释义 |
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin–norepinephrine reuptake inhibitors (SNRIs)
- Serotonin modulator and stimulators (SMSs)
- Serotonin antagonist and reuptake inhibitors (SARIs)
- Norepinephrine reuptake inhibitors (NRIs)
- Norepinephrine–dopamine reuptake inhibitors (NDRIs)
- Tricyclic antidepressants (TCAs)
- Tetracyclic antidepressants (TeCAs)
- Monoamine oxidase inhibitors (MAOIs) Irreversible Non-selective Selective for MAO-B Reversible Non-selective Selective for MAO-A Mixed Non-selective
- Others Marketed Discontinued/withdrawn Over-the-counter
- Adjunctive treatments Atypical antipsychotics Others
- Combination products
- See also
- References
This is a complete list of clinically approved prescription antidepressants throughout the world, as well as clinically approved prescription drugs used to augment antidepressants, 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. {{TOC limit|2}}Selective serotonin reuptake inhibitors (SSRIs)- Citalopram (Celexa, Cipramil)
- Escitalopram (Lexapro, Cipralex)
- Fluoxetine (Prozac, Sarafem)
- Fluvoxamine (Luvox, Faverin)
- Paroxetine (Paxil, Seroxat)
- Sertraline (Zoloft, Lustral)
Serotonin–norepinephrine reuptake inhibitors (SNRIs)- Desvenlafaxine (Pristiq)
- Duloxetine (Cymbalta)
- Levomilnacipran (Fetzima)
- Milnacipran (Ixel, Savella)
- Venlafaxine (Effexor)
Serotonin modulator and stimulators (SMSs)- Vilazodone (Viibryd)
- Vortioxetine (Trintellix)
Serotonin antagonist and reuptake inhibitors (SARIs)- Nefazodone (Dutonin, Nefadar, Serzone) – withdrawn/discontinued in most countries
- Trazodone (Desyrel)
Norepinephrine reuptake inhibitors (NRIs)- Atomoxetine (Strattera) - an NRI approved to treat ADHD
- Reboxetine (Edronax)
- Teniloxazine (Lucelan, Metatone) – also a 5-HT2A receptor antagonist
- Viloxazine (Vivalan)
Although marketed as an antidepressant, a meta-analysis found that reboxetine was ineffective and potentially harmful.[1] Norepinephrine–dopamine reuptake inhibitors (NDRIs)- Bupropion (Wellbutrin) – weak NDRI, although its dopaminergic actions are controversial; may act as a norepinephrine–dopamine releasing agent (NDRA) alternatively or additionally; also a non-competitive antagonist of nicotinic acetylcholine receptors[2]
Tricyclic antidepressants (TCAs)- Amitriptyline (Elavil, Endep)
- Amitriptylinoxide (Amioxid, Ambivalon, Equilibrin)
- 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)
- Opipramol (Insidon)
- Pipofezine (Azafen/Azaphen)
- Protriptyline (Vivactil)
- Trimipramine (Surmontil)
Tetracyclic antidepressants (TeCAs)- Amoxapine (Asendin)
- 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)IrreversibleNon-selective- Isocarboxazid (Marplan)
- Phenelzine (Nardil)
- Tranylcypromine (Parnate)
Selective for MAO-B- Selegiline (Eldepryl, Zelapar, Emsam)
ReversibleNon-selectiveCaroxazone (Surodil, Timostenil) was formerly used as an antidepressant, but has been discontinued. Selective for MAO-A- Metralindole (Inkazan)
- Moclobemide (Aurorix, Manerix)
- Pirlindole (Pirazidol)
- Toloxatone (Humoryl)
These drugs are sometimes described as reversible inhibitors of MAO-A (RIMAs). Eprobemide (Befol) and minaprine (Brantur, Cantor) were also formerly used as antidepressants, but have been discontinued. MixedNon-selective- Bifemelane (Alnert, Celeport) – RIMA, irreversible inhibitor of MAO-B, and weak NRI
OthersMarketed- Agomelatine (Valdoxan) – 5-HT2C receptor antagonist and MT1 and MT2 receptor agonist
- Esketamine (Spravato) – non-competitive NMDA receptor antagonist[3]
- Ketamine (Ketalar) – non-competitive NMDA receptor antagonist – not specifically approved for depression (used off-label)[4]
- Tandospirone (Sediel) – 5-HT1A receptor partial agonist
- Tianeptine (Stablon, Coaxil) – weak and atypical μ-opioid receptor agonist
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
- Medifoxamine (Clédial, Gerdaxyl) – weak serotonin–dopamine reuptake inhibitor (SDRI) and 5-HT2A and 5-HT2C receptor antagonist
- Oxaflozane (Conflictan) – 5-HT1A, 5-HT2A, and 5-HT2C receptor agonist
- Pivagabine (Tonerg) – unknown/unclear mechanism of action
Over-the-counterThe 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
- Rubidium chloride [RbCl] (Rubinorm) – unknown/unclear mechanism of action[5]
- Tryptophan (Tryptan, Optimax, Aminomine) – precursor in serotonin biosynthesis
Adjunctive treatmentsAtypical antipsychotics- Amisulpride (Solian) – specifically approved, in low doses, as a monotherapy for dysthymia
- Aripiprazole (Abilify) – specifically approved as an adjunct for major depressive disorder
- Brexpiprazole (Rexulti) – specifically approved as an adjunct for major depressive disorder
- Lurasidone (Latuda) – specifically approved for depressive episodes in bipolar disorder
- Olanzapine (Zyprexa) – specifically approved as an adjunct for major depressive disorder
- Quetiapine (Seroquel) – approved as an adjunct for both major depressive disorder and depressive episodes in bipolar disorder
- Risperidone (Risperdal) – not specifically approved as an adjunct for major depressive disorder (used off-label)[6]
Others- Buspirone (Buspar) – 5-HT1A receptor partial agonist – not specifically approved for depression (used off-label)
- Lithium (Eskalith, Lithobid) – mood stabilizer (mechanism of action unknown/unclear) – not specifically approved for depression (used off-label)
- Thyroxine (T4) – thyroid hormone (thyroid hormone receptor agonist) – not specifically approved for depression (used off-label)
- Triiodothyronine (T3) – thyroid hormone (thyroid hormone receptor agonist) – not specifically approved for depression (used off-label)
Combination products- Amitriptyline/perphenazine (Etafron) – TCA and typical antipsychotic combination
- Flupentixol/melitracen (Deanxit) – TCA and typical antipsychotic combination
- Olanzapine/fluoxetine (Symbyax) – SSRI and atypical antipsychotic combination – specifically approved as a monotherapy for depressive episodes in bipolar disorder and treatment-resistant depression
- Tranylcypromine/trifluoperazine (Parstelin, Parmodalin, Jatrosom N, Stelapar) – MAOI and typical antipsychotic combination
See also- List of investigational antidepressants
References1. ^{{cite journal | vauthors = Eyding D, Lelgemann M, Grouven U, Härter M, Kromp M, Kaiser T, Kerekes MF, Gerken M, Wieseler B | title = Reboxetine for acute treatment of major depression: systematic review and meta-analysis of published and unpublished placebo and selective serotonin reuptake inhibitor controlled trials | journal = BMJ | volume = 341 | issue = | pages = c4737 | year = 2010 | pmid = 20940209 | pmc = 2954275 | doi = 10.1136/bmj.c4737| url = }} 2. ^{{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 | issue = | pages = 223–55 | year = 2009 | pmid = 19897080 | doi = 10.1016/S0074-7742(09)88009-4 | url = | series = International Review of Neurobiology | isbn = 9780123745040 }} 3. ^{{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 | format = PDF | accessdate = 6 March 2019}} 4. ^{{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 | issue = | pages = 4 | year = 2016 | pmid = 26768892 | pmc = 4714497 | doi = 10.1186/s12910-016-0087-3 | url = }} 5. ^{{cite book|author1=Gian F. Placidi|author2=Liliana Dell'Osso|author3=Giuseppe Nistico |author4=Hagop S. Akiskal|title=Recurrent Mood Disorders: New Perspectives in Therapy|url=https://books.google.com/books?id=pIvcBQAAQBAJ&pg=PT293|date=6 December 2012|publisher=Springer Science & Business Media|isbn=978-3-642-76646-6|pages=293–}} 6. ^{{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 | url = }}
{{Antidepressants}}{{Mood stabilizers}}{{DEFAULTSORT:Antidepressants}} 3 : Antidepressants|Drug-related lists|Mood stabilizers |