Impact of Drug Tolerability on the Selection of Antidepressant Treatment in Patients With Major Depressive Disorder
Abstract
Despite significant progress in the development of antidepressant therapies, tolerability remains an important factor associated with the selection of appropriate antidepressant treatment. Side effects commonly reported by depressed patients taking antidepressants include weight gain, sexual dysfunction, and gastrointestinal effects. Tolerability issues associated with antidepressants can negatively impact treatment outcomes for patients with major depressive disorder. In addition, a drug's tolerability profile substantially influences a physician's choice of specific antidepressant therapy. Despite the availability of many antidepressants, empirical clinical evidence to guide physicians in making the best choice is limited and not always clear. Thus, it is key for clinicians to understand the short- and long-term outcomes and side effect profiles of the available antidepressants.
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Although sexual dysfunction has been reported with all classes of antidepressants, SSRIs are associated with higher rates.
“Although sexual dysfunction has been reported with all classes of AD (549), SSRIs are associated with higher rates (550-552).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [552]
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Maj, M., Ïðåçèäåíò, È., Tasman, A., & Herrman, H. (2011)
- Authors
- Ginsberg, L. D.
- Corresponding author
- Ginsberg, Lawrence D.
- Venue
- CNS Spectrums
- Publisher
- Cambridge University Press (CUP)
- Published
- 2009
- Volume
- 14
- Issue
- S12
- Pages
- 8-14
- ISSN
- 1092-8529 (ISSN-L)
- 2165-6509
- OpenAlex
- W2408397345
- Cited by
- 19
- References
- 35
- Citations by year
- 2026: 1 · 2024: 1 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 1
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CNS Spectrums (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- antidepressant tolerability, major depressive disorder, antidepressant selection, antidepressant side effects, weight gain, sexual dysfunction, gastrointestinal effects, treatment outcomes
- MeSH terms
- Adult, Antidepressive Agents, Choice Behavior, Major Depressive Disorder, Drug Tolerance, Female, Gastrointestinal Diseases, Humans, Quality of Life, Sexual Dysfunction, Physiological, Weight Gain
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