Skip to main content
. 2011 Aug 2;343:d4551. doi: 10.1136/bmj.d4551

Table 5.

 Absolute risks of adverse outcomes over one year by antidepressant class and top 11 most commonly prescribed antidepressant drugs

Absolute risks over 1 year (%)
All cause mortality Attempted suicide/self harm Myocardial infarction Stroke/TIA Falls Fracture Upper GI bleed Epilepsy/seizures RTA Adverse drug reaction Hyponatraemia
Antidepressant class
Not taking antidepressants 7.04 0.25 1.00 2.23 3.46 1.76 0.42 0.21 0.16 0.26 0.29
Tricyclic antidepressants 8.12 0.43 1.09 2.26 4.49 2.18 0.54 0.21 0.13 0.28 0.30
Selective serotonin reuptake inhibitors 10.61 0.55 1.15 2.61 5.67 2.74 0.51 0.38 0.14 0.30 0.44
Other antidepressants 11.43 1.30 1.04 3.04 4.79 2.85 0.57 0.46 0.10 0.25 0.37
Tricyclic antidepressants
Amitriptyline hydrochloride 7.72 0.27 1.11 2.24 4.54 2.14 0.58 0.24 0.13 0.25 0.33
Dosulepin hydrochloride 7.26 0.48 1.07 2.12 4.28 2.15 0.51 0.10 0.08 0.23 0.24
Lofepramine 10.43 0.66 1.18 2.79 4.61 2.56 0.51 0.28 0.18 0.55 0.27
Trazodone hydrochloride 12.44 1.20 1.04 2.45 5.32 1.70 0.75 0.30 0.24 0.27 0.43
Selective serotonin reuptake inhibitors
Citalopram hydrobromide 10.69 0.68 1.11 2.71 6.01 2.83 0.56 0.37 0.16 0.29 0.47
Escitalopram 10.06 0.47 1.32 2.70 5.70 2.26 0.45 0.36 0.15 0.29 0.59
Fluoxetine hydrochloride 11.42 0.53 1.31 2.57 5.60 2.76 0.48 0.31 0.11 0.31 0.49
Paroxetine hydrochloride 8.68 0.29 1.11 2.39 4.97 2.56 0.48 0.42 0.14 0.24 0.30
Sertraline hydrochloride 10.20 0.53 0.89 2.70 5.57 2.80 0.44 0.55 0.14 0.42 0.29
Other antidepressants
Mirtazapine 12.05 1.56 1.11 3.06 4.11 2.56 0.44 0.33 0.07 0.27 0.31
Venlafaxine hydrochloride 11.40 1.17 1.05 3.34 5.74 3.26 0.72 0.61 0.11 0.23 0.44

GI=gastrointestinal; RTA=road traffic accident; TIA=transient ischaemic attack.

*Absolute risks for antidepressant drugs adjusted for confounders listed in table 3.