List of antidepressants

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This is a complete list of clinically approved prescription antidepressants throughout the world, as well as clinically approved prescription drugs used to augment antidepressants or mood stabilizers, by pharmacological and/or structural classification. Chemical/generic names are listed first, with brand names in parentheses. All drugs listed are approved specifically for major depressive disorder unless noted otherwise.

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Selective serotonin reuptake inhibitors (SSRIs)

Selective serotonin reuptake inhibitors include:

=Discontinued/withdrawn=

Serotonin–norepinephrine reuptake inhibitors (SNRIs)

Serotonin–norepinephrine reuptake inhibitors include:

Serotonin–dopamine reuptake inhibitor (SDRIs)

Serotonin–dopamine reuptake inhibitors include:

None currently marketed

=Discontinued/withdrawn=

Serotonin–norepinephrine–dopamine reuptake inhibitors (SNDRIs)

Serotonin–norepinephrine–dopamine reuptake inhibitors include:

  • Toludesvenlafaxine (Ruoxinlin)
  • Nefazodone (Serzone){{cite journal | vauthors = Tatsumi M, Groshan K, Blakely RD, Richelson E | title = Pharmacological profile of antidepressants and related compounds at human monoamine transporters | journal = European Journal of Pharmacology | volume = 340 | issue = 2-3 | pages = 249–258 | date = December 1997 | pmid = 9537821 | doi = 10.1016/s0014-2999(97)01393-9 }}

Serotonin modulators and stimulators (SMSs)

Serotonin modulators and stimulators include:

Serotonin antagonist and reuptake inhibitors (SARIs)

Serotonin antagonist and reuptake inhibitors include:

  • Nefazodone (Dutonin, Nefadar, Serzone) – withdrawn/discontinued in most countries
  • Trazodone (Desyrel)

=Discontinued/withdrawn=

Norepinephrine reuptake inhibitors (NRIs)

Norepinephrine reuptake inhibitors include:

=Off-label only=

  • Atomoxetine (Strattera){{cite book | vauthors = Fedder D, Patel H, Saadabadi A | chapter = Atomoxetine | chapter-url = https://www.ncbi.nlm.nih.gov/books/NBK493234/ | date = March 2023 | title = StatPearls [Internet] | location = Treasure Island (FL) | publisher = StatPearls Publishing | pmid = 29630286 }}{{cite journal | vauthors = Dell'Osso B, Palazzo MC, Oldani L, Altamura AC | title = The noradrenergic action in antidepressant treatments: pharmacological and clinical aspects | journal = CNS Neurosci Ther | volume = 17 | issue = 6 | pages = 723–32 | date = December 2011 | pmid = 21155988 | pmc = 6493872 | doi = 10.1111/j.1755-5949.2010.00217.x | url = }}{{cite journal | vauthors = Fleurence R, Williamson R, Jing Y, Kim E, Tran QV, Pikalov AS, Thase ME | title = A systematic review of augmentation strategies for patients with major depressive disorder | journal = Psychopharmacol Bull | volume = 42 | issue = 3 | pages = 57–90 | date = 2009 | pmid = 19752841 | doi = | url = }}{{cite journal | vauthors = Corp SA, Gitlin MJ, Altshuler LL | title = A review of the use of stimulants and stimulant alternatives in treating bipolar depression and major depressive disorder | journal = J Clin Psychiatry | volume = 75 | issue = 9 | pages = 1010–8 | date = September 2014 | pmid = 25295426 | doi = 10.4088/JCP.13r08851 | url = }}

Norepinephrine–dopamine reuptake inhibitors (NDRIs)

Norepinephrine–dopamine reuptake inhibitors include:

  • Bupropion (Wellbutrin, Elontril) – also a non-competitive antagonist of nicotinic acetylcholine receptors{{cite journal | vauthors = Arias HR, Santamaría A, Ali SF | title = Pharmacological and neurotoxicological actions mediated by bupropion and diethylpropion | journal = Int. Rev. Neurobiol. | volume = 88 | pages = 223–55 | year = 2009 | pmid = 19897080 | doi = 10.1016/S0074-7742(09)88009-4 | series = International Review of Neurobiology | isbn = 9780123745040 }}

=Off-label only=

  • Amphetamines (Adderall, Vyvanse) – actually norepinephrine–dopamine releasing agents (NDRAs){{cite journal | vauthors = Dale E, Bang-Andersen B, Sánchez C | title = Emerging mechanisms and treatments for depression beyond SSRIs and SNRIs | journal = Biochem. Pharmacol. | volume = 95 | issue = 2 | pages = 81–97 | year = 2015 | pmid = 25813654 | doi = 10.1016/j.bcp.2015.03.011 | url = | doi-access = free }}
  • Methylphenidate (Ritalin, Concerta){{cite journal | vauthors = Challman TD, Lipsky JJ | title = Methylphenidate: its pharmacology and uses | journal = Mayo Clin. Proc. | volume = 75 | issue = 7 | pages = 711–21 | year = 2000 | pmid = 10907387 | doi = 10.4065/75.7.711 | url = | doi-access = free }}{{cite journal | vauthors = Prommer E | title = Methylphenidate: established and expanding roles in symptom management | journal = Am J Hosp Palliat Care | volume = 29 | issue = 6 | pages = 483–90 | year = 2012 | pmid = 22144657 | doi = 10.1177/1049909111427029 | s2cid = 21384037 | url = }}

=Discontinued/withdrawn=

Tricyclic antidepressants (TCAs)

Tricyclic antidepressants include:

Opipramol (Insidon), tianeptine (Stablon, Coaxil) and amineptine (discontinued; formerly Survector, Maneon) are chemically TCAs but are pharmacodynamically atypical, and are therefore grouped elsewhere.

=Discontinued/withdrawn=

Tetracyclic antidepressants (TeCAs)

Tetracyclic antidepressants include:

Mianserin, mirtazapine, and setiptiline are also sometimes described as noradrenergic and specific serotonergic antidepressants (NaSSAs).

Monoamine oxidase inhibitors (MAOIs)

=Irreversible=

==Non-selective==

Discontinued/withdrawn

==Selective for MAO-B==

=Reversible=

==Non-selective==

Discontinued/withdrawn

==Selective for MAO-A==

These drugs are sometimes described as reversible inhibitors of MAO-A (RIMAs).

Discontinued/withdrawn

=Mixed=

==Non-selective==

  • Bifemelane (Alnert, Celeport) – RIMA, irreversible inhibitor of MAO-B, and weak NRI

Atypical antipsychotics

Atypical antipsychotics include:

  • Amisulpride (Solian) – approved in low doses as a monotherapy for persistent depression and major depressive disorder{{cite web | title=Amisulpride | website=AdisInsight | date=24 October 2021 | url=https://adisinsight.springer.com/drugs/800005602 | access-date=22 October 2024}}
  • Levosulpiride – approved in low doses for major depressive disorder{{cite web | title=Levosulpiride | website=AdisInsight | date=24 October 2021 | url=https://adisinsight.springer.com/drugs/800003554 | access-date=22 October 2024}}
  • Lumateperone (Caplyta) – approved as a monotherapy for bipolar depression
  • Lurasidone (Latuda) – approved as a monotherapy for bipolar depression
  • Quetiapine (Seroquel) – approved as a monotherapy for bipolar depression
  • Sulpiride – approved in low doses as a monotherapy for major depressive disorder{{cite web | title=Kusuri-no-Shiori(Drug Information Sheet) | website=くすりの適正使用協議会 | url=https://www.rad-ar.or.jp/siori/english/search/result?n=35833 | access-date=22 October 2024}}

Others

=Marketed=

=Off-label only=

  • Ketamine (Ketalar) – non-competitive NMDA receptor antagonist{{cite journal | vauthors = Zhang MW, Harris KM, Ho RC | title = Is off-label repeat prescription of ketamine as a rapid antidepressant safe? Controversies, ethical concerns, and legal implications | journal = BMC Med Ethics | volume = 17 | pages = 4 | year = 2016 | pmid = 26768892 | pmc = 4714497 | doi = 10.1186/s12910-016-0087-3 | doi-access = free }}

=Discontinued/withdrawn=

=Over-the-counter=

The following antidepressants are available both with a prescription and over-the-counter:

Adjunctive treatments

=Atypical antipsychotics=

Atypical antipsychotics include:

  • Aripiprazole (Abilify) – approved as an adjunct to antidepressant for major depression
  • Brexpiprazole (Rexulti) – approved as an adjunct to antidepressant for major depression
  • Lumateperone (Caplyta) – approved as an adjunct to mood stabilizer for bipolar depression
  • Lurasidone (Latuda) – approved as an adjunct to mood stabilizer for bipolar depression
  • Olanzapine (Zyprexa) – approved as an adjunct to antidepressant for major depression
  • Quetiapine (Seroquel) – approved as an adjunct to antidepressant or mood stabilizer for major depression and bipolar depression

==Off-label only==

=Typical antipsychotics=

Typical antipsychotics include:

None currently approved

==Off-label only==

name="pmid27514300">{{cite journal | vauthors = Thase ME | title = Adverse Effects of Second-Generation Antipsychotics as Adjuncts to Antidepressants: Are the Risks Worth the Benefits? | journal = Psychiatr. Clin. North Am. | volume = 39 | issue = 3 | pages = 477–86 | year = 2016 | pmid = 27514300 | doi = 10.1016/j.psc.2016.04.008 }}

=Dopamine reuptake inhibitor=

Dopamine reuptake inhibitors include:

None currently approved

==Off-label only==

  • Modafinil (Provigil){{cite journal | vauthors = Urban AE, Cubała WJ | title = The role of eugeroics in the treatment of affective disorders | journal = Psychiatr Pol | volume = 54 | issue = 1 | pages = 21–33 | date = February 2020 | pmid = 32447354 | doi = 10.12740/PP/OnlineFirst/90687 | url = | doi-access = free }}{{cite journal | vauthors = Kleeblatt J, Betzler F, Kilarski LL, Bschor T, Köhler S | title = Efficacy of off-label augmentation in unipolar depression: A systematic review of the evidence | journal = Eur Neuropsychopharmacol | volume = 27 | issue = 5 | pages = 423–441 | date = May 2017 | pmid = 28318897 | doi = 10.1016/j.euroneuro.2017.03.003 | s2cid = 3740987 | url = }}{{cite journal | vauthors = Nunez NA, Singh B, Romo-Nava F, Joseph B, Veldic M, Cuellar-Barboza A, Cabello Arreola A, Vande Voort JL, Croarkin P, Moore KM, Biernacka J, McElroy SL, Frye MA | title = Efficacy and tolerability of adjunctive modafinil/armodafinil in bipolar depression: A meta-analysis of randomized controlled trials | journal = Bipolar Disord | volume = 22 | issue = 2 | pages = 109–120 | date = March 2020 | pmid = 31643130 | doi = 10.1111/bdi.12859 | url = | doi-access = free }}{{cite journal | vauthors = Szmulewicz AG, Angriman F, Samamé C, Ferraris A, Vigo D, Strejilevich SA | title = Dopaminergic agents in the treatment of bipolar depression: a systematic review and meta-analysis | journal = Acta Psychiatr Scand | volume = 135 | issue = 6 | pages = 527–538 | date = June 2017 | pmid = 28256707 | doi = 10.1111/acps.12712 | s2cid = 3712257 | url = }}
  • Armodafinil (Nuvigil)

=Others=

==Off-label only==

Combination products

See also

References

{{Reflist}}

{{Antidepressants}}

{{Mood stabilizers}}

{{DEFAULTSORT:Antidepressants}}

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Category:Drug-related lists

Category:Mood stabilizers