There are so many antidepressants

iVillage Member
Registered: 06-25-2008
There are so many antidepressants
Tue, 04-22-2014 - 2:15pm

Are they that different in how they work? How does the doctor determine which one is right for you?


Avatar for sabrtooth
iVillage Member
Registered: 12-03-1999
Tue, 04-22-2014 - 5:43pm

You are right.  There are a mountain of psychoactive drugs, and they all have serious, and sometimes potentially fatal side effects.  Which is the reason you should get treated by a good psychiatrist who has an excellent knowledge of meds, or even a psych who uses a psychopharmacologist.  A good psychiatrist will be familiar with the side effects of the various drugs, and will also understand YOU.  That way, they will be able to choose the drug that is the most effective for your particular set of symptoms, with the fewest side effects.    However, as in all things, there are good drs, and not-so-good ones.  There are drs who are very up to date, and care about continuing education, and those who do not.  So before you put a pill in your mouth, do your own research, and bring your questions to the Pdoc.  Ask about the side effects, the ability to get OFF the drug, the withdrawal, wether or not you have to ramp up, and wean down, etc. 

And IMHO, if a dr wanted to put me on a drug like Cymbalta, Abilify or Lyrica, I would ask them to justify the risk.  If they didn't have a EXCELLENT answer--like I was psychotic, severely suicidal, or the health risk was preferable to the way I was living now-- I would both refuse the drug, and find a new dr.

Avatar for sunset5000
Community Leader
Registered: 10-10-2007
Tue, 04-22-2014 - 7:01pm

That is a good question, Brenda!

I am not a doctor and I wish I had a answer for you.

May I ask, have you been on different medications and are trying to find one that will work?

Please feel free to ask more questions.  Maybe I can help more ..... don't want to assume anything.

That really is a good question I am now going to think about :)

Community Leader
Registered: 10-22-2001
Fri, 05-02-2014 - 10:56pm

Sometimes by trial and error...I am on new one from what I started on...Sometimes they have to adjust which one or the dosage...Usually it also involves taking a history of other medication that you are taking and your medical history.