My Antidepressant Makes Me Tired — What Can I Do? - Page 2 of 2

Antidepressants may produce fatigue, which is significant if it occurs often. It's unhelpful for many, particularly those with depressive weariness. Ninety percent of depressed people are tired. Who wants side effects that double fatigue? No one!

Antidepressants include Selective Serotonin Reuptake Inhibitors (SSRIs), Norepinephrine & Dopamine Reuptake Inhibitors (NDRIs), Tricyclic Antidepressants (TCAs), Monoamine Oxidase Inhibitors (MAOIs), and Serotonin & Norepinephrine Reuptake Inhibitors (SNRIs).

Antidepressants That Cause Fatigue

SSRIs help your brain manufacture enough serotonin, so doctors usually start therapy with these. SNRIs are administered when your brain needs more serotonin. They block serotonin and norepinephrine reabsorption, thus their name. Not all of them produce weariness.

TCAs may cause significant tiredness. This medicine reduces pain and improves sleep, so fatigue is common.

TCAs have secondary and tertiary amines. Desipramine and nortriptyline inhibit norepinephrine reuptake better than amitriptyline and doxepin. Secondary amine TCAs induce less tiredness. Amitriptyline and doxepin are other insomnia remedies.

Older antidepressants have more severe adverse effects. If you use Elavil, Asendin, Sinequan, Anafranil, or Surmontil and have weariness, dry mouth, disorientation, bladder difficulties, or a racing heart, tell your doctor.

MAOIs cause extreme drowsiness. All MAOIs—Nardil, Parnate, Emsam, and Marplan—cause tiredness. MAOIs and TCAs have more severe side effects, yet your doctor may recommend them. This may increase weariness.

Trazodone and mirtazapine are also sleep aids. If you wish to avoid weariness, avoid the most sedating antidepressants.

Why Do Antidepressants Cause Fatigue Anyway?

Histamine, acetylcholine, norepinephrine, and serotonin are affected by antidepressants. All of these substances affect sleep and waking cycles. Thus, altering these neurotransmitters in your brain might make you feel more fatigued or alert.

At the beginning of antidepressant therapy, weariness is more prevalent. As your body adjusts to the drug, weariness may decrease. Giving your body time to recover is crucial. Initial sleepiness isn't a problem.

Antidepressants That Don't Make You Tired

Newer antidepressants are less harmful. Prozac, Zoloft, and Wellbutrin are energy-boosting antidepressants (bupropion).

New antidepressants include Wellbutrin. Some modern antidepressants aren't even classified. Atypical antidepressants describe them.

These antidepressants boost dopamine, serotonin, and norepinephrine. Depression reduces neurotransmitters. Antidepressants boost neurotransmitter availability in different ways.

However, other elements decide which antidepressants won't exhaust you. Your doctor can help you figure this out by talking to you openly.

Energizing antidepressants may treat depressive tiredness but not chronic fatigue syndrome.

Ways To Combat The Fatigue

Improve your sleep hygiene: If you still feel tired after the first stage. Daytime sleep might interrupt your night rhythm and make you stay up late. This may cause daytime sleepiness. Find your ideal regimen.
Explore different dosing times: Antidepressants impact everyone differently. Take drowsy medications at night. If it keeps you up, take it in the morning. Always discuss this with your doctor.

Take a cold shower: As awful as this seems, the advantages may surprise you. Cold showers boost energy and reduce depressive symptoms.

Talk with a therapist: Antidepressants ease many symptoms but not all. Psychotherapy may be the best treatment for long-term fatigue. However, combining them may work better for some.

Find an energizing activity: Energizing activities are also good. Listening to music, bird watching, walking, viewing funny videos, drawing, meditating, writing, or soaking up Vitamin D may stimulate you naturally.

Try mood-boosting food: Dopamine-releasing foods are another approach. You can reduce sadness and tiredness with chocolate. Hot chocolate in winter, chocolate shake in summer.

Consider the role of alcohol: Combining antidepressants and alcohol may aggravate sleepiness. To avoid drug interactions, tell your doctor about your alcohol and drug use.
Explore other medications: Change your medications. You may not have discovered the proper therapy for your case. You may need to lower the dose to balance efficacy and adverse effects. Consult your doctor beforehand.

What Antidepressant Is Right For Me?

Unfortunately, this is unanswerable. As said, everything is case-by-case. Finding the correct mental health therapy might take time.

Depending on how your brain reacts to antidepressants, they may cease functioning or become less effective. Long-term antidepressants may need trial and error.

Consider these factors while deciding:

Health conditions: Antidepressants may not function if you have other health issues. Consider any drug interactions.

Particular symptoms: Prioritize conquering certain ailments. Prozac, Paxil, and Celexa are all SSRIs; however, not all are energizing or treat the same symptoms. Prozac energizes Paxil, and Celexa sedate.

Side effects: Note your side symptoms, how intense they are, and what drug they're related to. Self-awareness of your therapy reaction may assist, but it's hard.

Insurance coverage: Not all insurance policies cover antidepressants. Antidepressants are expensive. So, check out what brands and versions your insurance covers and whether they're as effective.

Pregnancy or breastfeeding: During nursing and pregnancy, your antidepressant's safety matters. For moderate depression, experts recommend discontinuing antidepressants. Suicidal individuals should keep going. You must know the dangers to make the best decision for you and your kid.