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					some extent. This is not a health problem, but you may feel faint if you stand up or get out of bed quickly. Avoid this by taking your time when getting up from sitting or lying down. Weight Gain. Some antidepressants may make you feel more hungry than usual. You may notice that you put on weight. Healthy eating with a good amount of fibre can help this. Please ask your doctor for more advice if you are concerned.

Getting to know more about Depression and its Treatment
Many medicines are now supplied with their own leaflet. If you have any questions about your tablets please ask your local pharmacist or the doctor treating you. If you wish to buy any other medicines please ask your pharmacist for advice

Other medical conditions.
Please mention to your doctor any physical illnesses that you have. This will help ensure that the safest choice of antidepressant is made. Some antidepressants can affect your sex life. If you think your antidepressant is affecting you in this way do please speak to your doctor.

To find out more about depression and contact other sufferers the following groups may be of help to you Depression Alliance 35 Westminster Bridge Road London SE1 7JE Tel. 0207 633 9929 Fellowship of Depressives Anonymous 36 Chestnut Avenue Beverley East Yorkshire HU19 9QU Tel. 01482 860619 National Association for Mental Health (MIND) Granta House 15-19 Broadway Stratford London E15 4BQ Tel. 0208 519 2122
This leaflet has been produced by the Mental Health Directorate Pharmacist Worcestershire Mental Health Partnership NHS Trust It is not a substitute for a manufacturer’s leaflet

 Depression is a real illness and taking antidepressants is not a sign of weakness Antidepressants take a few weeks to give full benefit Antidepressants are not addictive Antidepressants are continued for several months after getting you well. This is to reduce the chance of the depression returning. Do not take St. John’s Wort with this medication

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How long will I need to take the tablets?
Once you are feeling better you may be tempted to stop taking your tablets-but it is important to carry on. The evidence tells us that antidepressants should be continued for several months to help keep up your progress. You should keep taking them at the same dose until you and your doctor agree when and how to start cutting down. Antidepressants are NOT habit forming. However after a course of treatment we know that it is best to cut down slowly over a few weeks. This is so that your body can get used to being without the tablets.


Pregnancy and breastfeeding
If you are thinking of starting a family or wish to breastfeed please discuss this with your doctor. This is so that the right checks can be made on you and your child

Getting the best from your antidepressant tablets

Antidepressant Advice
The aim of this leaflet is to help you get the best out of your antidepressant medicine. The leaflet explains why antidepressants are prescribed. It looks at possible side effects. It also tells you where you can get further help and advice.

Taking the Tablets
   Please follow with care the advice given by your doctor. Antidepressants take a few weeks to reach their full effect. You should not increase the dose yourself to try and speed things up. Please be patient with your treatment. It may be four to six weeks before you feel really better. 

Dealing with Side Effects
Dry Mouth. Some antidepressants may make your mouth feel dry. As a result you may notice changes in the way you taste things. This usually only lasts for a short time. It can be helped in a number of ways 1) Frequent sips of cold water. Chewing sugar free gum may also be helpful. 2) You can buy dry mouth sprays. Please ask your local pharmacist for more details. 3) Good dental care will help keep your teeth healthy, and your mouth feeling fresh.  Blurred Vision. The normal way the eye adapts to seeing things in the distance and to reading can be upset for a short time. This does not mean that your eyes are failing. Do not drive if your vision is blurred  Tummy Upsets. With some antidepressants you may feel sick for a short time. If this proves too much trouble please let your doctor know. You may notice a change in bowel habit as some antidepressants have a mild constipating effect. Increasing the amount of fibre in your diet may help this. If you feel that a laxative is needed ask your pharmacist for advice.  Headache. Some people find that they develop a headache with some antidepressants. Taking a simple pain killer such as paracetamol is quite safe. If headaches continue or are difficult to cope with you should report this to your doctor.

What are Antidepressants?
The word antidepressant describes drugs that work against depression. It is a general term for a number of drugs. They do not all come from one group. Antidepressants are not tranquillisers. They are NOT addictive.

Side Effects –do they have any?
All drugs have side effects. Antidepressants too have side effects. Side effects come straight away, but good effects take time to build up. Please note that not every side effect mentioned here will happen with your antidepressant. It depends on the actual drug that you are taking which side effect will be more likely. The table below shows you some common side effects with key groups of antidepressants. Please ask your pharmacist (chemist) or doctor for more advice if you feel this would be helpful. Type of Some Common Antidepressant examples Side Effects MAOIs Phenelzine Poor sleep. (Nardil) Important Isocarboxazid Interactions (Marplan) with some foods and other medication Tricyclic Amitriptyline Dry mouth Antidepressants Imipramine Blurred (TCAs) Clomipramine Vision Lofepramine Constipation Dothiepin SSRIs Fluoxetine Headache Paroxetine Nausea Sertraline Feeling ‘on Citalopram edge’ during early part of treatment.

The name of your antidepressant is …………………………………….. Why Antidepressants? We can all feel fed up or ‘blue’ at certain times during our lives. Feelings of sadness, that we’ve failed or can’t cope are quite normal during stressful times. When a person can’t ‘snap out of it’ or get over these feelings in a couple of weeks or so, he or she may be depressed. Depression is not a weakness. It is the most common and most easy to treat of all mental health problems. The experience of depression is different for all of us. However there are some common problems faced by people trying to cope with depression. Anyone at any age can suffer from depression. It may or may not be possible to find the cause. Whether the cause can or cannot be found does not affect the way that the tablets work.
Please note that some antidepressants are used for the treatment of other problems. If you are unsure why you have been prescribed the tablets please check with your family doctor or specialist.

Things to look out for Drowsiness. If you find that your
antidepressant makes you feel sleepy, do not drive or use machines. Drinking alcohol in small amounts is safe but it will make you feel more drowsy or sleepy. Dizziness on Standing. A number of antidepressants can lower blood pressure to

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