Effexor®
(venlafaxine) works on both the serotonin and adrenergic
system and is a useful medication especially if the SSRI's
alone fail to treat a mood problem. It has not been well studied
in pregnancy however. Like the SSRI's it is usually well tolerated
and may be useful for both depression and anxiety problems.
Serzone®
(nefazodone) also impacts many chemical systems in the
brain. It is a good choice for patients with anxiety and insomnia
as a prominent part of their mood problem. It has not been
studied well in pregnancy.
Wellbutrin®
(bupropion) is an atypical antidepressant and acts on
the dopamine system in the brain. As such, it may help individuals
who have poor motivation, low energy and drive as a prominent
part of their depression. It is a good choice for people who
experience sexual side-effects due to antidepressant medication.