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Related Concept Videos

G-protein Coupled Receptors01:21

G-protein Coupled Receptors

G-protein coupled receptors are ligand binding receptors that indirectly affect changes in the cell. The actual receptor is a single polypeptide that transverses the cell membrane seven times creating intracellular and extracellular loops. The extracellular loops create a ligand specific pocket which binds to neurotransmitters or hormones. The intracellular loops holds onto the G-protein.
Depression: Overview01:18

Depression: Overview

Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
Antidepressant Drugs: Overview01:25

Antidepressant Drugs: Overview

Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs01:28

Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs

Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
Antidepressant Drugs: MAOIs and Other Agents01:23

Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...

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Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
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Guidelines for treating depression using non-selective serotonin reuptake inhibitors

D J Withersty1, J R Vanin

  • 1Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, USA.

The West Virginia Medical Journal
|February 9, 1999
PubMed
Summary

Selective Serotonin Reuptake Inhibitor (SSRI) antidepressants are common, but non-SSRI options offer distinct benefits for depression treatment. This review provides guidance for selecting the most appropriate antidepressant category for patients.

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Area of Science:

  • Pharmacology
  • Psychiatry
  • Clinical Medicine

Background:

  • Selective Serotonin Reuptake Inhibitors (SSRIs) are widely prescribed for depression.
  • Non-SSRI antidepressants present alternative therapeutic options.
  • Choosing the optimal antidepressant is crucial for patient outcomes.

Purpose of the Study:

  • To review the literature on SSRI and non-SSRI antidepressants.
  • To provide guidelines for selecting between these antidepressant classes.
  • To inform clinical decision-making in depression treatment.

Main Methods:

  • Literature review of antidepressant efficacy and safety.
  • Comparative analysis of SSRI and non-SSRI mechanisms.
  • Synthesis of clinical guidelines for antidepressant selection.

Main Results:

  • SSRIs are effective but may have limitations for some patients.
  • Non-SSRI antidepressants offer different side effect profiles and efficacy.
  • Guidelines aid in tailoring treatment to individual patient needs.

Conclusions:

  • Both SSRIs and non-SSRI antidepressants are valuable tools.
  • Patient-specific factors should guide the choice of antidepressant.
  • Informed selection enhances depression treatment effectiveness.