Antidepressants

Esketamine Nasal Spray Rapidly Treats Depression & Suicidal Ideation (2023 Study)

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TLDR: Esketamine nasal spray, combined with standard antidepressant therapy, significantly improves remission rates and reduces time to remission in adults with major depressive disorder (MDD) and acute suicidality compared to standard care alone. Highlights: Remission Rates: Patients treated with esketamine plus standard of care had higher remission rates than those treated with placebo plus standard …

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Rethinking Long-Term Antidepressant Use: Weighing Benefits vs. Risks

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Antidepressant use has risen steadily for 30 years. Over 10% of adults in England now take them long-term, but evidence suggests up to half lack clear medical justification to continue. Patients and doctors are reluctant to stop treatment due to fears of relapse and withdrawal effects. Research indicates more proactive treatment review, slower drug tapering …

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Antidepressants for Insomnia Treatment in Adults: Are They Effective? (Cochrane Review Findings)

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Insomnia is a common sleep disorder affecting up to 15% of adults. While sedative medications are often prescribed, their long-term use can lead to dependence. As an alternative, antidepressants are widely used in clinical practice despite limited evidence supporting their efficacy and safety for insomnia. Key Facts: Insomnia affects up to 15% of adults, causing …

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Antidepressants & Cardiovascular Effects: SNRIs, Atypicals, Others

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Depression is highly prevalent in older adults and those with cardiovascular disease. Selective serotonin reuptake inhibitors (SSRIs) are generally safe first-line treatments, but many wonder if they’re safe for those with cardiovascular disease. Key Facts: There is insufficient evidence to confirm the safety of most newer antidepressants for older and cardiovascular patients. SNRIs like venlafaxine …

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How do Antidepressants Work in the Brain? Delayed Onset vs. Rapid-Acting & Neuroplasticity

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Current antidepressants can take weeks to improve symptoms of depression. New research explores reasons for this delay and provides clues to develop more rapid-acting drugs. Key Facts: Most antidepressants increase brain serotonin and norepinephrine, but their mood benefits are delayed for weeks. Researchers are investigating other mechanisms that could explain this lag. Two leading theories …

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Navigating Mild Depression: Early Treatment, Psychotherapy, Antidepressants

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Minor or subthreshold depression causes significant suffering and impairment, despite falling short of a major depression diagnosis. Effective early treatment is crucial to alleviate symptoms, improve functioning, and prevent progression to major depression. Both psychotherapy and antidepressants show efficacy, with antidepressants possibly having a slight advantage. In a shared decision-making model, patient preferences and values …

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Complex Effects of Antidepressants on Sleep & Depression: What You Should Know

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Depression often comes with significant sleep disturbances that can persist even after other symptoms improve. Choosing an antidepressant that alleviates sleep problems may improve outcomes. Key Facts: Sleep complaints like insomnia occur in 60-90% of depression patients. Poor sleep is associated with higher suicide risk. Sedative antidepressants like mirtazapine quickly improve sleep, while SSRIs/SNRIs may …

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Antidepressants & Mania Risk in Bipolar Patients via Mitochondrial Effects

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A new Mayo Clinic study is the first to clinically investigate whether antidepressants that impact mitochondrial function differently are associated with varying rates of treatment-emergent mania in bipolar disorder. The study found that antidepressants that increase mitochondrial energetics were associated with nearly double the rates of treatment-emergent mania compared to antidepressants that decrease mitochondrial energetics. …

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Comparing Depression Treatments for Adults: Antidepressant Drugs, Talk Therapy (CBT), & Other Non-Drug Interventions

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A large review of research found that talk therapy works about as well as antidepressant medications for treating depression. The study also looked at other non-drug options, like exercise. While benefits were similar across treatments, side effects differed. Key Facts: Cognitive behavioral therapy (CBT) achieved comparable results to medications for treating major depression. Remission rates …

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Ketamine’s Long-Lasting Antidepressant Effects via “Trapping” in NMDA Receptors & LHb

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Researchers uncover a surprising molecular mechanism that explains ketamine’s exceptionally long-lasting antidepressant effects. Key Facts: Ketamine’s antidepressant effects last for days after its concentration drops to low, ineffective levels only an hour after administration. This contrasts starkly with ketamine’s short 13-minute half-life in the body. Ketamine continues blocking NMDA receptors and suppressing activity in the …

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