Most folks know that certain antidepressants have to be taken for a few weeks before people start seeing improvement, and now a new study sheds light on that delay. Scientists have discovered this is because of physical changes in the brain that unfold over those first few weeks of using selective serotonin reuptake inhibitors (SSRIs) and lead to greater brain plasticity. SSRIs include a range of common antidepressants such as Paxil, Prozac, Celexa, Lexapro and Zoloft. “The delay in therapeutic action of antidepressants has been a puzzle to psychiatrists ever since they were first discerned over 50 years ago. So, these new data in humans that use cutting-edge brain imaging to demonstrate an increase in brain connections developing over the period that the depression lifts are very exciting,” said David Nutt from Imperial College London, who was not involved in the research. “Also, they provide more evidence [that] enhancing serotonin function in the brain can have enduring health benefits.” The researchers studied this in a randomized, double-blind, placebo-controlled trial in a group of healthy volunteers. The researchers gave 17 volunteers a 20-milligram (mg) daily dose of the SSRI escitalopram (Lexapro). Another 15 volunteers received a placebo. About three to five weeks in, the volunteers’ brains were scanned using a positron emission tomography (PET) scanner. The scans made it possible to see the amount of synaptic… read on > read on >







