Other Antidepressants

Patient education handouts for antidepressants outside the SSRI and SNRI categories — from Renee Reece, ARNP, PMHNP-BC

Beyond SSRIs and SNRIs — Not all antidepressants work the same way. This library covers medications from several different classes, each with a unique mechanism of action, side effect profile, and set of benefits. Some target dopamine, others affect sleep and appetite, and some work through entirely novel pathways. These medications are often chosen when SSRIs or SNRIs have not worked well, or when specific symptoms make a particular medication a better fit.
Medication Education  ·  NDRI

Bupropion (Wellbutrin)

The only antidepressant that targets dopamine and norepinephrine — not serotonin. Uniquely energizing with no sexual side effects and associated with weight loss.

Depression Smoking Cessation ADHD Energy
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Medication Education  ·  NaSSA

Mirtazapine (Remeron)

A sedating antidepressant particularly helpful when insomnia, poor appetite, or anxiety are key symptoms. Works through a completely different mechanism than SSRIs.

Depression Insomnia Appetite Anxiety
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Medication Education  ·  SARI

Trazodone (Desyrel)

Most commonly used as a non-habit-forming sleep aid at low doses. Also effective as an antidepressant at higher doses.

Insomnia Depression Anxiety
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Medication Education  ·  SMS

Vortioxetine (Trintellix)

A newer multi-modal antidepressant with unique cognitive benefits. Often improves memory, focus, and processing speed beyond what other antidepressants achieve.

Depression Cognition Brain Fog
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Medication Education  ·  SPARI

Vilazodone (Viibryd)

Combines SSRI reuptake inhibition with partial serotonin receptor agonism. May have fewer sexual side effects and faster anxiety relief than traditional SSRIs.

Depression Anxiety
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Medication Education  ·  NMDA Antagonist + NDRI

Auvelity (DXM / Bupropion)

A first-in-class oral antidepressant with a novel glutamate mechanism similar to ketamine. Notably faster onset than traditional antidepressants — often within 1–2 weeks.

Depression Rapid Onset Treatment-Resistant
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