Do antidepressants work long-term?

Long-term—even indefinite—use of antidepressants may be the best treatment for someone with multiple past episodes of depression, especially if they have a history of suicide attempts or have residual symptoms, like sleep problems, says Dr. Potash. Dr.
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Are antidepressants effective long term?

Yes. Multiple, placebo-controlled studies and meta-analyses have shown that, on average, antidepressants are significantly more effective than placebo, in the acute treatment of major depressive disorder (MDD).
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Can you stay on antidepressants for life?

MYTH: Once on antidepressants, I'll be on them for life. FACT: Not true. A general rule clinicians often use is that a person should be treated with antidepressants at least one-and-a-half times as long as the duration of the depressive episode before they can begin to be weaned off.
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What happens if you take antidepressants for years?

Those who had used antidepressants for >3 years reported more severe side effects, including “weight gain”, “addiction”, “feeling not like myself ”, “withdrawal symptoms”, and “suicidality”, than those who had been on antidepressants for ≤2 years.
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Can antidepressants stop working after long term use?

Answer From Daniel K. Hall-Flavin, M.D. When depression symptoms improve after starting an antidepressant, many people need to continue taking medication long term to prevent symptoms from returning. However, in some people, a particular antidepressant may simply stop working over time.
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How Long Should You Use Antidepressants?



Do antidepressants lose effectiveness?

If you feel like your antidepressant has stopped working, you're not alone. It's common for a medication that once worked wonders to become ineffective, especially if you've been taking it for a long time. Symptoms return for up to 33% of people using antidepressants — it's called breakthrough depression.
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Does your brain go back to normal after antidepressants?

"The fact that antidepressant withdrawal can be so prolonged suggests that the drug has changed the brain and that those changes are taking a very long time to return to normal and it may be the case that sometimes they don't go back to normal."
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Do antidepressants heal the brain?

Scientists have long known that SSRIs rapidly increase the available amount of the neurotransmitter serotonin, leading to changes that go well beyond brain chemistry: Research suggests the drugs help reverse the neurological damage associated with depression by boosting the brain's innate ability to repair and remodel ...
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Are antidepressants worth it?

In other words, antidepressants improved symptoms in about an extra 20 out of 100 people. Antidepressants can also relieve long-term symptoms of chronic depressive disorder (dysthymia) and chronic depression, and help make them go away completely. An antidepressant can already have an effect within one or two weeks.
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How do you know when to go off antidepressants?

Your doctor might recommend stopping your antidepressant if: You're feeling better, and you and the doctor agree that it's time to stop. You have been taking the medicine for at least 6 months.
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How long should someone be on antidepressants?

Clinicians usually recommend that people continue taking antidepressants for about six months after they begin feeling better. Although it is tempting to stop taking the medication as soon as you feel better, abruptly stopping will greatly increase your risk of relapse.
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Can you feel happy on antidepressants?

They will help you feel like yourself again and return to your previous level of functioning. (If a person who isn't depressed takes antidepressants, they do not improve that person's mood or functioning - it's not a "happy pill.") Rarely, people experience apathy or loss of emotions while on certain antidepressants.
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Do antidepressants affect intelligence?

Serretti et al. showed that using SSRIs even in healthy individuals leads to cognitive impairment [25]. The memory loss caused by SSRIs has not yet been convincingly explained; however, serotonin appears to play an important role in learning and memory [26].
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What is the best long term antidepressant?

The most effective antidepressants for adults revealed in major...
  • escitalopram.
  • paroxetine.
  • sertraline.
  • agomelatine.
  • mirtazapine.
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Why do people come off their antidepressants?

People might also wish to stop taking antidepressants because: the medication is too costly. they feel as though they have recovered sufficiently. a medical professional has advised them to stop.
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Do antidepressants do more harm than good?

Our review supports the conclusion that antidepressants generally do more harm than good by disrupting a number of adaptive processes regulated by serotonin. However, there may be specific conditions for which their use is warranted (e.g., cancer, recovery from stroke).
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What are the disadvantages of antidepressants?

SSRIs and SNRIs
  • feeling agitated, shaky or anxious.
  • feeling and being sick.
  • indigestion and stomach aches.
  • diarrhoea or constipation.
  • loss of appetite.
  • dizziness.
  • not sleeping well (insomnia), or feeling very sleepy.
  • headaches.
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What are the cons of taking antidepressants?

Common side effects in this class may include:
  • blurred vision.
  • heart toxicity in those at risk.
  • constipation.
  • dizziness.
  • dry mouth.
  • fatigue or drowsiness.
  • increased heart rate.
  • increased appetite and weight gain.
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Can antidepressants rewire your brain?

“It appears that SSRI antidepressants rewire areas of the brain that are important for thinking and feeling, as well as operating the autonomic nervous system,” said Koliatsos. Axons are long, filament-shaped extensions of neurons that, together with myelin, are the main constituents of nerves.
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Do antidepressants get rid of anxiety?

If you have a form of anxiety or phobia, an antidepressant could help you feel calmer and more able to deal with other problems. It could also help you feel more able to benefit from other anxiety treatments, such as cognitive behavioural therapy (CBT).
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What happens to your brain when you stop taking antidepressants?

Quitting an antidepressant suddenly may cause symptoms within a day or two, such as: Anxiety. Insomnia or vivid dreams. Headaches.
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Do antidepressants damage the brain?

We know that antipsychotics shrink the brain in a dose-dependent manner (4) and benzodiazepines, antidepressants and ADHD drugs also seem to cause permanent brain damage (5).
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How can I increase serotonin levels naturally?

Exercise: Regular exercise can have mood-boosting effects. A healthy diet: Foods that can increase serotonin levels include eggs, cheese, turkey, nuts, salmon, tofu, and pineapple. Meditation: Meditating can help relieve stress and promote a positive outlook on life, which can greatly boost serotonin levels.
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Do antidepressants cause dementia?

Certain antidepressants and bladder medications are linked to increased risk of dementia, according to new University of East Anglia research funded by Alzheimer's Society and published today in the British Medical Journal.
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Can you build up a tolerance to antidepressants?

“If you've been on an antidepressant for a long time, your body may develop a tolerance,” notes Hullett. As a result, a medication that once worked well at quelling your sadness, anxiety, and other symptom no longer has that power. Sometimes, Hullett says, increasing the dose under supervision by your doctor may help.
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