressants.
SSRIs increase serotonin levels in your brain by [preventing your brain cells](https://www.ncbi.nlm.nih.gov/books/NBK554406/) from reabsorbing existing serotonin.
Here are some common SSRIs prescribed for varying degrees of depression—including severe depression:
- [Citalopram](https://www.forhers.com/psychiatry/citalopram). Also sold as the brand name Celexa®, this commonly prescribed oral antidepressant comes in tablet or liquid form. It’s also sometimes used to treat eating disorders, alcoholism and panic disorder.
- Escitalopram. Also available under the brand name Lexapro®, this medication is [prescribed](https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021323s052,021365s037lbl.pdf) to treat depression and generalized anxiety disorder (GAD).
- Fluoxetine. This popular medication (which is also sold under the brand name Prozac®) can be [used](https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/018936s109lbl.pdf) to treat depression along with conditions like obsessive-compulsive disorder (OCD), panic disorder, and bulimia nervosa. You can [buy fluoxetine online](https://www.forhers.com/psychiatry/fluoxetine) and other medications using Hers mental health services.
- [Sertraline online](https://www.forhers.com/psychiatry/sertraline). Also sold under the brand name Zoloft®, this SSRI is commonly [prescribed](https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/019839s091lbl.pdf) in the treatment of depression. Like fluoxetine, it is also used to treat OCD and panic disorder.
You can [buy escitalopram online](https://www.forhers.com/psychiatry/escitalopram) and other medications using our online [mental health medication](https://www.forhers.com/blog/mental-health-medication) services.
### **Serotonin–Norepinephrine Reuptake Inhibitors**
Serotonin–norepinephrine reuptake inhibitors (SNRIs) are another type of antidepressant.
They are similar to SSRIs in that they prevent the reabsorption of serotonin, but they also block the reabsorption of [norepinephrine](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008300/) (another neurotransmitter), as well.
Low levels of norepinephrine have been linked to [symptoms](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131098/) of depression — like difficulty concentrating and feeling sluggish.
SNRIs that may be prescribed for depression include:
- Desvenlafaxine, which is sold under the brand name Pristiq®. This SNRI is not only [used](https://medlineplus.gov/druginfo/meds/a608022.html#:~:text=Desvenlafaxine%20is%20used%20to%20treat,that%20help%20maintain%20mental%20balance.) in the treatment of depression, it is also prescribed off-label to treat certain symptoms such as hot flashes in menopausal women.
- [Duloxetine](https://www.forhers.com/psychiatry/duloxetine), which is sold under the brand name Cymbalta®, is another SNRI [that may help](https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021427s053lbl.pdf) to treat depression along with generalized anxiety disorder.
- Venlafaxine, which is sold under the brand name Effexor®. This [medication](https://medlineplus.gov/druginfo/meds/a694020.html) for depression also comes in an extended release form that may sometimes be prescribed to treat certain anxiety disorders. You can [buy venlafaxine online](https://www.forhers.com/psychiatry/venlafaxine) by using Hers online mental health service.
[**Finding the Best Depression Medicine**](https://www.forhers.com/blog/best-medication-for-depression#finding-the-best-depression-medicine)
Copy Link
There’s no magic equation when it comes to identifying the best antidepressant for you.
You can [get depression medicine online](https://www.forhers.com/psychiatry) to get diagnosed and determine if medication will be the best course of treatment.
From there, your healthcare provider will take into consideration your depression symptoms, other medical issues you may have and any other prescription drugs you are taking (as well as non-prescription meds). They may then prescribe you medication.
You should feel free to ask any questions you may have — like about common side effects, if there is potential risk involved, alternative treatments for depression, and more.
[Research](https://www.ncbi.nlm.nih.gov/books/NBK83442/) has shown that the different antidepressants work as well as one another. However, people react differently to the various medications.
For this reason, you may have to try a few different medications before landing on one that works best for you.
As previously mentioned, you should give the medication you're taking at least a month to see if it works.
If it doesn’t, it’s important not to stop taking your medication suddenly, as that can cause withdrawal symptoms.
Instead, speak to your healthcare provider to discuss the best approach for coming off one medication and trying another.
You should also call your healthcare provider immediately if you notice any bothersome side effects from taking prescription antidepressants.
[**The Best Medication for Your Depression**](https://www.forhers.com/blog/best-medication-for-depression#the-best-medication-for-your-depression)
Copy Link
There are a number of different medications used to treat depression. Two of the more common types are selective serotonin reuptake inhibitors (SSRIs) and serotonin–norepinephrine reuptake inhibitors (SNRIs). This is partially because they tend to have mild potential side effects.
It takes an average of four to six weeks for antidepressants to start working, so you will need to be patient to see if a specific medication works for you.
It’s also important to remember that you may need to try a few different options before settling on one that helps your depression.
Untreated depression is no way to live. To figure out the best medication to treat your depression, you’ll need to work closely with a mental healthcare professional.
### Related Drug Comparisons
| | |
|---|---|
| [Adderall vs. Lexapro](https://www.forhers.com/drugs/compare/adderall-vs-lexapro) | [Cymbalta vs. Prozac](https://www.forhers.com/drugs/compare/cymbalta-vs-prozac) |
| [Buspirone vs. Xanax](https://www.forhers.com/drugs/compare/buspirone-vs-xanax) | [Cymbalta vs. Zoloft](https://www.forhers.com/drugs/compare/cymbalta-vs-zoloft) |
| [Cymbalta vs. Lexapro](https://www.forhers.com/drugs/compare/cymbalta-vs-lexapro) | [Lexapro vs. Prozac](https://www.forhers.com/drugs/compare/lexapro-vs-prozac) |
| [Lexapro vs. Wellbutrin](https://www.forhers.com/drugs/compare/lexapro-vs-wellbutrin) | [Lexapro vs. Zoloft](https://www.forhers.com/drugs/compare/lexapro-vs-zoloft) |
| [Prozac vs. Zoloft](https://www.forhers.com/drugs/compare/prozac-vs-zoloft) | [Sertraline vs. Zoloft](https://www.forhers.com/drugs/compare/sertraline-vs-zoloft) |
### 23 Sources
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.
1. Major Depression. (2019, February). Retrieved from https://www.nimh.nih.gov/health/statistics/major-depression.shtml
2. Hyman, S.E. (2005, March 8). Neurotransmitters. Current Biology. 15 (5), PR154-R158. Retrieved from https://www.cell.com/current-biology/comments/S0960-9822(05)00208-3
3. Cooper, J.R., (2001). Neurotransmitters. International Encyclopedia of the Social and Behavioral Sciences. Retrieved from https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/neurotransmitters
4. What causes depression? (2019, June 24). Retrieved from https://www.health.harvard.edu/mind-and-mood/what-causes-depression
5. Higley, M.J. & Picciotto, M.R. (2014, December). Neuromodulation by Acetylcholine: Examples from Schizophrenia and Depression. Current Opinion in Neurobiology. 29, 88–95. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/
6. Luscher, B., Shen, Q. & Sahir, N. (2011, April). The GABAergic Deficit Hypothesis of Major Depressive Disorder. Molecular Psychiatry. 16 (4), 383–406. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412149/
7. Depression of Women: 5 Things to Know. National Institute of Mental Health. Retrieved from https://www.nimh.nih.gov/health/publications/depression-in-women
8. Depression. (2021). Retrieved from https://www.nimh.nih.gov/health/publications/depression/index.shtml
9. What Meds Treat Depression? Mental Health America. Retrieved from https://screening.mhanational.org/content/what-meds-treat-depression/
10. Bupropion. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a695033.html
11. Atypical Antidepressants. Mental Health America. Retrieved from https://screening.mhanational.org/content/atypical-antidepressants/
12. Commonly Prescribed Antidepressants and How They Work. Medline Plus. Retrieved from https://magazine.medlineplus.gov/article/commonly-prescribed-antidepressants-and-how-they-work
13. Chu, A., Wadhwa, R., (2021, May 10). Selective Serotonin Reuptake Inhibitors. Stat Pearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK554406/
14. Citalopram. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a699001.html
15. Highlights of Prescribing Information, Lexapro. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2020/021323s052,021365s037lbl.pdf
16. Highlights of Prescribing Information, Prozac. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2020/018936s109lbl.pdf
17. Highlights of Prescribing Information, Zoloft. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2017/019839s091lbl.pdf
18. Sansone, R., Sansone, L., (2014). Serotonin Norepinephrine Reuptake Inhibitors: A Pharmacological Comparison. Innovations in Clinical Neuroscience. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008300/
19. Morel, C., Briley, M., (2011). The importance of norepinephrine in depression. Neuropsychiatric Disease and Treatment. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131098/
20. Desvenlafaxine. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a608022.html\#:~:text=Desvenlafaxine%20is%20used%20to%20treat,that%20help%20maintain%20mental%20balance.
21. Highlights of Prescribing Information, Cymbalta. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2020/021427s053lbl.pdf
22. Venlafaxine. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a694020.html
23. Gartlehner, G., Hansen, R., Morgan, L., et al. (2007). Second-Generation Antidepressants in the Pharmacologic Treatment of Adult Depression. Agency for Healthcare Research and Quality. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK83442/
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards [here](https://www.forhers.com/editorial-standards).
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| Readable Markdown | If you are dealing with depression, you should know you are not alone — far from it, in fact. The 2019 National Survey on Drug Use and Health [reported](https://www.nimh.nih.gov/health/statistics/major-depression.shtml) that more than 19 million adults in the U.S. experienced at least one major depressive episode during the previous year.
In addition to [behavioral therapy for depression](https://www.forhers.com/blog/therapy-for-depression), one way to approach treatment for [depression](https://www.forhers.com/blog/dealing-with-depression) is through medication.
A mental health professional can best help you figure out if you are depressed and will be able to guide you on treatment options — including possible medications.
Until then, you may be curious about some of the best medications for depression — including moderate depression, major depression or clinical depression.
Keep reading to learn about some of them. But, first, let us arm you with a bit more info about depression.
A depressive disorder can be caused by a variety of factors. It’s often connected to low levels of certain neurotransmitters in your brain (like serotonin).
Neuro-what? Neurotransmitters [relay](https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/neurotransmitters) information between your neurons.
There are more than 100 different neurotransmitters, and a number of them are [essential](https://www.ncbi.nlm.nih.gov/books/NBK10795/) to how your brain and body function.
There are a few different neurotransmitters that may be related to depression and its symptoms, [including:](https://www.health.harvard.edu/mind-and-mood/what-causes-depression)
- **Serotonin,** which regulates things like your mood, hunger and sleep. Plus, it helps inhibit pain. There is research suggesting that some with depression have low levels of serotonin transmission in the brain.
- **Norepinephrine**, which boosts your blood pressure and constricts blood vessels. But it may have an effect on mood, too — like influencing your level of motivation. It is thought that norepinephrine has a hand in depression.
- **Dopamine**, a neurotransmitter you may have heard about. It has been connected to your perception of reality and also is involved in helping you feel motivated. Dopamine also plays a leading role in your brain’s reward system.
- **Acetylcholine**, which [can help memory](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/) and is related to learning. It also aids in [focusing](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/) on tasks.
- **Gamma-aminobutyric acid (GABA)**, which prevents certain types brain activity.[Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412149/) points to people with depression possibly having lower levels of GABA.
[Antidepressant medication](https://www.forhers.com/blog/depression-medications) works by increasing levels of some neurotransmitters to help with symptoms of depression.
Wondering what the symptoms of depression look like? Common side effects [include](https://www.nimh.nih.gov/health/publications/depression):
- Constant feelings of sadness, anxiety or hopelessness
- Feeling irritable, helpless or worthless
- Low energy or tiredness
- Changes in weight
- Difficulty sleeping
- Decreased appetite
- Thoughts of self-harm or suicide
If you notice that you have some of the symptoms listed above, you should seek help from a mental health professional.
Whether you are dealing with mild or severe depression, a healthcare professional will be able to help identify the best course of treatment for you.
Therapy and medication are both commonly used to treat depression — often in conjunction with one another,
One thing to know about antidepressants: It can take [four to eight weeks](https://www.nimh.nih.gov/health/publications/depression/index.shtml) before you’ll see any improvement in your symptoms.
There are many different types of medications that can [treat](https://screening.mhanational.org/content/what-meds-treat-depression/) depression. The four main types are selective serotonin reuptake inhibitors (SSRIs), serotonin–norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors.
A prescription drug called [bupropion](https://www.forhers.com/drugs/info/buproprion) (also sold as the brand name Wellbutrin®) is often prescribed for depression, and often also used to treat seasonal affective disorder and depressive episodes [associated](https://medlineplus.gov/druginfo/meds/a695033.html) with bipolar disorder.
Bupropion is considered an atypical antidepressant — which just means it doesn’t fall under the four main classes of antidepressants.
In addition to [buying bupropion online](https://www.forhers.com/psychiatry/bupropion), the other most common types of antidepressants prescribed for depression are SSRIs and SNRIs.
### **Selective Serotonin Reuptake Inhibitors**
[Selective serotonin reuptake inhibitors (SSRIs)](https://www.forhers.com/blog/ssri-drugs-overview-types) are by far the most common type of antidepressant [prescribed](https://magazine.medlineplus.gov/article/commonly-prescribed-antidepressants-and-how-they-work) in the United States.
This is partially because they do not have as many drug interactions or side effects as older antidepressants.
SSRIs increase serotonin levels in your brain by [preventing your brain cells](https://www.ncbi.nlm.nih.gov/books/NBK554406/) from reabsorbing existing serotonin.
Here are some common SSRIs prescribed for varying degrees of depression—including severe depression:
- [Citalopram](https://www.forhers.com/psychiatry/citalopram). Also sold as the brand name Celexa®, this commonly prescribed oral antidepressant comes in tablet or liquid form. It’s also sometimes used to treat eating disorders, alcoholism and panic disorder.
- Escitalopram. Also available under the brand name Lexapro®, this medication is [prescribed](https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021323s052,021365s037lbl.pdf) to treat depression and generalized anxiety disorder (GAD).
- Fluoxetine. This popular medication (which is also sold under the brand name Prozac®) can be [used](https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/018936s109lbl.pdf) to treat depression along with conditions like obsessive-compulsive disorder (OCD), panic disorder, and bulimia nervosa. You can [buy fluoxetine online](https://www.forhers.com/psychiatry/fluoxetine) and other medications using Hers mental health services.
- [Sertraline online](https://www.forhers.com/psychiatry/sertraline). Also sold under the brand name Zoloft®, this SSRI is commonly [prescribed](https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/019839s091lbl.pdf) in the treatment of depression. Like fluoxetine, it is also used to treat OCD and panic disorder.
You can [buy escitalopram online](https://www.forhers.com/psychiatry/escitalopram) and other medications using our online [mental health medication](https://www.forhers.com/blog/mental-health-medication) services.
### **Serotonin–Norepinephrine Reuptake Inhibitors**
Serotonin–norepinephrine reuptake inhibitors (SNRIs) are another type of antidepressant.
They are similar to SSRIs in that they prevent the reabsorption of serotonin, but they also block the reabsorption of [norepinephrine](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008300/) (another neurotransmitter), as well.
Low levels of norepinephrine have been linked to [symptoms](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131098/) of depression — like difficulty concentrating and feeling sluggish.
SNRIs that may be prescribed for depression include:
- Desvenlafaxine, which is sold under the brand name Pristiq®. This SNRI is not only [used](https://medlineplus.gov/druginfo/meds/a608022.html#:~:text=Desvenlafaxine%20is%20used%20to%20treat,that%20help%20maintain%20mental%20balance.) in the treatment of depression, it is also prescribed off-label to treat certain symptoms such as hot flashes in menopausal women.
- [Duloxetine](https://www.forhers.com/psychiatry/duloxetine), which is sold under the brand name Cymbalta®, is another SNRI [that may help](https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021427s053lbl.pdf) to treat depression along with generalized anxiety disorder.
- Venlafaxine, which is sold under the brand name Effexor®. This [medication](https://medlineplus.gov/druginfo/meds/a694020.html) for depression also comes in an extended release form that may sometimes be prescribed to treat certain anxiety disorders. You can [buy venlafaxine online](https://www.forhers.com/psychiatry/venlafaxine) by using Hers online mental health service.
There’s no magic equation when it comes to identifying the best antidepressant for you.
You can [get depression medicine online](https://www.forhers.com/psychiatry) to get diagnosed and determine if medication will be the best course of treatment.
From there, your healthcare provider will take into consideration your depression symptoms, other medical issues you may have and any other prescription drugs you are taking (as well as non-prescription meds). They may then prescribe you medication.
You should feel free to ask any questions you may have — like about common side effects, if there is potential risk involved, alternative treatments for depression, and more.
[Research](https://www.ncbi.nlm.nih.gov/books/NBK83442/) has shown that the different antidepressants work as well as one another. However, people react differently to the various medications.
For this reason, you may have to try a few different medications before landing on one that works best for you.
As previously mentioned, you should give the medication you're taking at least a month to see if it works.
If it doesn’t, it’s important not to stop taking your medication suddenly, as that can cause withdrawal symptoms.
Instead, speak to your healthcare provider to discuss the best approach for coming off one medication and trying another.
You should also call your healthcare provider immediately if you notice any bothersome side effects from taking prescription antidepressants.
There are a number of different medications used to treat depression. Two of the more common types are selective serotonin reuptake inhibitors (SSRIs) and serotonin–norepinephrine reuptake inhibitors (SNRIs). This is partially because they tend to have mild potential side effects.
It takes an average of four to six weeks for antidepressants to start working, so you will need to be patient to see if a specific medication works for you.
It’s also important to remember that you may need to try a few different options before settling on one that helps your depression.
Untreated depression is no way to live. To figure out the best medication to treat your depression, you’ll need to work closely with a mental healthcare professional.
### Related Drug Comparisons
| | |
|---|---|
| [Adderall vs. Lexapro](https://www.forhers.com/drugs/compare/adderall-vs-lexapro) | [Cymbalta vs. Prozac](https://www.forhers.com/drugs/compare/cymbalta-vs-prozac) |
| [Buspirone vs. Xanax](https://www.forhers.com/drugs/compare/buspirone-vs-xanax) | [Cymbalta vs. Zoloft](https://www.forhers.com/drugs/compare/cymbalta-vs-zoloft) |
| [Cymbalta vs. Lexapro](https://www.forhers.com/drugs/compare/cymbalta-vs-lexapro) | [Lexapro vs. Prozac](https://www.forhers.com/drugs/compare/lexapro-vs-prozac) |
| [Lexapro vs. Wellbutrin](https://www.forhers.com/drugs/compare/lexapro-vs-wellbutrin) | [Lexapro vs. Zoloft](https://www.forhers.com/drugs/compare/lexapro-vs-zoloft) |
| [Prozac vs. Zoloft](https://www.forhers.com/drugs/compare/prozac-vs-zoloft) | [Sertraline vs. Zoloft](https://www.forhers.com/drugs/compare/sertraline-vs-zoloft) |
23 Sources
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.
1. Major Depression. (2019, February). Retrieved from https://www.nimh.nih.gov/health/statistics/major-depression.shtml
2. Hyman, S.E. (2005, March 8). Neurotransmitters. Current Biology. 15 (5), PR154-R158. Retrieved from https://www.cell.com/current-biology/comments/S0960-9822(05)00208-3
3. Cooper, J.R., (2001). Neurotransmitters. International Encyclopedia of the Social and Behavioral Sciences. Retrieved from https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/neurotransmitters
4. What causes depression? (2019, June 24). Retrieved from https://www.health.harvard.edu/mind-and-mood/what-causes-depression
5. Higley, M.J. & Picciotto, M.R. (2014, December). Neuromodulation by Acetylcholine: Examples from Schizophrenia and Depression. Current Opinion in Neurobiology. 29, 88–95. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268065/
6. Luscher, B., Shen, Q. & Sahir, N. (2011, April). The GABAergic Deficit Hypothesis of Major Depressive Disorder. Molecular Psychiatry. 16 (4), 383–406. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412149/
7. Depression of Women: 5 Things to Know. National Institute of Mental Health. Retrieved from https://www.nimh.nih.gov/health/publications/depression-in-women
8. Depression. (2021). Retrieved from https://www.nimh.nih.gov/health/publications/depression/index.shtml
9. What Meds Treat Depression? Mental Health America. Retrieved from https://screening.mhanational.org/content/what-meds-treat-depression/
10. Bupropion. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a695033.html
11. Atypical Antidepressants. Mental Health America. Retrieved from https://screening.mhanational.org/content/atypical-antidepressants/
12. Commonly Prescribed Antidepressants and How They Work. Medline Plus. Retrieved from https://magazine.medlineplus.gov/article/commonly-prescribed-antidepressants-and-how-they-work
13. Chu, A., Wadhwa, R., (2021, May 10). Selective Serotonin Reuptake Inhibitors. Stat Pearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK554406/
14. Citalopram. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a699001.html
15. Highlights of Prescribing Information, Lexapro. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2020/021323s052,021365s037lbl.pdf
16. Highlights of Prescribing Information, Prozac. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2020/018936s109lbl.pdf
17. Highlights of Prescribing Information, Zoloft. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2017/019839s091lbl.pdf
18. Sansone, R., Sansone, L., (2014). Serotonin Norepinephrine Reuptake Inhibitors: A Pharmacological Comparison. Innovations in Clinical Neuroscience. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008300/
19. Morel, C., Briley, M., (2011). The importance of norepinephrine in depression. Neuropsychiatric Disease and Treatment. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3131098/
20. Desvenlafaxine. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a608022.html\#:~:text=Desvenlafaxine%20is%20used%20to%20treat,that%20help%20maintain%20mental%20balance.
21. Highlights of Prescribing Information, Cymbalta. FDA. Retrieved from https://www.accessdata.fda.gov/drugsatfda\_docs/label/2020/021427s053lbl.pdf
22. Venlafaxine. Medline Plus. Retrieved from https://medlineplus.gov/druginfo/meds/a694020.html
23. Gartlehner, G., Hansen, R., Morgan, L., et al. (2007). Second-Generation Antidepressants in the Pharmacologic Treatment of Adult Depression. Agency for Healthcare Research and Quality. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK83442/ | |||||||||
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Raw JSON{
"/Health": 998,
"/Health/Mental_Health": 954,
"/Health/Mental_Health/Depression": 953
} | |||||||||
| ML Page Types |
Raw JSON{
"/Article": 998,
"/Article/Tutorial_or_Guide": 513
} | |||||||||
| ML Intent Types |
Raw JSON{
"Informational": 973,
"Commercial": 155
} | |||||||||
| Content Metadata | ||||||||||
| Language | en | |||||||||
| Author | null | |||||||||
| Publish Time | not set | |||||||||
| Original Publish Time | 2022-02-07 05:09:29 (4 years ago) | |||||||||
| Republished | No | |||||||||
| Word Count (Total) | 2,604 | |||||||||
| Word Count (Content) | 1,692 | |||||||||
| Links | ||||||||||
| External Links | 36 | |||||||||
| Internal Links | 76 | |||||||||
| Technical SEO | ||||||||||
| Meta Nofollow | No | |||||||||
| Meta Noarchive | No | |||||||||
| JS Rendered | No | |||||||||
| Redirect Target | null | |||||||||
| Performance | ||||||||||
| Download Time (ms) | 2,777 | |||||||||
| TTFB (ms) | 2,002 | |||||||||
| Download Size (bytes) | 411,370 | |||||||||
| Shard | 79 (laksa) | |||||||||
| Root Hash | 14475777380408463279 | |||||||||
| Unparsed URL | com,forhers!www,/blog/best-medication-for-depression s443 | |||||||||