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| URL | https://www.healthline.com/health/depression/antidepressants-pros-and-cons | |||||||||
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| Content | ||||||||||
| Meta Title | Understanding the Pros and Cons of Antidepressants | |||||||||
| Meta Description | Antidepressants are used to treat depression, among other conditions. They can bring relief and are a common treatment option. However, there are pros and cons. We explore both. | |||||||||
| Meta Canonical | null | |||||||||
| Boilerpipe Text | Some may be unsure about antidepressants or have concerns about side effects, psychological dependence, or
addiction
. Yet, antidepressants may help many people through different phases of
depression
.
Deciding to use an antidepressant as a treatment option is a personal decision involving a collaborative effort with your doctor. Doing your research, learning more about antidepressants, and talking with your doctor can help you make a choice that’s right for you.
Taking antidepressants has many benefits. Knowing these can help inform your decision.
They’re effective at relieving symptoms
Research suggests that antidepressants may be more
effective
than a placebo in treating major depression in adults.
They’re well-studied and generally safe
The Food and Drug Administration (FDA)
has approved all antidepressants
, which means they’ve undergone rigorous testing and clinical trials.
They may help you succeed with other parts of your treatment plan
Your treatment plan may include other aspects, like lifestyle changes or
therapy
.
If your depression makes you
apathetic
and
lethargic
, antidepressants can help restore your energy so you can:
fulfill everyday activities
participate in therapy
complete other items in your treatment plan
Improved quality of life
are less reactive to negative life events
can examine things in a more balanced way
have improved concentration
As with any medication, antidepressants may have cons. These may vary for everyone, but knowing them can help you prepare.
Talking with your doctor about any drawbacks can help determine whether the pros outweigh the cons.
You may need to try several kinds
Not every antidepressant will work for everyone. You might have to
switch
more than once to find the best medication for you and your symptoms.
Antidepressants can also take some time to reach their full effect.
They may affect your sex drive
Antidepressants may reduce your sex drive or sexual functioning. Some antidepressants are more likely than others to do so.
If the side effects interfere with your life, ask your doctor about adjusting the dosage or finding other ways to manage them.
They can affect sleep
Disrupted sleep is common among people with depression, but it’s usually not clear whether it’s a side effect of medication or a symptom of depression. If you have a
sleep disorder
, this can further affect your sleep.
fluvoxamine
mirtazapine
trazodone
(only prescribed for sleep)
paroxetine
Antidepressants may also contribute to
insomnia
, depending on:
the antidepressant
the dosage
when you take it
If your antidepressant is interfering with your sleep, talk with your doctor.
They may affect your weight
Some antidepressants list
weight gain
as a side effect, but other antidepressants carry a lower risk of weight gain. This doesn’t mean you
will
gain or lose weight on antidepressants. Everyone’s bodies respond to them differently.
The potential for weight gain shouldn’t control your decision about antidepressants.
They may be costly
Even with insurance and generic prescriptions, antidepressants might still be
costly
.
Although your insurance provider and plan determine the prescription cost, it may be beneficial to work with your doctor to see if they can:
provide an authorization request to your insurance company
help you find a more affordable option
offer you samples or coupons
They may have side effects
Side effects
can be troublesome. They may include:
dry mouth
fatigue
nausea
headache
These minor side effects tend to pass within a few weeks. If you continue to have side effects or significant ones that don’t go away, talk with your doctor.
If you choose to stop, you cannot stop abruptly
If you decide to stop taking antidepressants, abrupt stopping is not recommended, as
withdrawal symptoms
can occur.
Do not stop taking your medication until you’ve talked with your doctor. They might put you on a
tapering plan
or switch you to a new medication. They can also monitor you for any withdrawal symptoms.
Antidepressants are generally a safe and effective FDA-approved treatment option for depression. They may even help you succeed in other areas of your treatment plan. An improved quality of life may be on the other side of treatment.
Various classes of antidepressants are available, and different drugs are available within each class.
Finding the right antidepressant for you can take time, and you may face sexual side effects or weight loss or gain, among other side effects. You might have to try more than one before you find one that works best for you. | |||||||||
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# Antidepressants 101: Pros and Cons

[Medically reviewed]() by [Yalda Safai, MD, MPH]() — Written by Jaime Herndon, MS, MPH, MFA — [Updated on November 12, 2024]()
- [What they are](https://www.healthline.com/health/depression/antidepressants-pros-and-cons#what-they-are)
- [Advantages](https://www.healthline.com/health/depression/antidepressants-pros-and-cons#advantages)
- [Disadvantages](https://www.healthline.com/health/depression/antidepressants-pros-and-cons#disadvantages)
- [Takeaway](https://www.healthline.com/health/depression/antidepressants-pros-and-cons#takeaway)
### Key takeaways
- Antidepressants are considered a generally safe and effective treatment option for depression and are approved by the FDA.
- Taking antidepressants may improve your overall quality of life and can help you engage more effectively in other aspects of a comprehensive treatment plan.
- Finding the right antidepressant can take time and may involve managing side effects, so it’s important to consult with a medical professional to find the best option.
Some may be unsure about antidepressants or have concerns about side effects, psychological dependence, or [addiction](https://www.healthline.com/health/antidepressants-arent-addicting). Yet, antidepressants may help many people through different phases of [depression](https://www.healthline.com/health/depression).
Deciding to use an antidepressant as a treatment option is a personal decision involving a collaborative effort with your doctor. Doing your research, learning more about antidepressants, and talking with your doctor can help you make a choice that’s right for you.
## [What are antidepressants?]()
[Antidepressants](https://www.healthline.com/health/depression/medication-list) are medications used to [treat depression](https://www.ncbi.nlm.nih.gov/books/NBK538182/), among other conditions. They:
- affect [neurotransmitters](https://www.healthline.com/health/excitatory-neurotransmitters)
- reduce the biological impact of [stress on the brain](https://www.healthline.com/health/mental-health/tea-for-stress)
- increase the brain’s capacity to cope with future [stress](https://www.healthline.com/health/stress)
Many kinds of antidepressants are available. Common classes of antidepressants used to help treat depression include:
- [selective serotonin reuptake inhibitors (SSRIs)](https://www.healthline.com/health/depression/selective-serotonin-reuptake-inhibitors-ssris)
- [serotonin and norepinephrine reuptake inhibitors (SNRIs)](https://www.healthline.com/health/depression/serotonin-norepinephrine-reuptake-inhibitors-snris)
- [tricyclic antidepressants](https://www.healthline.com/health/depression/tricyclic-antidepressants-tcas)
- noradrenergic and dopamine reuptake blocker
- [monoamine oxidase inhibitors (MAOIs)](https://www.healthline.com/health/depression/what-are-mao-inhibitors)
Learn more about [antidepressant medications](https://www.healthline.com/health/depression/medication-list).
## [Advantages of taking antidepressants]()
Taking antidepressants has many benefits. Knowing these can help inform your decision.
### They’re effective at relieving symptoms
Research suggests that antidepressants may be more [effective](https://www.thelancet.com/action/showPdf?pii=S0140-6736%2817%2932802-7) than a placebo in treating major depression in adults.
### They’re well-studied and generally safe
The Food and Drug Administration (FDA) [has approved all antidepressants](https://www.fda.gov/consumers/womens-health-topics/depression-medicines), which means they’ve undergone rigorous testing and clinical trials.
### They may help you succeed with other parts of your treatment plan
Your treatment plan may include other aspects, like lifestyle changes or [therapy](https://www.healthline.com/health/depression/types-of-depression-therapy).
If your depression makes you [apathetic](https://www.healthline.com/health/apathy) and [lethargic](https://www.healthline.com/health/lethargy), antidepressants can help restore your energy so you can:
- fulfill everyday activities
- participate in therapy
- complete other items in your treatment plan
### Improved quality of life
People on antidepressants report an [improved quality of life](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511371/). They:
- are less reactive to negative life events
- can examine things in a more balanced way
- have improved concentration
### If you think you need antidepressants
Finding [treatment](https://www.healthline.com/health/depression/help-for-depression#finding-treatment) for depression is a big step and isn’t always easy. If you think you need antidepressants:
- **Talk with your doctor:** They can screen for depression and talk about your [symptoms](https://www.healthline.com/health/depression/recognizing-symptoms) to evaluate your situation. Some can prescribe antidepressants. Others may prescribe them and refer you to a counselor for talk therapy.
- **Ask your doctor for a referral to a psychiatrist:** This is especially important if your depression is [severe](https://www.healthline.com/health/depression/crippling-depression) or you have other medical or mental health conditions.
These organizations can help you find a psychiatrist or mental health professional:
- [American Psychiatric Association’s (APA) Find a Psychiatrist search](http://finder.psychiatry.org/?_ga=2.11690678.326351641.1619284610-806084773.1619284610)
- [Substance Abuse and Mental Health Services Administration helpline](https://www.samhsa.gov/find-help/national-helpline)
- [Anxiety & Depression Association of America Find a Therapist Directory](https://members.adaa.org/page/FATMain)
- [Black Mental Health Alliance’s Connect with a Therapist search](https://docs.google.com/forms/d/e/1FAIpQLSfei-0WUN-rtpM3fNEI_9clGqgiLjDCIWgVwe0hyb2wuZvtVQ/viewform)
- [American Society of Hispanic Psychiatry’s Find a Physician search](http://www.americansocietyhispanicpsychiatry.com/find-a-physician/)
- [World Professional Association for Transgender Health’s (WPATH) provider directory](https://www.wpath.org/provider/search?provider_directory_search_form%5Baddress%5D%5Bcountry%5D=US&provider_directory_search_form%5Baddress%5D%5Bstate%5D=FL&provider_directory_search_form%5Baddress%5D%5Bcity%5D=&provider_directory_search_form%5BfirstName%5D=&provider_directory_search_form%5BlastName%5D=&provider_directory_search_form%5Bspecialty%5D=)
## [Potential disadvantages of antidepressants]()
As with any medication, antidepressants may have cons. These may vary for everyone, but knowing them can help you prepare.
Talking with your doctor about any drawbacks can help determine whether the pros outweigh the cons.
### You may need to try several kinds
Not every antidepressant will work for everyone. You might have to [switch](https://www.healthline.com/health/mdd/switching-antidepressants) more than once to find the best medication for you and your symptoms.
Antidepressants can also take some time to reach their full effect.
### They may affect your sex drive
Antidepressants may reduce your sex drive or sexual functioning. Some antidepressants are more likely than others to do so.
[About 1 in 5 adults](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182464/) in the United States experiences [sexual side effects](https://www.healthline.com/health/erectile-dysfunction/antidepressant-sexual-side-effects#Sexual-side-effects-of-antidepressants) due to antidepressants.
If the side effects interfere with your life, ask your doctor about adjusting the dosage or finding other ways to manage them.
Learn more about [managing the sexual side effects of antidepressants](https://www.healthline.com/health/erectile-dysfunction/antidepressant-sexual-side-effects).
### They can affect sleep
Disrupted sleep is common among people with depression, but it’s usually not clear whether it’s a side effect of medication or a symptom of depression. If you have a [sleep disorder](https://www.healthline.com/health/sleep/disorders), this can further affect your sleep.
Some antidepressants have [sleep-related (sedating) effects](https://www.sciencedirect.com/science/article/pii/S2666915322000816), such as:
- [fluvoxamine](https://www.healthline.com/health/drugs/fluvoxamine-oral-capsule)
- [mirtazapine](https://www.healthline.com/health/drugs/mirtazapine-tablet-side-effects)
- [trazodone](https://www.healthline.com/health/sleep/trazodone-for-sleep) (only prescribed for sleep)
- [paroxetine](https://www.healthline.com/health/drugs/paroxetine-oral-tablet)
Antidepressants may also contribute to [insomnia](https://www.healthline.com/health/insomnia/treating-insomnia-and-depression), depending on:
- the antidepressant
- the dosage
- when you take it
If your antidepressant is interfering with your sleep, talk with your doctor.
### They may affect your weight
Some antidepressants list [weight gain](https://www.healthline.com/health/antidepressants-that-cause-weight-gain#less-weight-gain) as a side effect, but other antidepressants carry a lower risk of weight gain. This doesn’t mean you **will** gain or lose weight on antidepressants. Everyone’s bodies respond to them differently.
The potential for weight gain shouldn’t control your decision about antidepressants.
Learn more about antidepressant-related [weight gain](https://www.healthline.com/health/antidepressants-that-cause-weight-gain) and [weight loss](https://www.healthline.com/health/depression/antidepressants-weight-loss).
### They may be costly
Even with insurance and generic prescriptions, antidepressants might still be [costly](https://www.healthline.com/health/depression/how-much-does-depression-cost#medication-cost).
Although your insurance provider and plan determine the prescription cost, it may be beneficial to work with your doctor to see if they can:
- provide an authorization request to your insurance company
- help you find a more affordable option
- offer you samples or coupons
Learn about [medicare coverage for antidepressants](https://www.healthline.com/health/medicare/does-medicare-cover-antidepressants).
### They may have side effects
[Side effects](https://www.healthline.com/health/antidepressant-side-effects) can be troublesome. They may include:
- dry mouth
- [fatigue](https://www.healthline.com/health/depression/fatigue)
- nausea
- [headache](https://www.healthline.com/health/headache/depression-headaches)
These minor side effects tend to pass within a few weeks. If you continue to have side effects or significant ones that don’t go away, talk with your doctor.
Learn more about the [side effects of antidepressants](https://www.healthline.com/health/depression-medications-and-side-effects).
### If you choose to stop, you cannot stop abruptly
If you decide to stop taking antidepressants, abrupt stopping is not recommended, as [withdrawal symptoms](https://www.healthline.com/health/depression/dangers-of-stopping-antidepressants) can occur.
Do not stop taking your medication until you’ve talked with your doctor. They might put you on a [tapering plan](https://www.ncbi.nlm.nih.gov/books/NBK361016/) or switch you to a new medication. They can also monitor you for any withdrawal symptoms.
Learn more about [tapering off antidepressants](https://www.healthline.com/health/depression/weaning-off-lexapro).
## [The takeaway]()
Antidepressants are generally a safe and effective FDA-approved treatment option for depression. They may even help you succeed in other areas of your treatment plan. An improved quality of life may be on the other side of treatment.
Various classes of antidepressants are available, and different drugs are available within each class.
Finding the right antidepressant for you can take time, and you may face sexual side effects or weight loss or gain, among other side effects. You might have to try more than one before you find one that works best for you.
### How we reviewed this article:
Sources
History
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.healthline.com/about/process).
- Atmaca M. (2020). Selective serotonin reuptake inhibitor-induced sexual dysfunction: Current management perspectives.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182464/>
- Cipriani A, et al. (2018). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: A systematic review and network meta-analysis.
[https://www.thelancet.com/action/showPdf?pii=S0140-6736%2817%2932802-7](https://www.thelancet.com/action/showPdf?pii=S0140-6736%2817%2932802-7)
- Depression: How effective are antidepressants? (2020).
<https://www.ncbi.nlm.nih.gov/books/NBK361016/>
- Depression medicines. (2019).
<https://www.fda.gov/consumers/womens-health-topics/depression-medicines>
- Dzevlan A, et al. (2019). Quality of Life Assessment in antidepressant treatment of patients with depression and/or anxiety disorder.
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511371/>
- Gandotra K, et al. (2022). Sertraline as an adjunctive treatment for insomnia comorbid with other mental health disorders.
<https://www.sciencedirect.com/science/article/pii/S2666915322000816>
- Sheffler ZM, et al. (2023). Antidepressants.
<https://www.ncbi.nlm.nih.gov/books/NBK538182/>
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[Medically reviewed]() by [Yalda Safai, MD, MPH]() — Written by Jaime Herndon, MS, MPH, MFA — [Updated on November 12, 2024]()
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| Readable Markdown | Some may be unsure about antidepressants or have concerns about side effects, psychological dependence, or [addiction](https://www.healthline.com/health/antidepressants-arent-addicting). Yet, antidepressants may help many people through different phases of [depression](https://www.healthline.com/health/depression).
Deciding to use an antidepressant as a treatment option is a personal decision involving a collaborative effort with your doctor. Doing your research, learning more about antidepressants, and talking with your doctor can help you make a choice that’s right for you.
Taking antidepressants has many benefits. Knowing these can help inform your decision.
They’re effective at relieving symptoms
Research suggests that antidepressants may be more [effective](https://www.thelancet.com/action/showPdf?pii=S0140-6736%2817%2932802-7) than a placebo in treating major depression in adults.
They’re well-studied and generally safe
The Food and Drug Administration (FDA) [has approved all antidepressants](https://www.fda.gov/consumers/womens-health-topics/depression-medicines), which means they’ve undergone rigorous testing and clinical trials.
They may help you succeed with other parts of your treatment plan
Your treatment plan may include other aspects, like lifestyle changes or [therapy](https://www.healthline.com/health/depression/types-of-depression-therapy).
If your depression makes you [apathetic](https://www.healthline.com/health/apathy) and [lethargic](https://www.healthline.com/health/lethargy), antidepressants can help restore your energy so you can:
- fulfill everyday activities
- participate in therapy
- complete other items in your treatment plan
Improved quality of life
- are less reactive to negative life events
- can examine things in a more balanced way
- have improved concentration
As with any medication, antidepressants may have cons. These may vary for everyone, but knowing them can help you prepare.
Talking with your doctor about any drawbacks can help determine whether the pros outweigh the cons.
You may need to try several kinds
Not every antidepressant will work for everyone. You might have to [switch](https://www.healthline.com/health/mdd/switching-antidepressants) more than once to find the best medication for you and your symptoms.
Antidepressants can also take some time to reach their full effect.
They may affect your sex drive
Antidepressants may reduce your sex drive or sexual functioning. Some antidepressants are more likely than others to do so.
If the side effects interfere with your life, ask your doctor about adjusting the dosage or finding other ways to manage them.
They can affect sleep
Disrupted sleep is common among people with depression, but it’s usually not clear whether it’s a side effect of medication or a symptom of depression. If you have a [sleep disorder](https://www.healthline.com/health/sleep/disorders), this can further affect your sleep.
- [fluvoxamine](https://www.healthline.com/health/drugs/fluvoxamine-oral-capsule)
- [mirtazapine](https://www.healthline.com/health/drugs/mirtazapine-tablet-side-effects)
- [trazodone](https://www.healthline.com/health/sleep/trazodone-for-sleep) (only prescribed for sleep)
- [paroxetine](https://www.healthline.com/health/drugs/paroxetine-oral-tablet)
Antidepressants may also contribute to [insomnia](https://www.healthline.com/health/insomnia/treating-insomnia-and-depression), depending on:
- the antidepressant
- the dosage
- when you take it
If your antidepressant is interfering with your sleep, talk with your doctor.
They may affect your weight
Some antidepressants list [weight gain](https://www.healthline.com/health/antidepressants-that-cause-weight-gain#less-weight-gain) as a side effect, but other antidepressants carry a lower risk of weight gain. This doesn’t mean you **will** gain or lose weight on antidepressants. Everyone’s bodies respond to them differently.
The potential for weight gain shouldn’t control your decision about antidepressants.
They may be costly
Even with insurance and generic prescriptions, antidepressants might still be [costly](https://www.healthline.com/health/depression/how-much-does-depression-cost#medication-cost).
Although your insurance provider and plan determine the prescription cost, it may be beneficial to work with your doctor to see if they can:
- provide an authorization request to your insurance company
- help you find a more affordable option
- offer you samples or coupons
They may have side effects
[Side effects](https://www.healthline.com/health/antidepressant-side-effects) can be troublesome. They may include:
- dry mouth
- [fatigue](https://www.healthline.com/health/depression/fatigue)
- nausea
- [headache](https://www.healthline.com/health/headache/depression-headaches)
These minor side effects tend to pass within a few weeks. If you continue to have side effects or significant ones that don’t go away, talk with your doctor.
If you choose to stop, you cannot stop abruptly
If you decide to stop taking antidepressants, abrupt stopping is not recommended, as [withdrawal symptoms](https://www.healthline.com/health/depression/dangers-of-stopping-antidepressants) can occur.
Do not stop taking your medication until you’ve talked with your doctor. They might put you on a [tapering plan](https://www.ncbi.nlm.nih.gov/books/NBK361016/) or switch you to a new medication. They can also monitor you for any withdrawal symptoms.
Antidepressants are generally a safe and effective FDA-approved treatment option for depression. They may even help you succeed in other areas of your treatment plan. An improved quality of life may be on the other side of treatment.
Various classes of antidepressants are available, and different drugs are available within each class.
Finding the right antidepressant for you can take time, and you may face sexual side effects or weight loss or gain, among other side effects. You might have to try more than one before you find one that works best for you. | |||||||||
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