Depression in menopause
With menopause, menopause can develop,endogenous, involuntary or psychogenic depression. It is for the correction of depression in menopause and prescribe antidepressants. Menopause is characterized by a depressed mood, tearfulness, a decrease in interest in what is happening around and self, a decrease in activity, anxiety, nighttime hot flashes, sleep, appetite and sexual desire may be disturbed (downward or upward). Psychogenic depression is accompanied by an increased sense of repentance and guilt, disturbed sleep and appetite, a sharp loss of body weight, pessimistic views of the future, heavy thoughts. The condition then becomes more acute, then fades. Endogenous depression is accompanied by a dreary mood, lack of joy and pleasure, apathy, a decrease in activity, a pessimistic attitude toward a past life, present and future, self-blame, can be observed by a violation of sleep, appetite, weight loss, decreased sexual desire. At the same time there are tides, but they are not the main reason for complaints. Involutional depression is characterized by painful or unpleasant sensations, anxiety, anxiety, fussiness, hypochondria, excessive care for one's own health. In extreme forms, patients note that they do not work whole body systems or fear of death (more often violent), poverty, global catastrophe. 
Features of antidepressant treatment in menopause
If earlier to help a woman in menopausethe period prescribed hormone replacement therapy, now it is no longer a panacea, since it not only has a number of side effects and contraindications, but it can significantly worsen the condition of a woman suffering from depression. It is antidepressant ways to gently, safely and effectively help in this case. They have a minimum of side effects, do not cause even drowsiness and are well tolerated, in contrast to hormonal drugs. Antidepressants are psychotropic medications that are used primarily to treat depression. In such patients, they increase mood, reduce feelings of melancholy, depression, anxiety, apathy, increase activity and general emotional background, restore the function of sleep and appetite. When treating antidepressants, it is important to know and follow certain rules, since antidepressants are serious drugs that can not be taken at random. First, the doctor must prescribe the medicine! Self-medication is simply unacceptable. Secondly, almost all antidepressants are prescribed and withdrawn gradually, that is, the dose is gradually increased and also gradually comes to naught. This is done in order to avoid side effects and to adapt the body to the drug. Gradual cancellation is necessary to ensure that the body is also gradually weaned from the drug. This rule can not be neglected, since any antidepressant (or rather, its withdrawal) is always a certain stress for the body. Thirdly, do not expect that the effect will manifest after the first pill. No, this will not happen, because active substances accumulate in the body gradually. The first effect you will feel no earlier than 5-7 days. Some antidepressants start working only after 2-3 weeks. Fourth, even if it seems to you that the medicine does not work, continue to apply it (unless the doctor canceled it himself). Be patient and be sure that you will get out of depression: the specificity of this disease is such that it is treated at all. It's just that someone had earlier, and someone later.
Antidepressants used during menopause
Among the drugs that are bestshowed themselves in the treatment of women during menopause, especially noted selective serotonin reuptake inhibitors: Paroxetine, Fluoxetine, Fluvoxamine. They can be used together with drugs that are designed to relieve a tidal attack: Sonapaks, Etaperazin (these are antipsychotics, so they should be used in small doses), Depakin, Finlepsin (anticonvulsants). Very good antidepressant - Coaxil (Tianeptine). It belongs to the class of tricyclic antidepressants and combines antidepressant, energizing, anxiolytic and vegetotrophic effects. Its advantage is good tolerability of patients. Doctors note among the group of antidepressants and such drugs containing the active substance venlafaxine. On the pharmaceutical market, the following drugs are offered, including Ephevelone, Velaxin, Velafax, Fluoxetine (Profluzak, Prozac, Fluval), Poroxetine (Aktaparoxetine, Adapepress, Paxil, Rexetin, Plizil). Scottish scientists from Glasgow came to an interesting conclusion in the course of research. They found that antidepressants, which are used in the treatment of women with menopausal syndrome, have an additional positive effect on the body. These drugs normalize the state of the vessels, thereby reducing or completely preventing attacks of hot flashes. In 60% of women who take antidepressants during this period, the overall physical and mental well-being improves substantially. In any case, remember: whatever you promised you articles on the Internet, advertising on television or advice of girlfriends, but the drug should prescribe you only a doctor. Nobody forbids you to discuss with him the means that interested you, but the decision must remain with the specialist.
