newbie

[jennyt1970]

Hi could anyone tell me if 100mg of Sertraline Is Classed as ( FIRST Line Anti depressant

[hypercat54]

Not sure what you mean by that. There are a number of ad's that seem to be most common and I would say sertraline is among those, along with prozac, mirtazapine, citalpram and some others. It is a common med. x

[jennyt1970 in reply to hypercat54]

hi i were put on them in July after Loosing my brother suddenly , reason why im asking is i had my PIP Review and it says im only on A First Line Antidepressant i were taking citalpram Before that for a long time thanks for replying Jenny

[hypercat54 in reply to jennyt1970]

I would agree that sertraline is a first line med from how commonly it is prescribed. I am on it myself. If these less powerful ad's don't work or you had a different mental health issues then I guess a doctor would start prescribing stronger ones.

Good luck with your PIP. x

[MAS_Nurse]

Hi Jenny,

Welcome to this supportive community.

Yes in the UK Sertraline which is an SSRI (Selective Serontonin Reuptake Inhibitor) antidepressant, is a first-choice antidepressant. According to the UK NICE (National Institute for Health and Care Excellence) Guidelines on Depression in Adults and Common Mental Health disorders, in the first instance treatment options for mild to moderate depression are:

NICE Guidelines First-choice antidepressants:

nice.org.uk/advice/ktt8/cha...

“NICE advocates a stepwise approach to managing common mental health disorders. It recommends offering, or referring people for, the least intrusive and most effective intervention first. Therefore, non drug interventions (such as cognitive behavioural therapy [CBT]) should be the mainstay of treatment for many people with depression or GAD, with drugs generally reserved for more severe illness or when symptoms have failed to respond to non drug interventions.”

“If an antidepressant is indicated for an adult with depression, the NICE guideline on depression in adults recommends that it should normally be a selective serotonin reuptake inhibitor (SSRI) in generic form. SSRIs are equally effective as other antidepressants and have a favourable risk–benefit ratio...”

“The full guideline on depression in adults concluded that antidepressants have largely equal efficacy and that choice should mainly depend on side effect profile, people's preference and previous experience of treatments, propensity to cause discontinuation symptoms, safety in overdose, interactions and cost. However, a generic SSRI is recommended as first choice because SSRIs have a favourable risk–benefit ratio.”

See also these guides below.

NICE Guidelines: Depression in adults

nice.org.uk/guidance/cg90/i...

NICE Guidelines – Common Mental Health problems:

nice.org.uk/guidance/CG123/...

Hope this helps you to make informed choices about your treatment, that you can discuss with your doctor.

Best wishes,

MAS Nurse and Moderator.

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As mentioned above Jenny, generally these medications are given as a a first line of defence in the treatment of Depression. Most people on these pages will be taking these or Citalopram.

No need to worry

BOB