Table 4. Symptoms and initial antidepressant choice.
Symptoms | Preferred antidepressant |
---|---|
Anxiety | Selective serotonin reuptake inhibitors Moclobemide |
Weight loss, reduced appetite | Mirtazapine Mianserin |
Sleep disturbance, insomnia | Agomelatine Mirtazapine Mianserin Tricyclic antidepressants |
Sexual dysfunction | Agomelatine |
Blunting, anhedonia, demotivation | Selective serotonin reuptake inhibitors Serotonin noradrenaline reuptake inhibitors Agomelatine Monoamine oxidase inhibitors Reboxetine |
Melancholia, severe depression | Serotonin noradrenaline reuptake inhibitors Tricyclic antidepressants Vortioxetine Monoamine oxidase inhibitors |
Pain | Duloxetine Tricyclic antidepressants |
Cognitive difficulties | Vortioxetine |