I have always been wary of any SSRI drugs as they are all currently sythesized and utilized based on a theory. It's impossible to see neurological components at work real time, so much of the data associated with the regulation of dopamines has to be based on what doctors theorize. Take that into consideration with the fact that the chemical function of each person's brain is as unique as their personality, and it quickly becomes evident why a psychiatrist will want to "try" this drug first, Add this one later, Increase the dosage 6 months from now, and add this drug to counteract this symptom.
A friend of mine was dealing with a mundane life, thought he had depression, and went to a psychiatrist. The psych put him on 10mg Lexapro. 3 days later he couldn't sleep, the doc told him to take diphenhydramine, that made him hallucinate, so the doctor prescribed him Trazadone to sleep. Then he could no longer achieve ejaculation, so the doc gave him viagra. After a few months, he got tired of taking a pill to be happy, taking a pill to go to sleep, taking a pill to wake up, and taking a pill to have sex and just went back to being an grouchy old fart.
Taking Anti-depressants long term is not adviseable by people who have taken them long term. Some people will advise it is a good idea to take a break from time to time and measure progress as anti-depressants will cause a shift in brain function.
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