How CYP2C19 & CYP2D6 Pharmacogenomic Testing Predicts SSRI Side Effects
Learn how CYP2C19 and CYP2D6 genetic testing can predict SSRI side effects, guide dosing, and improve depression treatment outcomes.
When people talk about SSRIs, selective serotonin reuptake inhibitors, a class of antidepressants that increase serotonin levels in the brain. Also known as antidepressant medications, they are one of the first options doctors turn to for treating depression, anxiety, and some obsessive-compulsive disorders. Unlike older drugs that hit multiple brain chemicals at once, SSRIs are designed to be more targeted—focusing mostly on serotonin, a key player in mood regulation. That’s why many people experience fewer side effects compared to older antidepressants like tricyclics.
But SSRIs aren’t all the same. Fluoxetine, the generic form of Prozac, is one of the longest-used SSRIs, known for its long half-life and steady effect. Escitalopram, the active ingredient in Celexa, is often preferred for its clean profile and lower risk of drug interactions. These aren’t just brand names—they’re different tools with different strengths. Some work faster. Others are easier to stop. Some cause more weight gain. Some help with anxiety more than sadness. And while SSRIs are widely prescribed, they’re not the only option. Many people switch to tricyclic antidepressants, older drugs like nortriptyline and amitriptyline that affect multiple neurotransmitters. They can be more effective for certain cases, but come with more side effects like dry mouth, drowsiness, or heart rhythm changes.
What you won’t find in a drug ad is how real people experience SSRIs. Some feel better in weeks. Others feel numb, restless, or worse before they get better. Some can’t tolerate them at all. That’s why knowing the differences matters. The posts below aren’t just lists of drugs—they’re real comparisons. You’ll see how Prozac stacks up against Celexa. How nortriptyline compares to SSRIs. How fluoxetine and other antidepressants affect sleep, weight, and energy. You’ll find guides on buying generic versions safely, spotting red flags in online pharmacies, and understanding what your doctor isn’t telling you about dosing and withdrawal. This isn’t theoretical. It’s what people actually deal with when they start, stop, or switch meds.
Learn how CYP2C19 and CYP2D6 genetic testing can predict SSRI side effects, guide dosing, and improve depression treatment outcomes.