SSRI Antidepressants: Pharmacology Made Easy & Clinically Relevant episode artwork

EPISODE · Nov 20, 2025 · 34 MIN

SSRI Antidepressants: Pharmacology Made Easy & Clinically Relevant

from This Is Why with Dr. Busti · host Anthony Busti, MD, PharmD, MSc, FNLA, FAHA

In this This Is Why pharmacology review, Dr. Busti walks through the Selective Serotonin Reuptake Inhibitors (SSRIs)—how they became first-line for major depressive disorder and a wide range of anxiety-related disorders, and where their real-world pitfalls live.We compare the core agents—citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline—covering indications, mechanism, and clinical nuances that matter at the bedside. You’ll learn how dose, half-life, metabolism, and side-effect patterns influence patient-specific choices, and what to monitor for safety and success.This episode includes practical guidance on:Managing sexual dysfunction, QT risk, and SIADHRecognizing CYP2D6 interactionsUnderstanding fluoxetine’s long half-lifeApplying MAOI washout rules to avoid serotonin syndromeStarting low and titrating slow for anxietyIf you want to go beyond memorization and understand the why behind the what, this episode connects the science, safety, and strategy of SSRI use.🔹 Download study tables, mechanisms, and comparison charts for this video at https://www.thisiswhy.health/topics/pharmacology-review-ssri-antidepressantsDisclaimer:This content is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard in this content.

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In this This Is Why pharmacology review, Dr. Busti walks through the Selective Serotonin Reuptake Inhibitors (SSRIs)—how they became first-line for major depressive disorder and a wide range of anxiety-related disorders, and where their real-world pitfalls live. We compare the core agents—citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline—covering indications, mechanism, and clinical nuances that matter at the bedside. You’ll learn how dose, half-life, metabolism, a...

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SSRI Antidepressants: Pharmacology Made Easy & Clinically Relevant

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