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Side Effects Caused by First Line Antidepressants in Social Anxiety Disorder Treatment

Ruy Miranda
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The antidepressants that succeeded the tricyclics and the monoamine-oxidase-inhibitors in the treatment of depression and phobias, including Social Phobia, present a significant advantage: the reduction in the quantity of side effects. Furthermore, the side effects caused by the active ingredients like fluoxetine, sertraline, paroxetine, venlafaxine, and nefazodone tend to disappear with continuous use of the medication.

These substances, as well as others, produce side effects because they present the potential to interfere in the action of different biological substances and because the genetic characteristics of some people lead to their accumulation in the organism. In contrast with the tricyclics, which present a number of frequent side effects, these antidepressants present less frequent and more diversified side effects. For example, fluoxetine tends to reduce appetite, whereas sertraline and paroxetine tend to retard or inhibit orgasm. In addition to presenting fewer side effects, these medications can be used in smaller doses than those used in depression and can be taken in a span of two or three days. This reduces the intensity of the side effects even more. Nevertheless, the possibility of severe side effects cannot be minimized. To be on the safe side, at the beginning of treatment using these medications or any other neuroleptic, I recommend that my clients and, depending on the circumstances, family member, too, contact me at any time through any of my telephone numbers if they notice signs or symptoms that are different from those that I have informed them as being likely to occur.




June, 2005


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This web site, the Social Anxiety Disorder and Shyness Directory and these articles contained on this web site are not solicitations, are not medical advice and are not intended as medical advice. This web site, the Social Anxiety Disorder and Shyness Directory and these articles are intended to provide only general, non-specific medical information and are not intended to cover all the issues related to the topics discussed. This web site, the Social Anxiety Disorder and Shyness Directory and these articles do not create any physician-client relationship between Ruy Miranda and you, and they do not replace the eventual relationship between you and your physician, psychologist, or other healthcare professional. This article’s author recommends no particular medication and does not represent the interests of any person, company or pharmaceutical laboratory.


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You may want to read other articles on Social Anxiety Disorder / Social Phobia and Shyness:

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Self-Concept/Self- Actualization – Shyness Nucleus

Self-concept, Body Image, Self-depreciation and Shyness

Shyness and Social Anxiety Disorder: Neurophysiological Approach

Shyness Articles:

What Is Shyness? Fear, Anxiety, Anguish?

Questions and Answers on Shyness

Humiliation Stories, School Spankings: Examples of Shyness Causes

Social Anxiety Disorder Articles:

Social Anxiety Disorder: What It Is, The Anxiety Attack Symptoms

Social Anxiety Attacks: Incidence, Onset, History, Evolution

Social Phobia / Anxiety Disorder: Treatment

Social Phobia / Anxiety Disorder: Differential Diagnosis

Avoidant Personality Disorder

Medications in Social Phobia: Side Effects - Part 1

Antidepressants Tricyclics: Side Effects - Part 2

Metabolic Pathways Individual Differences and Medications Side Effects - Part 3

Genetic Changes: Medications Side Effects - Part 4

First Line Antidepressants - Side Effects - Part 5

Social Anxiety and Shyness Articles:

Panic Disorder, Shyness, Social Phobia - Differences

Why Self-Help in Shyness and Social Anxiety Disorder / Social Phobia Doesn’t Help You

Shyness and Social Anxiety Disorder:Medication Action

Facial Blushing, Redness of the Face, Ears and Neck

Psychoses, Shyness and Social Phobia


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