Antidepressant Medication Table (Adults)
|
Name (Brandname) |
Start dose |
Initial target dose |
Max dose |
Sedation |
QT |
Weight Gain |
Sexual |
Comments |
---|---|---|---|---|---|---|---|---|---|
SSRI |
Citalopram (Celexa) |
10 |
20 |
40 |
0 |
1+ |
1+ |
3+ |
Watch for QTc prolongation if >40 mg daily |
|
Escitalopram (Cipralex) |
5 |
10 |
20 (30*) |
0 |
1+ |
1+ |
3+ |
S-isomner of Citalopram |
|
Fluoxetine (Prozac) |
10 |
20 |
80 |
0 |
1+ |
1+ |
3+ |
Long half-life useful for teenagers; however, caution in elderly |
|
Sertraline (Zoloft) |
25 |
50 |
200 |
1+ |
0-1+ |
1+ |
3+ |
May be used in panic disorder; consider in postpartum |
|
Paroxetine (Paxil) |
10 |
20 |
50 |
1+ |
0-1+ |
2+ |
4+ |
Short half-life; watch for discontinuation syndrome |
|
Vortioxetine (Trintellix) |
5 |
10 |
20 |
0 |
0 |
0 |
0-3+ |
Sexual side effects are dose dependent |
|
Fluvoxamine (Luvox) |
50 |
100 |
300 |
1+ |
0-1+ |
1+ |
3+ |
Significant GI side effects |
SNRI |
Venlafaxine XR (Effexor) |
37.5 |
75 |
225 (300*) |
1+ |
1+ |
0 |
3+ |
May increase blood pressure! Watch for discontinuation syndrome |
|
Desvenlafaxine (Pristiq) |
50 |
50 |
100 |
1+ |
0 |
0 |
3+ |
May increase blood pressure! Watch for discontinuation syndrome |
|
Duloxetine (Cymbalta) |
30 |
60 |
120 |
0 |
0 |
0 |
3+ |
Also approved for several pain conditions |
NDRI |
Bupropion XL (Welbutrin) |
150 |
300 |
300 (450*) |
0 |
1+ |
0 |
0 |
Avoid in those prone to seizures and in eating disorder |
NaSSA |
Mirtazapine (Remeron) |
30 |
30 |
45 |
4+ |
1+ |
4+ |
1+ |
Significant sedation and increased appetite. |