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Selective Serotonin Reuptake Inhibitors (SSRIs) :Discontinuation Symptoms

Selective Serotonin Reuptake Inhibitors (SSRIs) are a class of medications widely used in the treatment of depression, anxiety disorders, and several other psychiatric conditions. While effective, one of the challenges associated with the use of SSRIs is the potential for discontinuation symptoms when the medication is stopped abruptly or tapered too quickly. These symptoms can vary in severity and are influenced by several factors, including the drug's pharmacokinetic properties, particularly its half-life.

The half-life of an SSRI is a critical determinant of its likelihood to cause discontinuation symptoms. A shorter half-life typically results in a more rapid decline in drug levels in the body, which can lead to a higher risk of withdrawal symptoms. Conversely, SSRIs with longer half-lives tend to leave the system more gradually, reducing the likelihood and severity of discontinuation symptoms. This introduction sets the stage for understanding the ranking of various SSRIs based on the incidence of discontinuation symptoms, taking into account their pharmacokinetic differences.


RankSSRIRationale for Discontinuation Symptoms
1ParoxetineHas the highest incidence due to its short half-life, leading to rapid plasma clearance and more pronounced withdrawal symptoms.
2SertralineShorter half-life than Fluoxetine, Citalopram, and Escitalopram but longer than Paroxetine;...

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