The interpersonal adverse effects reported by 1008 users of antidepressants; and the incremental impact of polypharmacy

Psychiatry Res. 2017 Oct:256:423-427. doi: 10.1016/j.psychres.2017.07.003. Epub 2017 Jul 3.

Abstract

Antidepressant drugs are being prescribed at ever increasing rates internationally, despite marginal benefit compared to placebo and a range of adverse effects. Most studies of adverse effects focus on biological phenomena. This article presents the results of an online survey of 1008 self-selected anti-depressant users in Britain, which asked about five adverse effects in the interpersonal domain. The most commonly reported among participants who took only antidepressants were: Sex Life - 43.7%, Work or Study - 27.0% and Social Life - 23.5%. These rates of interpersonal adverse effects were even higher for the 52% of participants who were also taking one or more other psychiatric drugs. Only about a half (48%) felt they had been given enough information about side effects by the prescriber. Those initially prescribed medication by a psychiatrist were more likely to be on several types of drugs and reported more adverse effects than those whose prescriber was a General Practitioner (GP). Researchers and prescribers are encouraged to pay greater attention to interpersonal adverse effects.

Keywords: Antidepressants; Depression; Polypharmacy; Side effects.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antidepressive Agents / administration & dosage
  • Antidepressive Agents / adverse effects*
  • Antidepressive Agents / therapeutic use
  • Drug-Related Side Effects and Adverse Reactions / psychology*
  • Emotions / drug effects*
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Polypharmacy*
  • Surveys and Questionnaires
  • United Kingdom
  • Young Adult

Substances

  • Antidepressive Agents