Should You Take Antidepressants? Weighing the Pros and Cons

Should I take medication for depression?

Hello, doctor.
Due to the pressure of preparing for exams over the past few months, I visited a doctor on July 9th.
Although the doctor did not explicitly diagnose me with depression, the prescription indicated persistent depressive disorder, with Bupropion SR 150 mg and Bromazepam 3 mg.
I looked online at discussions about the side effects of these medications, and some people reported feeling worse after taking antidepressants, experiencing headaches, drowsiness, etc.
(though not all were using Bupropion SR and Bromazepam).
While I understand that the effects and side effects of medications can vary from person to person, I still have some reservations.
Here are a few points regarding my situation:
1.
My condition is not characterized by a constant low mood, but rather by fluctuating feelings of sadness that vary in duration.
Sometimes the feelings come on suddenly, while at other times I do not feel low at all.
For example, my most recent low period lasted from around June 10 until early July, but at the time of writing this, that feeling has dissipated.
2.
I am concerned that taking medication might negatively affect my studying, especially since the side effects mention that it is not advisable to drive, but I need to drive to class.
3.
A friend suggested that I wait until after my exams (which are still over a week away) to start the medication, but I have a dental appointment scheduled afterward for a tooth extraction, which will require pain medication (estimated for about a week).
I am unsure if this will interact with the antidepressants and whether the medication can be stored for that long.
4.
A friend of mine previously suffered from depression but believes that taking medication made things worse for him, and he found relief through exercise.
However, I have seen other patients online recommending that it is best to take medication.
Therefore, I would like to ask you, doctor, if it is possible to improve my condition through daily exercise and leisure activities instead?

DD, 20~29 year old female. Ask Date: 2020/07/10

Dr. Huang Xiaoxian reply Psychiatry

Dear lulala, thank you for your question.
The medication you mentioned is generally considered to have mild properties and typically does not have significant side effects.
A small number of individuals may experience headaches as a side effect, so it would be advisable to monitor your condition after taking it.
However, since you are using a slow-release formulation, the likelihood of headaches is very low.
I recommend discussing your concerns with your physician.
Additionally, it can be used in conjunction with pain relievers.
Wishing you the best.

Reply Date: 2020/07/10

More Info

When considering whether to take antidepressants, it's essential to weigh the pros and cons carefully, especially in the context of your specific situation. Based on your description, it seems you are experiencing fluctuating moods and are currently under significant stress due to exam preparations. Here’s a comprehensive look at the factors involved in your decision-making process.

Understanding Antidepressants
Antidepressants, such as Bupropion (Bupropin SR) and Bromazepam, are commonly prescribed for various mood disorders, including persistent depressive disorder (formerly known as dysthymia). Bupropion is often used to treat depression and can also help with anxiety, while Bromazepam is a benzodiazepine that can help manage anxiety symptoms. Each medication has its own set of potential side effects, which can vary significantly from person to person.

Pros of Taking Antidepressants
1. Symptom Relief: For many individuals, antidepressants can significantly alleviate symptoms of depression and anxiety, leading to improved mood and functioning.

2. Stabilization: They can help stabilize mood fluctuations, which seems to be a concern for you given your experience of intermittent low moods.

3. Improved Focus: If effective, these medications may enhance your ability to concentrate, which is crucial during your exam preparation.

Cons of Taking Antidepressants
1. Side Effects: Common side effects include headaches, drowsiness, and in some cases, increased anxiety. It's important to note that not everyone experiences these side effects, and they can diminish over time.

2. Impact on Daily Activities: As you mentioned, some medications may impair your ability to drive or perform other tasks. This is a valid concern, especially if you need to commute for classes.

3. Timing of Medication: Starting medication right before exams may not be ideal, as it can take several weeks for antidepressants to reach their full effect. Additionally, if you have dental work planned that requires pain medication, you should discuss potential interactions with your doctor.

Alternatives to Medication
While antidepressants can be beneficial, they are not the only option. Many individuals find relief through lifestyle changes and alternative therapies:
1. Exercise: Regular physical activity is known to boost mood and reduce anxiety. It releases endorphins, which can help improve your overall sense of well-being.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep-breathing exercises can help manage stress and improve emotional regulation.

3. Social Support: Engaging with friends, family, or support groups can provide emotional relief and reduce feelings of isolation.

4. Therapy: Cognitive-behavioral therapy (CBT) and other forms of psychotherapy can be effective in treating depression and anxiety without medication.

Making Your Decision
Given your concerns about the timing of medication and the potential impact on your studies, it may be wise to discuss these issues further with your healthcare provider. They can help you assess your symptoms and determine whether starting medication now is the best course of action or if it would be better to wait until after your exams.

Conclusion
Ultimately, the decision to take antidepressants should be made collaboratively with your healthcare provider, considering your current symptoms, lifestyle, and preferences. It’s crucial to communicate openly about your concerns regarding side effects and the timing of treatment. Remember, managing depression often requires a multifaceted approach, and combining medication with lifestyle changes can lead to the best outcomes. If you decide to explore non-medication options, be sure to maintain regular check-ins with your healthcare provider to monitor your progress and adjust your treatment plan as needed.

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