If you think a drug you're taking might be causing your depression, you may be right. Certain medications prescribed for various medical conditions do cause such feelings as sadness, despair, and discouragement. And those are feelings that are often associated with depression. Other medicines prescribed for medical problems can trigger mania (excessive elation and joy) that's usually associated with bipolar disorder.
Medications that cause mania or depression appear to alter brain chemicals in some way. And even though the drugs may be necessary to treat the condition, the side effect is hardly acceptable. As an example, Accutane, which is prescribed for the treatment of acne, has been found to also cause depression. So have oral contraceptives, high blood pressure drugs, and even statins that treat high cholesterol.
How Can I Avoid Drugs That Cause Depression or Mania?
The best way to avoid drugs that affect your mood is to know which medicines commonly cause depression and/or mania. Then talk to your doctor to see if any of the medicines you are taking are likely causing or contributing to mood symptoms, and if so, discuss whether a different medication may be an appropriate option. Your doctor should let you know up front which drugs might cause feelings of depression or mania and should evaluate whether mood symptoms are or are not likely related to medicines.
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Drugs That Might Cause Mania (Excessive Elation)
The following drugs could cause symptoms of mania:
- Corticosteroids. This group of drugs decreases inflammation (swelling) and reduces the activity of the immune system (cells that fight infection). Examples include hydrocortisone, triamcinolone, prednisone, Flonase, Nasocort, Nasonex, Flovent, and Azmacort.
- Cyclosporine. This drug is used to suppress the immune system to prevent the rejection of transplanted organs.
- Dopar (levodopa). This medicine treats Parkinson's disease.
- Lioresal. This is a muscle relaxant and antispastic agent. It's often used to treat multiple sclerosis and spinal cord injuries.
- All antidepressants, including MAOIs (monoamine oxidase inhibitors, such as Parnate or Nardil), SSRIs (selective serotonin reuptake inhibitors such as Prozac, Lexapro and Paxil), SNRIs (serotonin/norepinephrine reuptake inhibitors, such as Effexor, Pristiq and Cymbalta), and tricyclic antidepressants (such Elavil or Pamelor).
- Ritalin or amphetamine. These are stimulant drugs used to treat attention deficit hyperactivity disorder (ADHD).
- Synthroid. This drug is commonly prescribed as a thyroid hormone replacement.
- Trihexyphenidyl (Artane). This medicine is used to treat Parkinson's disease.
- Yohimbine. This drug treats male impotence.
Drugs That May Cause Depression
The following drugs have been reported to cause depression in some patients. Elderly people are particularly at risk.
- Accutane: This drug treats severe acne.
- Antabuse: This medicine is used to treat alcoholism.
- Anticonvulsants: Anticonvulsants are used to control epileptic seizures, examples include Celontin and Zarontin.
- Barbiturates: These are a group of central nervous system depressants that slow down brain function. These medicines have been used to treat anxiety and to prevent epileptic seizures. They are commonly abused; examples are phenobarbital and secobarbital.
- Benzodiazepines: This group of central nervous system depressants is often used to treat anxiety and insomnia and to relax muscles; examples include Ativan, Dalmane, Halcion, Klonopin, Librium, Valium, and Xanax.
- Beta-adrenergic blockers -- Also known as beta-blockers, these medicines are used in the treatment of various heart problems, including high blood pressure, heart failure, chest pain caused by angina, and certain abnormal heart rhythms. They may also be used to treat migraine headaches; examples include Lopressor, Tenormin and Coreg.
- Bromocriptine (Parlodel): This is a medicine used to treat Parkinson's disease.
- Calcium-channel blockers: This group of medicines slows the heart rate and relaxes blood vessels. Calcium channel blockers are used to treat high blood pressure, chest pain, congestive heart failure, and certain abnormal heart rhythms, examples include Calan, Cardizem, Tiazac, and Procardia.
- Estrogens: This class of female hormones is often used in hormone replacement therapy (HRT) to treat menopause symptoms and to prevent or treat osteoporosis; examples include Premarin and Prempro.
- Fluoroquinolone antibiotics: Examples of these drugs include Cipro and Floxin.
- Interferon alfa: This drug is used to treat certain cancers as well as hepatitis B and C.
- Norplant: This is a medicine used for birth control.
- Opioids: This group of narcotics is used to relieve moderate to severe pain. These drugs have a high potential for abuse and addiction; examples include codeine, morphine, Demerol, Percodan, and OxyContin.
- Statins: These medicines are used to lower cholesterol, protect against damage from coronary artery disease, and prevent heart attacks; examples include Mevacor, Zocor, Pravachol, Lescol, and Lipitor.
- Zovirax: Doctors prescribe this drug to treat shingles and herpes.
What Should I Do If My Medicine Causes Depression or Mania?
When a medicine produces symptoms of mania or depression, your doctor may recommend discontinuing the drug or reducing the dosage (if possible). If this is not possible, your doctor may treat the manic or depressive symptoms with other drugs.
Should I Stop Taking a Drug If It Causes Depression or Mania?
If you do experience depression or mania while taking one of these medications or any other, call your doctor immediately. Do not stop taking the medicine unless directed to do so by your doctor. In all cases, the risk of side effects must be balanced against the risk and discomfort of not treating the disease.
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Related Disease Conditions
Depression is an illness that involves the body, mood, and thoughts and affects the way a person eats and sleeps, the way one...
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Prevention & Wellness
Daily Health News
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
National Institute of Mental Health: "What is Depression?"
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR, American Psychiatric Pub, 2000.
Fieve, R. Bipolar II, Rodale Books, 2006.
Reviewed by Joseph Goldberg, MD on July 24, 2012
© 2012 WebMD, LLC. All rights reserved.
Top Medicines that Cause Depression Related Articles
Depression medications or antidepressants are drugs prescribed for treating depression. There are several types of drug classes of antidepressants including
- tricyclic antidepressants (TCAs),
- selective serotonin reuptake inhibitors (SSRIs),
- serotonin norepinephrine reuptake inhibitors (SNRIs), and
- monoamine oxidase inhibitors (MAOIs).
Side effects depend on the medication prescribed. Drug interactions, warnings and precautions, and pregnancy and breastfeeding safety should be reviewed prior to taking any medication.
Bipolar DisorderBipolar disorder (or manic depression) is a mental illness characterized by depression, mania, and severe mood swings. Treatment may incorporate mood-stabilizer medications, antidepressants, and psychotherapy.
Calcium Channel Blockers
Calcium channel blockers (CCBs) are a class of drugs that dilate the arteries, and are used for treating:
- High blood pressure
- Abnormally rapid heart rhythms
- Pulmonary hypertension
- Raynaud's syndrome
- Subarachnoid hemorrhage
Calcium channel blockers also are prescribed for the prevention of migraine headaches and angina.
CCBs may also be prescribed after a heart attack.
Examples of calcium channel blockers (CCBs) approved in the U. S. include:
- nisoldipine (Sular)
- nifedipine (Adalat, Procardia)
- nicardipine (Cardene)
- isradipine (Dynacirc)
- nimodipine (Nimotop)
- felodipine (Plendil)
- amlodipine (Norvasc)
- diltiazem (Cardizem)
- verapamil (Calan, Isoptin)
DepressionDepression is an illness that involves the body, mood, and thoughts and affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. The principal types of depression are major depression, dysthymia, and bipolar disease (also called manic-depressive disease).
Depression in ChildrenChildhood depression can interfere with social activities, interests, schoolwork and family life. Symptoms and signs include anger, social withdrawal, vocal outbursts, fatigue, physical complaints, and thoughts of suicide. Treatment may involve psychotherapy and medication.
estrogens (conjugated)-vaginal cream
Oral Contraceptives, Birth Control PillsBirth control pills (oral contraceptives) are prescription medications that prevent pregnancy. Three combinations of birth control pills that contain progestin and estrogen are 1) monophasic, 2) biphasic, and 3) triphasic. Birth control pills may also be prescribed to reduce menstrual cramps or prevent anemia. Certain prescription medications may cause drug interactions. Some women experience various levels of side effects of birth control pills.
Depression Physical SymptomsDepression can cause physical problems such as insomnia, chest pain, fatigue, headaches, and more. Learn the signs of depression that show up in the body.
Prednisone is a drug that belongs to the corticosteroid drug class, and is an anti-inflammatory and immune system suppressant. It's used to treat a variety of diseases and conditions, for example: inflammatory bowel disease (Crohn's disease and ulcerative colitis), lupus, asthma, cancers, and several types of arthritis.
Common side effects are weight gain, headache, fluid retention, and muscle weakness. Other effects and adverse events include glaucoma, cataracts, obesity, facial hair growth, moon face, and growth retardation in children. This medicine also causes psychiatric problems, for example: depression, insomnia, mood swings, personality changes, and psychotic behavior. Serious side effects include reactions to diabetes drugs, infections, and necrosis of the hips and joints.
Corticosteroids like prednisone, have many drug interactions; examples include: estrogens, phenytoin (Dilantin), diuretics, warfarin (Coumadin, Jantoven), and diabetes drugs. Prednisone is available as tablets of 1, 2.5, 10, 20, and 50 mg; extended release tablets of 1, 2, and 5mg; and oral solution of 5mg/5ml. It's use during the first trimester of pregnancy may cause cleft palate. This medicine is secreted in breast milk and can cause side effects in infants who are nursing. You should not stop taking prednisone abruptly because it can cause withdrawal symptoms and adrenal failure. Talk with your doctor, pharmacist, or other medical professional if you have questions about beta-blockers. Talk with your doctor, pharmacist, or other medical professional if you have questions about prednisone.
If you notice other effects not listed above, contact your doctor or pharmacist. In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Statins is a class of drugs prescribed to lower blood cholesterol. Statins also are prescribed for preventing and treating atherosclerosis. Common side effects of statins are
- constipation, and
Serious side effects can occur.
Examples of statins available in the US are
- atorvastatin (Lipitor),
- fluvastatin (Lescol, Lescol XL),
- lovastatin (Mevacor, Altoprev),
- pravastatin (Pravachol),
- rosuvastatin (Crestor),
- simvastatin (Zocor), and
- pitavastatin (Livalo).
Drug interactions, dosing, storage, and pregnancy safety should be reviewed prior to taking this medication.