Effective Medications for Mood
Disorders
Antidepressant medications
are getting widely used today as effective treatments for
depression. There are a number of antidepressant medications
that are being used to treat depressive disorders, and each of
these types of medicine works a little differently.
The three main classes of
medications are selective serotonin reuptake inhibitors or
SSRI's, monoamine oxidase inhibitors or MAOI's , and
tricyclics. There are also several newer medications as well
that are distinct in their way of treating
depression.
Selective Serotonin Reuptake
Inhibitors or SSRI's are probably the class of antidepressants
available to day that offer the least amount of side effects to
users. Clinical evidence show that a substantial decrease in
side effects has increased safety of use of this type of
medication relatively compared to older medications and made
this class of medication becoming very popular in treating
depression and other mood disorders.
SSRI's work by blocking the
pre-synaptic serotonin transporter receptor. SSRI drugs work by
allowing the available neurotransmitter serotonin to be
utilized more efficiently. Having a low level use of serotonin
in the brain is noted as one of among several neurochemical
symptoms of depression. Low levels of serotonin can be caused
by an anxiety disorder, because serotonin is needed by the body
to metabolize stress hormones
Medications like SSRI's are
specific to serotonin and do not have a direct effect on
norepinephrine. They have either little or no effect on other
monoamine transporters, thus having little direct influence on
the level of other neurotransmitters.
SSRI's have the distinct
advantage of not reacting with histamine and acetylcholine in
the body, which is responsible for the troublesome side-effects
such as dry mouth, blurry vision, weight gain, and
sedation. Although they are not totally without side
effects, their tolerability seems to be much better than with
the use of tricyclics for depression treatment.
There are ongoing studies
that have also found that SSRI's may cause either a delay of
sexual climax in many people. Because of this side effect, drug
companies have been developing SSRI medication that is
specifically targeted to treat premature ejaculation.
Currently, there are five SSRI drugs currently available on the
market today. They are Citalopram (Celexa), Fluoxetine
(Prozac), Fluvoxamine (Luvox), Paroxetine (Paxil) and
Sertraline (Zoloft)
Monoamine Oxidase Inhibitors
or MAOI's were some of the first antidepressant medications
developed. The MAOI's work with the monoamine oxidase enzyme
controlling substances associated with the break down of
serotonin and norepinephrine. This allows the neurotransmitters
responsible for mood in the brain to better assist brain cells
in sending messages for longer periods than are usual in a
depressive mind.
MAOI's are no longer
first-line antidepressants because of their history of having
fatal interactions with other medications, including cold
pills. That is why patients taking MAOI's must avoid foods,
drinks, and medications that are considered interactive with
the said medication. Examples of MAOI medications include
Phenelzine (Nardil) and Tranlycypromine (Parnate).
Tricyclic antidepressants or
TCA's are seldom being used today for depression treatment due
to the many side effects that they can cause. These medications
work by inhibiting the nerve cell's ability to reuptake
serotonin and norepinephrine.
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