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The reality of Antidepressants: Managing the side effects

Antidepressants are helpful medications that don’t just help people suffering from depression. Antidepressants also help people suffering from anxiety disorders, panic disorders, mood swings, and more! That’s why it’s important to know the possible side effects, and what you can do to manage them. 

Though there are different forms of antidepressants, each with their own set of side effects, common side effects include:

  • feeling agitated, shaky or anxious

  • feeling and being sick

  • indigestion and stomach aches

  • diarrhea or constipation

  • loss of appetite

  • dizziness

  • not sleeping well (insomnia), or feeling very sleepy

  • headaches

  • loss of libido (reduced sex drive)

  • difficulties achieving orgasm during sex or masturbation

  • difficulties obtaining or maintaining an erection (erectile dysfunction)

  • Suicidal thoughts 

  • Tremors 

  • Weight gain / weight loss

  • Dry mouth 

*Please note: your side effects may not be the same as those of someone else who takes the same medication*

Though antidepressants can cause negative side effects at first, they typically improve over time. Typically, you’ll see your psychiatrist every 2 to 3 weeks at the beginning to check in and see how your body is reacting to the medication. 

We understand that it can seem scary, so we’ve compiled a list of tips to help you manage the side effects better. 

Sexual Side effects

  • Speak to your doctor about your concerns of a lower libido. They may lower your dosage, or switch your medication altogether if it is something that bothers you. 

Weight Gain 

  • Avoid excess sodium, cut back on sugary drinks, eat healthier meals, exercise regularly, and consider talking with a registered dietitian. 

Nausea / stomach problems 

  • Speak with your doctor and describe how the medication makes you feel. Ask them whether or not you are supposed to take your medication with food or water, and at what point during the day. They may recommend cutting back on certain sugary foods and drinks. 

  • If you are suffering from diarrhea or constipation, your doctor may suggest incorporating new foods into your diet. 

Insomnia / Lack of sleep

  • Ask your doctor what time you’re supposed to take your medication: it may be in the morning or before bed. Taking your medication at the wrong time can cause drowsiness. 

  • If you’re taking your medication at the right time and you are still not getting enough sleep, speak with your doctor; they may recommend a natural source of melatonin, or prescribe something that will help you sleep better. Talk to your doctor if your symptoms persist or get worse. 

Dry mouth 

  • Caffeinated beverages and alcohol can make your mouth even drier, so limit your intake or cut them out of your diet completely. Make sure you are drinking plenty of water. 

  • Some extra tips

    • Suck on ice chips 

    • Drink sugar-free beverages 

    • Consider using a humidifier in your room at night 

    • Try over the counter treatment 

Lower alcohol tolerance 

  • Doctors recommend those who are taking antidepressants consume alcohol less frequently and slower as you get used to your new medication. It’s important to note that combining the two can cause a sedative effect. 

Medication isn’t for everyone, and it's not the only available treatment option. But, if you do choose to take medication, remember to take it one day at a time and speak to your doctor about any concerns you may have. Remember, only you know what you’re feeling… trust your gut! 

Luli Marini, Intern for Daily Therapy Dose

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