Evidence for possible pro-inflammatory activity of antidepressants
| Data source | Mechanism | Drug(s) implicated |
|---|---|---|
| In vitro models | Increased production of IL-6 and TNF-α from macrophages [118] | Fluoxetine |
| Animal models | Increase in IL-2 and in CD8+ cell count over 3 weeks of treatment [119] | Fluoxetine |
| Human studies | Decrease in IL-4 over 6 months of treatment [114] | Nortriptyline, citalopram |
| Decrease in IL-10 over 8 weeks of treatment [40] | Antidepressants in general | |
| Increase in NK and B cell counts over 1 year [120] | SSRIs | |
| Decrease in CD4+ cell counts over 8 weeks [121] | Venlafaxine | |
| Increased requirement for steroid therapy in UC [122] | Antidepressants in general | |
| Increased risk of microscopic colitis [123] | SSRIs |
RPR: Conceptualization, Methodology, Writing—original draft, Writing—review & editing. The author has read and approved the submitted version.
The author declares that he has no conflicts of interest.
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