Norfolk and Suffolk NHS Foundation Trust
Pharmacy, Hellesdon Hospital, Norwich, NR6 5BE
http://www.nsft.nhs.uk/

Professor Stephen Bazire
01603-421452
steve.bazire@nsft.nhs.uk

What sort of side-effects might occur if I am taking an SSRI?

The table below will show you some of the main side effects you might get from an SSRI.

Side effect

What happens

What to do about it

COMMON (more than about 1 in 10 people might get these)

Nausea and vomiting

Feeling sick and being sick.

Take your SSRI with or after food. If you are sick for more than a day, contact your doctor. This tends to wear off after a few days or a week or so.

Insomnia

Not being able to get to sleep at night.

Make sure you take your dose in the morning. It may be possible to change the time of your dose, or reduce the dose a little to start with.

Sexual dysfunction

Finding it hard to have an orgasm. No desire for sex.

Discuss with your doctor.

LESS COMMON (less than about 1 in 10 people might get these)

Drowsiness

Feeling sleepy or sluggish. It can last for a few hours after taking your dose.

Don't drive or use machinery. Ask your doctor if you can take your SSRI at a different time of day.

Headache

Your head is pounding and painful.

Try paracetamol. Your pharmacist will be able to advise if this is safe to take with any other medicines you may be taking.

Loss of appetite

Not feeling hungry. You may lose weight.

If this is a problem, contact your doctor or pharmacist for advice.

Diarrhoea

Going to the toilet more than usual and passing loose, watery stools.

Drink plenty of water. Get advice from your pharmacist. If it lasts for more than a day or so, contact your doctor.

UNCOMMON (less than about 1 in 100 people might get these)

Restlessness or anxiety

Being more on edge. You may sweat a lot more.

Try and relax by taking deep breaths. Wear loose fitting clothes. This often happens early on in treatment and should gradually ease off over several weeks. A lower starting dose may help sometimes.

RARE (less than about 1 in 1000 people might get these)

Rashes and pruritis

Rashes anywhere on the skin. These may be itchy (pruritis).

Stop taking and contact your doctor now.

Dry mouth

Not much saliva or spit.

Suck sugar-free boiled sweets. If it is bad, your doctor may be able to give you a mouth spray.

Skin rashes

Blotches seen anywhere.

Stop taking and contact your doctor now.

Tremors and dystonias

Feeling shaky. You may get a twitch or feel stiff.

It is not dangerous. If it troubles you, contact your doctor.

Do not be worried by this list of side effects. Some people get no side effects at all and others may get some effects that are not listed in this table. Side effects tend to be worse with higher doses. Starting with a lower dose sometimes helps. If you think you might have a side effect to your medicine, you should discuss this with your doctor, nurse of pharmacist. You should also see the manufacturer's information leaflet.

Updated 12.11

Main pharmacy contact points

Main Trust switchboard in Norwich, tel: 01603-421421
Dispensary and all enquiries, tel: 01603-421212, fax: 01603-421365
Pharmacy office tel: 01603-421319
Medicines Information tel: 01603-421212
Unthank Road pharmacy tel: 01603-750031
Deputy Director and Clinical Pharmacy Manager John Hunter, tel: 01603-421364

Opening hours:
Main pharmacy open Monday to Friday: 8.30-16.30 (open at 9.15 on Wednesdays for staff meeting)
Unthank Road pharmacy tel: 01603-671917 open 9.15-12.00 Monday to Friday, also Tuesday and Wednesday afternoons for dose assessments.

Service objectives:
The pharmacy service to Norfolk and Suffolk NHS Foundation Trust has five main aims:

  1. Efficient drug distribution and purchasing
  2. Provision of accurate and independent education and information about medicine therapy to service users and carers
  3. Information and education for Trust and other professionals, and voluntary helpers
  4. Clinical activities to help ensure the optimum use of drug therapies
  5. Medicine management to ensure the most cost-effective use is made of resources