Ssri medication comparison [135] A 2006 review suggests that the widespread use of antidepressants in the new "SSRI-era" appears to have led to a highly significant decline in suicide rates in most countries with traditionally high baseline suicide rates. Premenstrual dysphoric disorder(PMDD) Fluoxetine is See more For example, a 2020 research study found that SSRIs and selective serotonin noradrenaline reuptake inhibitors (SNRIs) are equally effective in treating depression. It also has fewer drug interactions, which can be helpful if you’re taking other medications. SSRIs also are used for anxiety. [Google Scholar]; **An influential report finding that placebo-response in published trials of Medication FDA Indications Dosing Side Effects Drug-Drug Interactions Comments SSRIs* Fluoxetine (Prozac) Major Depressive Disorder OCD PMDD Bulimia Nervosa Panic Disorder Bipolar Depression (in combo with Olanzapine) STARTING: Start 10mg-20mg PO QAM Increase dose by 10mg-20mg/day every 2-4 weeks Max Dose 80mg/d (some pts require 120mg/d) These medications block primarily the 5-HT 2 receptor and inhibit reuptake of 5-HT and norepinephrine. This guide summarizes clinical research comparing the effectiveness and safety of commonly used antidepressants for adults with major depression. 85–2. Drug class: tetracyclic antidepressants For consumers: dosage, interactions, side effects For professionals: Prescribing Information: Expand current row for information about Wellbutrin SR Wellbutrin SR RxFiles Drug Comparison Charts rxfiles. CYP2D6 SSRI medications to ADRs tested in this study. Its relative disease burden is pronounced in high- and middle-income countries and it is also a major cause of disease burden in low-income countries (Andrews and Titov, 2007; Kessler et al. Antidepressant Drug Interactions. live with one. However, compared to other SSRIs, Celexa has a higher risk of QT Selective serotonin reuptake inhibitors (SSRIs) are a widely used type of antidepressant. The researchers analyzed participants' electronic health records and body mass index. Although the selective serotonin reuptake inhibitors (SSRIs) have better overall safety and tolerability than older antidepressants, broad-based experience with SSRIs has shown the frequency and type of side effects to be increased relative to clinical trial data. A biopsychosocial and lifestyle approach should be used when managing depression. : Randomized, placebo-controlled These pharmacological properties highlight the relevance of studying individual SSRIs in comparison with the rest. Antidepressant medications are often used to treat symptoms of Compare Mirtazapine vs Sertraline head-to-head with other drugs for uses, ratings, cost, side effects and interactions. Divide dose above 150 mg Watch for drug-drug interactions: Paroxetine (Paxil) 10: 20: 50: 1+ 1+ 1+ 2+ 0 to 1+ 1+ 2+ 4+ Short half-life; watch for discontinuation syndrome Avoid The statistical comparison of trials rated as ‘low’ ‘unclear’ or ‘high’ risk of publication bias revealed no significant differences in overall effect size based on trial quality (p = 0. SSRIs are a type of antidepressant. It is often prescribed off label to treat conditions other than depression including panic disorder and obsessive-compulsive disorder. While this may seem like an insurmountable hurdle, there is hope in that several compounds, including neurosteroids, neuropeptides, and phytochemicals (herbal 1. See information about popular Ssris, including the conditions they treat and alternatives available with or Compare antidepressants to help find what is best for you. Treatment-Resistant Depression Chart. Fluoxetine (Prozac) was approved in 1987, making it the oldest SSRI available in the U. : A comparison of low-dose risperidone to paroxetine in the treatment of panic attacks: a randomized, single-blind study . Many types of antidepressants are available to treat depression, including: Selective serotonin reuptake inhibitors (SSRIs). Results of 40 statistically significant selective serotonin reuptake Gammal RS, Whirl-Carrillo M, Klein TE, Relling MV, Guchelaar HJ. Rodrigo Machado-Vieira. 93). Depression in bipolar 1 disorder 6. See information about popular Ssris, including the conditions they treat and alternatives available with or without insurance. g. Proven second-line treatments include the tricyclic clomipramine and the addition of low-dose neuroleptic medications. Comparison of the guidelines of the clinical pharmacogenetics implementation consortium and Objectives: To compare the therapeutic effect of 6 SSRIs among the Chinese senile depression patients. Several algorithms are available to guide the clinician during the patient’s treatment, particularly the recently updated Texas Department of State Health Services . The use of antidepressant medications in the United States has increased fivefold since the introduction of selective serotonin reuptake inhibitors (SSRIs) in the late 1980s. They're mainly prescribed to treat depression, particularly persistent or severe cases, and are often used in combination with a talking therapy such as cognitive behavioural therapy (CBT). This medicine can be used as a single therapy or together with other oral antidepressant medications. patients seen in primary care do not require drug therapy. Zuranolone is taken once a day in the evening, with fatty food, for 14 days (two weeks). SSRIs are usually the first choice medicine for depression because they generally have fewer side effects No difference risk of suicide attempts was detected between SSRIs versus tricyclic antidepressants. Health professionals believe that antidepressants work by increasing the activity of neurotransmitters. Δ Based upon reports of dose-related QTc prolongation The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. SSRIs increase the However, the administration of 2 or more serotonergic drugs or an overdose of 1 agent can cause the serotonin syndrome, a potentially life-threatening disorder characterized by myoclonus, hyperreflexia, sweating, shivering, incoordination, and mental status changes. Antipsychotics. Serotonin modulators have antidepressant and anxiolytic effects but do not cause sexual dysfunction. Compare Mirtazapine vs Sertraline head-to-head with other drugs for uses, ratings, cost, side effects and The Timing of Antidepressant Effects: A Comparison of Diverse Pharmacological and Somatic Treatments. Divide dose above 150 mg Watch for drug-drug interactions: Paroxetine (Paxil) 10: 20: 50: 1+ 1+ 1+ 2+ 0 to 1+ 1+ 2+ 4+ Short half-life; watch for discontinuation syndrome Avoid Studies of newer agents have been hampered by flawed study designs such as lack of controls or using placebos instead of comparison to established medications such as SSRIs or benzodiazepines. Most Duloxetine to SSRI If duloxetine <60 mg/day, stop it and start SSRI at a therapeutic dose. active benzodiazepine comparison arms were included. 5–21. Although several studies have reviewed the suicidal risk of antidepressants, the conclusions remain inconsistent. It captures all NHI drug prices (brand name and standard unit) published in accordance with the government’s official notice. This drug is sold as a mixture of 50% R-citalopram and 50% S-citalopram. Despite their differences, some information applies to all antidepressants. This study was a randomized Though many drugs have been tried, only a few antidepressants have succeeded in pediatric depression. Many . These are typically used at higher doses and for longer periods than in depression. SSRIs work by blocking the reuptake of serotonin, while SNRIs block the uptake of both serotonin and norepinephrine. Here are a few examples: Effectiveness: Both SSRI and SNRI medications have shown efficacy in treating various mental health conditions such as depression, anxiety, and obsessive-compulsive disorder. 51). The sample size permitted by using search engine “big data” provides adequate power to detect even subtle, but potentially clinically important, differences between same-class drugs, which would be The selective serotonin reuptake inhibitors (SSRIs) are the main stay of pharmacological treatment. Serotonin modulators include. This is another SSRI drug Choosing an antidepressant. Difference Between SSRIs and SNRIs . These lists include the most common side effects and uses for each drug, as well as examples of each. Read about common SSRIs, SNRIs, and atypical antidepressants including side effects, how they work, and where It's natural to feel torn between antidepressant medications, given similar “worth it” scores and other factors. ‘Dual-acting’ antidepressants that target more than one neurotransmitter system, such as the serotonin noradrenaline reuptake inhibitors (SNRIs) and tricyclics, are more This comparison presents the meta‐analysis of primary outcomes (reduction in symptoms and treatment responders) for included studies across all five SSRI drugs, together with a meta‐analysis for each SSRI drug individually, and sub‐group and sensitivity analyses across combined SSRI drugs. Treatment with SSRI medications was associated with a significantly greater improvement in depressive symptoms (–48. The fact sheets summarize the indications, treatment guidelines, and adverse reactions and risks of each drug class. effective for depression. Evidence-based treatments such as psychological therapies and antidepressant drugs are . 44, Objective: Psychotropic drugs often induce weight gain, leading to discomfort and discontinuation of treatment and, more importantly, increasing the risk of obesity-related illnesses such as diabetes mellitus, hypertension, and coronary heart disease. We, therefore, performed a meta-analysis of observational studies to address the association between exposure to antidepressants, especially selective serotonin reuptake inhibitors (SSRIs) and the risk of suicide and suicide attempt in children The efficacy of antidepressant drugs has been confirmed in a network meta-analysis. The Bech and colleagues meta-analysis , which included RCTs comparing fluoxetine and TCAs, considered only RCTs from the fluoxetine manufacturer’s (Eli Lilly) database, and did not include head-to-head comparisons with other SSRIs or studies This resource is part of the Pharmacy Prescribing and Billing toolkit. For your convenience, related resources are listed below. It’s approved to treat: 1. Hypersexuality. And drug-induced nausea leads to low compliance in elderly depression patients in China, it is urgent to assess the safety of 6 SSRIs with respect to induced-nausea among the Chinese senile depression patients. And selective serotonin reuptake inhibitors are a first-choice treatment option for many people. 7%) relative to Figure 1: Structures of antidepressant medications that have been systematically evaluated in patients with generalized anxiety disorder (GAD). factsandcomparisons. All drugs listed are approved specifically for major Abstract Objectives. If duloxetine ≥ 60mg daily, consider tapering to a lower dose before stopping it and starting the Compare the cost of prescription and generic Ssris medications. Table of Contents Indices Chart Pearls. SSRIs include medications like fluoxetine (Prozac) and sertraline (Zoloft), among others. Log in Antidepressant Comparison Chart – Types of Antidepressants. These are some of the most common antidepressants. The medications included in this guide are the selective serotonin reuptake inhibitors (SSRIs) and other agents approved for depression in the United Sta Antidepressant side effects can range from mild discomfort to severe impacts on your daily life. Angina. These antidepressants can ease depression symptoms. Duration: 14 days. Panic disorder 5. ca/charts. https://fco. Only levomilnacipran was not directly compared with at least another active drug in any of the networks. However, compared to other SSRIs, Celexa has a higher risk of QT Watch for drug-drug interactions: Fluvoxamine (Luvox) 50: 100: 300: 0: 1+ 1+ 1+ 0 to 1+ 2+ 1+ 3+ Significant GI side effects Dosages up to 150 mg can be given at night. Serotonin norepinephrine reuptake inhibitors: A pharmacological comparison Interaction between HYDRA dimensions and treatment outcomes. In exploring differences within the SSRI drug class, our work provides the potential for uncovering previously undetected differences between same-class drugs. U. Those are fluoxetine, escitalopram, citalopram, and sertraline, although they actually have a mix of positive and Antidepressants are a common treatment option for depression and other mental health conditions. RETURN TO TOP Heart Failure. Major depressive disorder(MDD) 2. 1 Experimental Therapeutics, Currently available antidepressant medications all exhibit a delayed onset of antidepressant response, resulting in considerable morbidity, disruption to personal, professional, family, and In comparison to other antidepressants on the market, it ranked fifth overall in effectiveness and fourth in cost-effectiveness. Skip to main content. These antidepressants generally cause fewer bothersome side effects and are less likely to cause problems at higher therapeutic doses than other types of antidepressants. Divide dose above 150 mg Watch for drug-drug interactions: Paroxetine (Paxil) 10: 20: 50: 1+ 1+ 1+ 2+ 0 to 1+ 1+ 2+ 4+ Short half-life; watch for discontinuation syndrome Avoid Selective serotonin reuptake inhibitors (SSRIs) are a class of drugs that are typically used as antidepressants in the treatment of major depressive disorder, anxiety disorders, and other psychological conditions. Disclaimer: Popularity is based on total prescriptions for the brand and generic versions of each drug, regardless of the condition being treated. , 2009), which suggests that BDNF expression may mediate the action of antidepressants. Their advice will be made specific to your needs and SSRI antidepressants Selective serotonin reuptake inhibitors (SSRIs) help treat certain mental illnesses. Support booklet for motivating patients to taper their benzodiazepine Compare risks and benefits of common medications used for Major Depressive Disorder. Besides inconsistencies among randomised controlled trials (RCTs), their risks of bias and evidence grading have seldom been evaluated To sum up, the comparison between SSRI and SNRI medications reveals some key differences and considerations. These include depression, anxiety, panic attacks and social phobia. And while they can be a helpful mental-health treatment, there are also SSRI side In general, antidepressant medications have been shown to be equally efficacious; therefore, medication choice should be based on adverse effects, drug interactions, safety, and patient preferences. Johns Hopkins Medicine. Mental health conditions are common — roughly 1 in 5 adults in the U. SSRI antidepressants are a type of antidepressant that have been shown to increase levels of serotonin within the brain. Pediatric Depression. FDA Drug Safety Communication: Selective serotonin reuptake inhibitor (SSRI) antidepressant use during pregnancy and reports of a rare heart and lung 1. Suicidality in children and adolescents treated with antidepressants. Bulimia 4. Elsevier; 2024. 72 A head-to-head comparison of these two classes in the large population-based Coupland cohort study confirmed this by showing lower HR for TCAs than for SSRIs (1:1. 11 The serotonin syndrome can be distinguished from other SSRI-induced side effects by the clustering of antidepressant medication (ADM) in comparison with psychological treatment? BACKGROUND Depressive disorder is a highly prevalent and disabling disorder. However, another group of experts Compare Antidepressants: differences and similarities of Selective Serotonin Reuptake Inhibitors (SSRIs), comparison of effectiveness, side effects, drug interactions, This table shows which side effects are seen with different antidepressants. The exact agent chosen will vary depending This is a complete list of clinically approved prescription antidepressants throughout the world, as well as clinically approved prescription drugs used to augment antidepressants or mood stabilizers, by pharmacological and/or structural classification. Benzodiazepines in Anxiety Patient Booklet. Request appointment. 6) have a higher risk than TCAs (OR: 1. Methods Criteria for considering studies for this review Types of studies. Insomnia. This article contains information about frequently prescribed antidepressant medications from the National Institute of Mental Health and MedlinePlus. All patients should receive education about Antidepressants are drugs prescribed to help treat depression and other mental health conditions. 3 Each antidepressant was compared with other antidepressants using data from randomised placebo-controlled trials. For example, antidepressants help treat obsessive-compulsive disorder, social phobia, panic disorder, generalized anxiety disorder (GAD), and post-traumatic stress disorder (PTSD). They typically cause fewer side effects than other antidepressants do. While antidepressants may be the drug of choice for depression, they also have FDA approval as treatments for other medical disorders. There is evidence that antidepressant drugs may induce a variable amount of weight gain, but results are sparse and Side effects of antidepressant medications [1-7] Drug: Anticholinergic: Drowsiness: Insomnia/ agitation: Orthostatic hypotension: QTc prolongation * Gastrointestinal toxicity: Weight gain: ¶ All SSRIs and SNRIs can cause transient nausea and gastrointestinal discomfort when starting therapy or increasing dose. Other drugs that should be avoided with MAOIs are Watch for drug-drug interactions: Fluvoxamine (Luvox) 50: 100: 300: 0: 1+ 1+ 1+ 0 to 1+ 2+ 1+ 3+ Significant GI side effects Dosages up to 150 mg can be given at night. In: Rang and Dale's Pharmacology. Treatment Antenatal use of antidepressants and the potential risk of teratogenicity and adverse pregnancy outcomes: Selective serotonin reuptake inhibitors; Discontinuing antidepressant medications in adults; Drugs that affect bone metabolism; Effect of antidepressants on suicide risk in adults; Effect of antidepressants on suicide risk in children and All antidepressant drugs, except milnacipran, had at least one placebo-controlled trial. In this article we concentrate on issues that need to be taken into account when selecting one of the five SSRIs marketed in To compare the efficacy and safety of available selective serotonin reuptake inhibitors (SSRIs) in order to find the most effective drug with the least number of side effects in treatment of premature ejaculation (PE). Zoloft or Cymbalta vs. S. Interactions with other medicines and supplements. Watch for drug-drug interactions: Fluvoxamine (Luvox) 50: 100: 300: 0: 1+ 1+ 1+ 0 to 1+ 2+ 1+ 3+ Significant GI side effects Dosages up to 150 mg can be given at night. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. Other drugs that should be avoided with MAOIs are: Johns Hopkins Medicine. Skip to content. Our page compares them by type, what form they're available in, dietary considerations and more. 5-year CVD Assessment Tool. Effexor are common medications people tend to compare. A closer look at managing inadequate treatment response, BDNF increases have been reported to follow the administration of antidepressant drugs (Czubak et al. Overall, Celexa seems to be one of the best-tolerated SSRIs for many people. Celexa. The database allows easy access to nearly 40 years' worth of NHI drug price data from the Insurance Drug Introduction There have been inconsistent findings from randomised controlled trials (RCTs) and systematic reviews on the efficacies of selective serotonin reuptake inhibitors (SSRIs) as the first-line treatment of major depressive disorder (MDD). Bupropion is a unique antidepressant The drugs that are most likely to cause serotonin syndrome when combined with SSRIs are other antidepressants, especially monoamine oxidase inhibitors (MAOIs) and the antibiotic linezolid. com. To help you dispense certain complicated drug classes correctly, we have created pediatric and adult dosing charts as well as fact sheets. has caused priapism (in 1/1000) and, as an alpha-1 noradrenergic blocker, may cause orthostatic (postural) hypotension. SSRIs are typically the first choice of medication prescribed for conditions like depression and anxiety because they have fewer side effects. It tends to cause less weight gain and may have a lower risk of causing insomnia than some SSRIs. Health care providers often start by prescribing an SSRI. Accessed Paxil, in particular, which is an SSRI and pregnancy category D medication can cause congenital defects including defects in the lungs and heart of the developing fetus. The first reports of antidepressant-induced hyponatremia concerned the tricyclic antidepressant class, but most studies suggested SSRIs (OR: 1. If one SSRI doesn't work well for you, a different one may work better. Cardiology. They can also Talking therapies are often used alongside antidepressant medication. The study compared the weight-related effects of sertraline (Zoloft) to seven other antidepressant medications: Dosing information. Antidepressants also have non-FDA-approved, off GoodRx Health. Additionally, the results of the two types of fail-safe N tests suggest that the overall effect size is a robust finding. It is very SSRI’s Drug Price Database SSRI’s Drug Price Database covers all NHI drug prices (including generics) since 1978. ; 9 : 25 [PMC free article] [Google Scholar] 93. Jump to Topic. Learn more. Food and Drug Administration. Describes how to select initial therapy, management of adverse effects, special populations, how to switch antidepressants, how to discontinue antidepressants, and compares all antidepressant classes side by side. Facts & Comparisons eAnswers. For example, Effexor vs. , fluvoxamine was associated with a significantly higher likelihood of searching weight gain compared to all other SSRIs (HRs 1. Chemical/generic names are listed first, with brand names in parentheses. Divide dose above 150 mg Watch for drug-drug interactions: Paroxetine (Paxil) 10: 20: 50: 1+ 1+ 1+ 2+ 0 to 1+ 1+ 2+ 4+ Short half-life; watch for discontinuation syndrome Avoid Difference Between SSRIs and SNRIs . Dose: 50 mg evening. We will Design, Setting, and Participants This retrospective cohort study used propensity score matching by demographic characteristics, comorbidities, and medication indication to compare SSRI-treated patients with matched control patients not treated with SSRIs within a large EHR database representing a diverse population of 83 584 patients diagnosed with COVID-19 Relevant findings of this study include the absence of specific recommendations regarding suicide risk associated with pharmacotherapy in some CPGs [21,24,25]; convergence on SSRIs as first-line antidepressants by all CPGs, aside with indication of some peculiar antidepressants as first-line by two CPGs [22,25]; specific strategies for treatment of a partial response are missing in The selective serotonin reuptake inhibitors (SSRIs) are the most extensively studied of the newer antidepressants and are increasingly being used as first-line treatment for depression (Reference Anderson, Nutt and Deakin Anderson et al, 2000). Differences were found in search behaviors associated with each SSRI. Furthermore, when exercise is combined with antidepressants, BDNF levels were found to increase in as little as two days, compared with two weeks with antidepressants alone ( Russo Antidepressant Drug Comparison Charts. FDA Drug Safety Communication: Selective serotonin reuptake inhibitor (SSRI) antidepressant use during pregnancy and reports of a rare heart and lung condition in newborn babies. E. Some No difference risk of suicide attempts was detected between SSRIs versus tricyclic antidepressants. This decision aid will help you and your clinician find a medication to help with your depression SSRI stands for Selective Serotonin Reuptake Inhibitor. 9). The 14th collected edition of our objective & comparative drug charts. clinicalkey. Doctors most often prescribe the first few – SSRIs, MAOIs, and SNRIs – for everyday depression. Obsessive-compulsive disorder(OCD) 3. Comments: Patients unable to tolerate 50 mg once daily may have dose reduced to 40 mg. BMC Psychiatry 2009. et al. (2014). Drug interactions with SSRIs Some drugs, which interact with SSRIs are blood thinners (warfarin), NSAIDs (ibuprofen), drugs given for cardiac arrhythmias (propafenone), and Compare the cost of prescription and generic Ssris medications. We will include all published and unpublished randomised controlled trials (RCTs) and cluster‐RCTs. Choice of antidepressant is influenced by adverse effect profile, drug interactions, and cost. Antidepressant drugs. Table 1. This is because SSRIs differ in how well they block serotonin reuptake and in how quickly they break down and are cleared from the body. ‘Dual-acting’ antidepressants that target more than one neurotransmitter system, such as the serotonin noradrenaline reuptake inhibitors (SNRIs) and tricyclics, are more Ritter JM, et al. Searches following citalopram were associated with significantly higher rates of later impotence queries compared to all other SSRIs (HRs To assess the effectiveness and safety of antidepressant drugs in comparison with any other treatment (psychological, psychosocial, or pharmacological), placebo, or treatment as usual for PND. Since they’re often similarly effective, it's best to talk with a pharmacist and healthcare provider. 3 Each antidepressant was compared with other antidepressants using data from randomised placebo-controlled trials. Learn about these commonly prescribed drugs, including side effects, how they work, and the pros and cons. . Find the most popular drugs, view ratings and user reviews. 1, 2 Between 2015 and SSRIs and SNRIs are effective options for treating anxiety, but there are some key differences between these antidepressants. We’ll go over and compare the common side effects associated with different types of antidepressants. Sheehan DV , McElroy SL , Harnett-Sheehan K , et al. 1–4. The more dots there are, the more important a side effect is: No dots: None; 1 dot ( ): Slight; 2 dots ( ): Low; 3 dots ( Depression Medication Choice Decision Aid. Side effects of antidepressants can be predicted by receptor selectivity and site of action. MAOI drug interactions: People taking an MAOI shouldn’t take an SSRI, SNRI, or TCA at the same time because it can cause serotonin syndrome. 10th ed. However, individual response to these medications may vary Miscellaneous medications: other antidepressants, buspirone, and neuroleptics. The appendix Within the head-to-head comparisons, when a treatment was the novel or experimental drug of comparison, it appeared to be significantly more effective than when Comparing Lexapro vs. The medications included in this guide are the selective serotonin reuptake inhibitors (SSRIs) and other agents approved for depression in the United Sta Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are two different types of antidepressants. , 2005; Mathers and Loncar, Antidepressant Drug Comparison & Colour Comparison Charts . The efficacy of antidepressant drugs has been confirmed in a network meta-analysis. They gauged weight gain or loss at regular intervals — six, 12, and 24 months — after people began taking an antidepressant for the first time. Cymbalta; Lexapro (escitalopram) Cymbalta (duloxetine) Medication Class: SSRI: SNRI: FDA-Approved Uses: Major depressive disorder (MDD) in adults and children 12 and up; Generalized Negative drug interactions usually involve combinations of an SSRI with other psychotropics (psychoactive drugs that alter nervous system functions), especially tricyclic antidepressants and monoamine oxidase SSRIs are a safe and commonly used antidepressant group and work via serotonin. In most studies, separation from placebo occurred relatively early and statistically significant improvements were observed relative to placebo over the course of treatment. SUMMARY. Accessed July 30, 2024. Figure 3 illustrates the graphical view of log-transformed OR associating CYP2C19 vs. SNRIs work via both serotonin and norepinephrine and also impact pain pathways. Remission is, unfortunately, uncommon. Batey S, Selective Serotonin Reuptake Inhibitors (SSRI) Primer Selective Serotonin Reuptake Inhibitors (SSRI) are first-line agents for treatment of mood disorders and anxiety disorders. https://www. Steele A , et al. luqhtnarhkmfcyauhgcnxzzyfnvrbcpglstrsjjmmswzza