Choosing the best antidepressant

[David Baxter PhD]

Choosing antidepressants
By Gabrielle J. Melin, M.D., Mayo Clinic
March 4, 2009

Is one antidepressant medication better than another? Multiple studies have addressed this question, but getting an accurate answer is difficult. Human beings aren't exactly alike. How one medication affects one person may not affect another the same way. Therefore, concluding that one group of people studied benefited from a medication doesn't mean that all people that take the drug will benefit. So, what's the take-away message? Consider these points:

• There isn't one medication that's clearly superior to others
• Antidepressants take weeks to get the full benefit
• All medications have potential side effects
• Discuss with your health care provider about the best medication for you
• The correct diagnosis is important
• Other medications taken can affect the choice of antidepressant chosen in order to avoid potential interactions
• Other medical illnesses can affect the choice of antidepressant chosen. For example, having chronic diarrhea may prevent you from being able to take certain antidepressants

Should you immediately call your health care provider to switch to a new medication you saw on a television ad? I don't think so. I think it's worth having a discussion with your provider about medication and treatment options, as well as the risks and benefits. Be informed and ask questions. Always aim for your best health!