Classes of Selective Serotonin Reuptake Inhibitors (SSRI)
- Monocyclic: Fluvoxamine (Luvox)
- Bicyclic: Fluoxetine HCl (Prozac)
- Tricyclic: Sertraline HCl (Zoloft)
- Tetracyclic: Paroxetine HCl (Paxil)
Indications of SSRIs
Indications: First Line
- Major Depression
- Generalized Anxiety Disorder
Fluvoxamine (Luvox)
Paroxetine (Paxil) - Premature Ejaculation
Paroxetine (Paxil)
Sertraline (Zoloft)
Fluoxetine (Prozac)
Indications: Adjunctive
- Migraine Headache Prophylaxis
Fluoxetine (Prozac) - Diabetic Neuropathy
Paroxetine (Paxil) - Fibromyalgia
Fluoxetine (Prozac) - Neurocardiogenic Syncope
Paroxetine (Paxil)
Sertraline (Zoloft)
Fluoxetine (Prozac)
Other new Antidepressants (non-SSRI)
- Serotonin Modulator and Stimulator (same activity as SSRI)
Vortioxetine (Brintellix)
New in 2013, similar to generic SSRIs, with more Nausea at 10x the cost - Serotonin Norepinephrine Reuptake Inhibitors (SNRI)
Venlafaxine (Effexor)
Same class as Tricyclic Antidepressants - Norepinephrine Dopamine Reuptake Inhibitor (NDRI)
Bupropion (Wellbutrin, Zyban) - Serotonin Antagonist and Reuptake Inhibitor (SARI)
Nefazodone (Serzone)
Same class as Trazodone (Desyrel) - Norepinephrine Antagonist Serotonin Antagonist (NASA)
Mirtazapine (Remeron)