Our expert says:
Unfortunately there is not a lot of hard and convincing research giving us any easy way to predict which antidepressant will suit which person best. Generally, only around 60 to 70 % of people with depression started on any particular AD, will respond well to it. This is why sometimes after a couple of weeks to assess how it is working, one may need to be changed to a 2nd, or sometimes even a third AD, for the best results.
Doctors generally do their best to select one likely to work in any given person. Some, of course, might be swayed by adertising or other promotion of a particular drug. For instance, I notice that Cipralex though fairly new and expensive, seems to be remarkably popular among many GPs, even though there is no overwhelming evidence that it is likely in most people, to do better than any other AD.
Its wise, in any case, wih indeed any drug, not only to ask the prescribing doc about side-effects and precautions, but to explain why he has chosen that particular drug for you.
In your case, the way you describe the effects on you of Cipralex, it sounds as though it is suiting you excellently.
I'm surpised the GP had the impression that there would be no side-effects. NO AD exists which has no side-effects, and Cipralex is chemically closely related to other drugs we have used for longer, which all have recognized side-effects, including nausea ( mainly in the first couple of weeks as one's body gets used to it ).
A great deal of effort goes into writing and printing a specific product leaflet which by law much be included in every package of every drug. For some bizarre and entirely unjusifiable reason, too many pharmacists seem to remove this rather than giving it to you, wich is frankly malpractice. ALWAYS ask every pharmacist to give you the "package inset" leaflet and to explain side-effects, etc to you --- they claim payment for doing so, and should do their job properly.
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