Drugs Adverse effects
1 SSRIs (Prozac, Paxil, Zoloft) Increased GI activity, anorgasmia, akathisia, apathy, anxiety, and when toxic, a serotonin syndrome.
2 Bupropion (Wellbutrin) Contraindicated in patients with unstable seizure disorder; multiple divided dosing.
3 Venlafaxine (Effexor) Initial stimulant side effects may disturb some patients, may increase blood pressure in hypertensive; GI side effects (also common with antiretrovirals)
4 Trazodone (Desyrel) May cause sedation in a.m. at 50-100 mg when taken at night; 1/7000 incidence of priapism.
5 Tricyclics Weight gain, constipation, orthostatic hypotension, dry mouth, sedation. Can be lethal in overdose.
6 Hormones (testosterone, DHEA) Off-label for treating depression, side effects with hormone treatment impact biological functions.
Source: HIV mental health treatment issues.
Table 2: Conventional antidepressants to treat MDD in HIV positive patients and their side effects.