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To see if commonly prescribed blood pressure drugs might influence a person’s risk of developing depression, Danish researchers scrutinized a decade’s worth of data from their national health registry. Their findings, summarized below, were published in the September 2020 issue of Hypertension.

Who: All 5.4 million people living in Denmark in 2005, except for those diagnosed with depression or prescribed an antidepressant medication.

When: Researchers tracked the participants’ health from 2005 to 2015.

What: Just over 3.7 million people received a prescription for a blood pressure drug during the 10-year study period. Researchers focused on 41 drugs from four different classes of blood pressure drugs. Diuretics were the most commonly prescribed, followed by ACE inhibitors and ARBs, calcium-channel blockers, and beta blockers.

How: In people taking the different medications, researchers assessed the rate of depression, which was determined by a diagnosis by a clinician or use of antidepressants.

Key findings: None of the diuretics appeared to affect depression risk. In each of the other drug classes, at least two drugs were linked with a lower risk of depression: enalapril , ramipril , amlodipine , verapamil , propranolol , atenolol , bisoprolol , and carvedilol .

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The use of antidepressants is not usually recommended in children and young people under the age of 18. This is because there is some evidence that, in rare cases, they can trigger thoughts about suicide and acts of self-harm in this age group.

Antidepressants are not recommended for the initial treatment of mild depression in children and young people.

For moderate to severe depression, antidepressants may be used if both the following apply:

  • the person being treated will also receive talking therapies in combination with antidepressants
  • the treatment is supervised by a child and adolescent psychiatrist

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