The medications that are used in major depression treatment are called antidepressants. Today there are a lot of antidepressants that are still used. Being of effective of medications generally takes time.
Waiting at least 4-8 week is necessary to understand if any of the medications is effective or not. Unless full dose isn’t used at least 4 week, it won’t be understood if an antidepressant is effective or not.
A major depressive person must take the medicine six more months after recovery. If this while isn’t completed, its recurrence is excessive. The medication that is used for treatment in the first stage, is used as protector then. That, prevention is important. Although this while is six months, It depends on the situation of the illness.
Please don’t take these medicines that are used in major depressive disorder. If you have the indicators of major depressive disorder, apply for professionalism.
Selective serotonin reuptake inhibitors (SSRI)
- Citalopram 20-60 mg
- Escitalopram (Cipralex) 10-20 mg
- 50-300 mg of fluvoxamine Fluvoxamine (100-300 mg Controlled oscillation)
- 20-50 mg of paroxetine Paroxetine (controlled release) from 21.5 to 62.5 mg fluoxetine
- 20-80 mg Fluoxetine 90 mg weekly
- Sertraline (I lustral) 50- 200 mg
Serotonin noradrenaline reuptake inhibitors (SNRI)
- Duloxetine 40-60 mg
- Venlafaxine 75-375 mg
- 37.5-225 mg of extended-release venlafaxine
- Desvenlafak get 50 mg
- Trazodone 150-400 mg
Dopamine – norepinephrine reuptake inhibitors
- Bupropion (Zyban) 200-450 mg
- Bupropion SR 150-400 mg
- Bupropion XL 150-450 mg
- Amitriptyline (Laroxyl) 50-200 mg
- 75-150 mg of nortriptyline
- Desipramine 100-300 mg
- 25-300 mg of doxepin
- Trimipramine 50-200 mg
- imipramine (Tofranil)75-200 mg
- Protriptyline 15-60 mg
- Maprotiline 75-200 mg
- Mirtazapine (Remeron) 15-45 mg
Monoamine oxidase (MAO) inhibitors
- 6-12 mg of selegiline
- C isocarboxazid 10-60 mg
- Phenelzine c 45-90 mg
- Tranylcypromine 10-30 mg
— Because SSSRI’S tolerance is easier,it is preferred in first line.
— For most of ill people, nortriptyline, bupropion, and venlafaxine are the appropriate choices
— MMO inhibitors have serious side effects and dietary restrictions. When any of the treatment don’t be useful, ıt could be used.
— After the pharmacological treatment starts, If there is no response in the 6-8 week,ill must be send to mental health center.
— Old people mustn’t take amitriptyline, imipramine, and doxepin because they have cardiotoxic effects.