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:
- Citalopram (Celexa, Cipramil)
- Escitalopram (Lexapro, Cipralex)
- Fluoxetine (Prozac, Sarafem)
- Fluvoxamine (Luvox, Faverin)
- Paroxetine (Paxil, Seroxat)
- Sertraline (Zoloft, Lustral)
=Discontinued/withdrawn=
- Indalpine (Upstene)
- Zimelidine (Normud, Zelmid)
Serotonin–norepinephrine reuptake inhibitors (SNRIs)
Serotonin–norepinephrine reuptake inhibitors include:
- Desvenlafaxine (Pristiq)
- Duloxetine (Cymbalta)
- Levomilnacipran (Fetzima)
- Milnacipran (Ixel, Savella, Milnaneurax)
- Venlafaxine (Effexor, Trevilor)
Serotonin–dopamine reuptake inhibitor (SDRIs)
Serotonin–dopamine reuptake inhibitors include:
None currently marketed
=Discontinued/withdrawn=
- Medifoxamine (Clédial, Gerdaxyl)
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:
- Vilazodone (Viibryd)
- Vortioxetine (Trintellix, Brintellix)
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- Nefazodone (Dutonin, Nefadar, Serzone) – withdrawn/discontinued in most countries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=Discontinued/withdrawn=
- Etoperidone (Axiomin, Etonin)
Norepinephrine reuptake inhibitors (NRIs)
Norepinephrine reuptake inhibitors include:
- Reboxetine (Edronax)
- Teniloxazine (Lucelan, Metatone) – also a 5-HT2A receptor antagonist
- Viloxazine (Qelbree, formerly Vivalan) – also a 5-HT2B receptor antagonist and 5-HT2C receptor agonist
=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=
- Amineptine (Survector, Maneon)
- Nomifensine (Merital, Alival)
Tricyclic antidepressants (TCAs)
Tricyclic antidepressants include:
- Amitriptyline (Elavil, Endep)
- Amitriptylinoxide (Amioxid, Ambivalon, Equilibrin)
- Amoxapine (Asendin)
- Clomipramine (Anafranil)
- Desipramine (Norpramin, Pertofrane)
- Dibenzepin (Noveril, Victoril)
- Dimetacrine (Istonil)
- Dosulepin (Prothiaden)
- Doxepin (Adapin, Sinequan)
- Imipramine (Tofranil)
- Lofepramine (Lomont, Gamanil)
- Melitracen (Dixeran, Melixeran, Trausabun)
- Nitroxazepine (Sintamil)
- Nortriptyline (Pamelor, Aventyl)
- Noxiptiline (Agedal, Elronon, Nogedal)
- Pipofezine (Azafen/Azaphen)
- Protriptyline (Vivactil)
- Trimipramine (Surmontil)
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=
- Butriptyline (Evadyne)
- Demexiptiline (Deparon, Tinoran)
- Fluacizine (Phtorazisin)
- Imipraminoxide (Imiprex, Elepsin)
- Iprindole (Prondol, Galatur, Tetran)
- Metapramine (Timaxel)
- Propizepine (Depressin, Vagran)
- Quinupramine (Kinupril, Kevopril)
- Tiazesim (Altinil) – actually not a TCA but a tricyclic-like antidepressant
- Tofenacin (Elamol, Tofacine) – actually not a TCA but a tricyclic-like antidepressant
Tetracyclic antidepressants (TeCAs)
Tetracyclic antidepressants include:
- Maprotiline (Ludiomil)
- Mianserin (Tolvon)
- Mirtazapine (Remeron)
- Setiptiline (Tecipul)
Mianserin, mirtazapine, and setiptiline are also sometimes described as noradrenergic and specific serotonergic antidepressants (NaSSAs).
Monoamine oxidase inhibitors (MAOIs)
Monoamine oxidase inhibitors include
=Irreversible=
==Non-selective==
- Isocarboxazid (Marplan)
- Phenelzine (Nardil)
- Tranylcypromine (Parnate)
Discontinued/withdrawn
- Benmoxin (Neuralex)
- Iproclozide (Sursum)
- Iproniazid (Marsilid)
- Mebanazine (Actomol)
- Nialamide (Niamid)
- Octamoxin (Ximaol)
- Pheniprazine (Catron)
- Phenoxypropazine (Drazine)
- Pivhydrazine (Tersavid)
- Safrazine (Safra)
==Selective for MAO-B==
- Selegiline (Eldepryl, Zelapar, Emsam) – also a catecholaminergic activity enhancer and weak norepinephrine releasing agent (via metabolites)
=Reversible=
==Non-selective==
Discontinued/withdrawn
- Caroxazone (Surodil, Timostenil)
==Selective for MAO-A==
- Metralindole (Inkazan)
- Moclobemide (Aurorix, Manerix)
- Pirlindole (Pirazidol)
These drugs are sometimes described as reversible inhibitors of MAO-A (RIMAs).
Discontinued/withdrawn
- Eprobemide (Befol)
- Minaprine (Brantur, Cantor)
- Toloxatone (Humoryl)
=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=
- D-Phenylalanine (DPA, D-Phe; Deprenon, Sabiben, Sabiden) – enkephalinase inhibitor
- Agomelatine (Valdoxan) – 5-HT2C receptor antagonist and MT1 and MT2 receptor agonist
- Brexanolone (allopregnanolone; Zulresso) – GABAA receptor positive allosteric modulator – approved for postpartum depression
- Esketamine (Spravato) – non-competitive NMDA receptor antagonist, other actions{{cite web | title = SPRAVATO™ (esketamine) nasal spray FDA label | publisher = Food and Drug Administration | date = 5 March 2019 | url = https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/211243lbl.pdf | access-date = 6 March 2019}}
- Gepirone (Exxua) – 5-HT1A receptor partial agonist and α2-adrenergic receptor antagonist
- Opipramol (Insidon) — σ1 receptor agonist, other actions
- Tianeptine (Stablon, Coaxil, Tianeurax) – weak and atypical μ-opioid receptor agonist, other actions
=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=
- α-Methyltryptamine
[ αMT] (Indopan) – non-selective serotonin receptor agonist, serotonin–norepinephrine–dopamine releasing agent (SNDRA), and weak RIMA - Etryptamine
[ α-Ethyltryptamine(αET)] (Monase) – non-selective serotonin receptor agonist, SNDRA, and weak RIMA - Indeloxazine (Elen, Noin) – serotonin releasing agent (SRA), NRI, and NMDA receptor antagonist
- Oxaflozane (Conflictan) – 5-HT1A, 5-HT2A, and 5-HT2C receptor agonist
- Pivagabine (Tonerg) – unknown/unclear mechanism of action
=Over-the-counter=
The following antidepressants are available both with a prescription and over-the-counter:
- Ademetionine
[ S-Adenosyl-L-methionine (SAMe)] (Heptral, Transmetil, Samyl) – cofactor in monoamine neurotransmitter biosynthesis - Hypericum perforatum
[ St. John's Wort (SJW)] (Jarsin, Kira, Movina) – TRPC6 activator, and various other actions - Oxitriptan
[ 5-Hydroxytryptophan (5-HTP)] (Cincofarm, Levothym, Triptum) – precursor in serotonin biosynthesis - Tryptophan (Tryptan, Optimax, Aminomine) – precursor in serotonin biosynthesis
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==
- Risperidone (Risperdal)
=Typical antipsychotics=
Typical antipsychotics include:
None currently approved
==Off-label only==
- Trifluoperazine (Stelazine)
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==
- Buspirone (Buspar) – 5-HT1A receptor partial agonist
- Lithium (Eskalith, Lithobid) – mood stabilizer (mechanism of action unknown/unclear)
- Thyroxine (T4) – thyroid hormone (thyroid hormone receptor agonist)
- Triiodothyronine (T3) – thyroid hormone (thyroid hormone receptor agonist)
Combination products
- Amitriptyline/chlordiazepoxide (Limbitrol) – TCA and benzodiazepine combination
- Amitriptyline/perphenazine (Etafron) – TCA and typical antipsychotic combination
- Bupropion/dextromethorphan (Auvelity) – non-competitive NMDA receptor antagonist, σ1 receptor agonist, SNRI, NDRI, other actions
- Flupentixol/melitracen (Deanxit) – TCA and typical antipsychotic combination
- Olanzapine/fluoxetine (Symbyax) – SSRI and atypical antipsychotic combination – approved as a monotherapy for bipolar depression and treatment-resistant depression
- Tranylcypromine/trifluoperazine (Parstelin, Parmodalin, Jatrosom N, Stelapar) – MAOI and typical antipsychotic combination
See also
References
{{Reflist}}
{{Antidepressants}}
{{Mood stabilizers}}
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