Table 5. Antidepressants*

Agent Starting dose Effective dose range Comments

Fluoxetine 10-20 mg qd 20-80 mg qd T1/2=7-9d; most activating of SSRIs; headache, tremor, GI upset, anorgasmia
Sertraline 25-50 mg qd 50-200 mg qd T1/2=3-4d
Paroxetine 20 mg qd 20-50 mg qd T1/2=21h
Bupropion 75 mg bid 100-150 mg tid Activating; suppresses appetite; decreases seizure threshold
Venlafaxine 75 mg qd 75-175 mg bid GI upset, headache, anxiety, sleep disturbance
Trazodone 50 mg qhs 300 mg qd May require up to 500 mg qd for antidepressant effect; sedating; rare priapism

*See Table 4 for tricyclic antidepressants.