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Antidepressants: Summary of Recommendations

Antidepressants can improve the symptoms of depression, but they can also have serious side effects. So you don’t want to take one if you don’t have to. The information in this report can help you decide—with your doctor or mental-health professional—whether an antidepressant might be right for you, and if so, which one.

Retail prices for commonly prescribed antidepressants range from about $20 a month to more than $400 a month. This report shows how you can save $100 a month ($1,200 a year) or more if you have to take an antidepressant regularly.

Here’s a thumbnail guide to help you decide if you should consider medication:

  • If you are feeling “down” or “blue”—for example, in the wake of a stressful life event, such as the death of someone close, a divorce, or a job loss—you may have mild depression. That’s especially likely if you are still able to function and have no history of depression. Your symptoms will usually ease on their own within a few months, aided, if necessary, by family support and professional counseling, without the use of an antidepressant.

  • If you are not functioning well and your symptoms have lasted for a few weeks, you are more likely to be a candidate for an antidepressant. That is especially true if there is no apparent reason for you to be depressed or if you have had repeated episodes of depression.

Your doctor may not be aware of price differences between medicines, so be cautious if he or she offers you a free sample of an antidepressant that they happen to have in their office. While the free price may be tempting, the drug may not be the right one for you. Individual needs vary and people respond to antidepressants quite differently. Some have to try two or three antidepressants before finding one that works.

Taking effectiveness, safety, side effects, and cost into account, we have chosen five Consumer Reports Best Buy Drugs as initial options to consider for depression:
  • Generic bupropion
  • Generic citalopram
  • Generic fluoxetine
  • Generic paroxetine
  • Generic sertraline
These medicines are substantially less expensive than brand-name antidepressants and are as equally effective. If you have drug coverage, talk with your doctor about finding the antidepressant that has the lowest out-of-pocket cost under your insurance plan.

This report was updated in April 2011.
Antidepressants: Drug Comparison
Note: If the price box contains a, that indicates the dose of that drug is available for a low monthly cost through programs offered by large chain stores. For example, Kroger, Sam's Club, Target, and Walmart offer a month's supply of selected generic drugs for $4 or a three-month supply for $10. Other chain stores, such as Costco, CVS, Kmart, and Walgreens, offer similar programs. Some programs have restrictions or membership fees, so check the details carefully for restrictions and to make sure your drug is covered.


Generic name and strength Brand NameA Frequency of UseB Average Monthly CostC Compare Prices
  Bupropion 75 mg tablet Wellbutrin Three a day $283
Bupropion 75 mg tablet Generic Three a day $53
  Bupropion 100 mg tablet Wellbutrin Three a day $360
Bupropion 100 mg tablet Generic Three a day $62
  Bupropion 100 mg sustained-release tablet Wellbutrin SR Two a day $254
  Bupropion 100 mg sustained-release tablet Budeprion SR Two a day $94
  Bupropion 100 mg sustained-release tablet Generic Two a day $74
  Bupropion 150 mg extended-release tablet Wellbutrin XL One a day $235
  Bupropion 150 mg extended-release tablet Budeprion XL One a day $131
  Bupropion 150 mg extended-release tablet Generic One a day $122
  Bupropion 150 mg sustained-release tablet Wellbutrin SR Two a day $263
  Bupropion 150 mg sustained-release tablet Budeprion SR Two a day $76
  Bupropion 150 mg sustained-release tablet Generic Two a day $62
  Bupropion 200 mg sustained-release tablet Wellbutrin SR Two a day $499
  Bupropion 200 mg sustained-release tablet Generic Two a day $166
  Bupropion 300 mg extended-release tablet Wellbutrin XL One a day $324
  Bupropion 300 mg extended-release tablet Budeprion XL One a day $118
  Bupropion 300 mg extended-release tablet Generic One a day $120
  Bupropion 348 mg extended-release tablet Aplenzin One a day $228
  Bupropion 522 mg extended-release tablet Aplenzin One a day $540
  Citalopram 10 mg tablet Celexa One a day $127
Citalopram 10 mg tablet Generic One a day $33
  Citalopram 20 mg tablet Celexa One a day $129
Citalopram 20 mg tablet Generic One a day $31
  Citalopram 40 mg tablet Celexa One a day $143
Citalopram 40 mg tablet Generic One a day $38
  Desvenlafaxine 50 mg sustained-release tablet Pristiq One a day $157
  Desvenlafaxine 100 mg sustained-release tabletD Pristiq One a day $157
  Duloxetine 20 mg capsule Cymbalta One a day $166
  Duloxetine 30 mg capsule Cymbalta One a day $181
  Duloxetine 60 mg capsule Cymbalta One a day $181
  Escitalopram 5 mg tablet Lexapro One a day $125
  Escitalopram 10 mg tablet Lexapro One a day $121
  Escitalopram 20 mg tablet Lexapro One a day $124
  Fluoxetine 10 mg capsule Prozac One a day $227
Fluoxetine 10 mg capsule Generic One a day $22
Fluoxetine 10 mg tablet Generic One a day $41
  Fluoxetine 20 mg capsule Prozac One a day $225
Fluoxetine 20 mg capsule Generic One a day $22
Fluoxetine 20 mg tablet Generic One a day $27
  Fluoxetine 40 mg capsule Prozac One a day $449
Fluoxetine 40 mg capsule Generic One a day $56
  Fluoxetine 90 mg delayed-release capsule Prozac Weekly One per week $176
  Fluoxetine 90 mg delayed-release capsule Generic One per week $136
  Fluvoxamine 50 mg tablet Generic Two a day $106
  Fluvoxamine 100 mg tablet Generic Two a day $99
  Fluvoxamine 100 mg continuous-delivery capsule Luvox CR One a day $213
  Fluvoxamine 150 mg continuous-delivery capsule Luvox CR One a day $234
  Mirtazapine 7.5 mg tablet Generic One at bedtime $77
  Mirtazapine 15 mg tablet Remeron One at bedtime $155
  Mirtazapine 15 mg tablet Generic One at bedtime $44
  Mirtazapine 15 mg dissolvable tablet Remeron One at bedtime $131
  Mirtazapine 15 mg dissolvable tablet Generic One at bedtime $67
  Mirtazapine 30 mg tablet Remeron One at bedtime $162
  Mirtazapine 30 mg tablet Generic One at bedtime $44
  Mirtazapine 30 mg dissolvable tablet Remeron One at bedtime $124
  Mirtazapine 30 mg dissolvable tablet Generic One at bedtime $71
  Mirtazapine 45 mg tablet Remeron One at bedtime $190
  Mirtazapine 45 mg tablet Generic One at bedtime $49
  Mirtazapine 45 mg dissolvable tablet Remeron One at bedtime $133
  Mirtazapine 45 mg dissolvable tablet Generic One at bedtime $73
  Nefazodone 50 mg tabletE Generic Two a day $65
  Nefazodone 100 mg tabletE Generic Two a day $66
  Nefazodone 150 mg tabletE Generic Two a day $68
  Nefazodone 200 mg tabletE Generic Two a day $65
  Nefazodone 250 mg tabletE Generic Two a day $70
  Paroxetine 10 mg tablet Paxil One a day $142
  Paroxetine 10 mg tablet Pexeva One a day $196
Paroxetine 10 mg tablet Generic One a day $20
  Paroxetine 20 mg tablet Paxil One a day $143
  Paroxetine 20 mg tablet Pexeva One a day $201
Paroxetine 20 mg tablet Generic One a day $22
  Paroxetine 30 mg tablet Paxil One a day $154
  Paroxetine 30 mg tablet Pexeva One a day $207
Paroxetine 30 mg tablet Generic One a day $38
  Paroxetine 40 mg tablet Paxil One a day $163
  Paroxetine 40 mg tablet Pexeva One a day $214
Paroxetine 40 mg tablet Generic One a day $37
  Paroxetine 12.5 mg sustained-release tablet Paxil CR One a day $130
  Paroxetine 12.5 mg sustained-release tablet Generic One a day $99
  Paroxetine 25 mg sustained-release tablet Paxil CR One a day $143
  Paroxetine 25 mg sustained-release tablet Generic One a day $106
  Paroxetine 37.5 mg sustained-release tablet Paxil CR One a day $144
  Paroxetine 37.5 mg sustained-release tablet Generic One a day $115
  Sertraline 25 mg tablet Zoloft One a day $152
Sertraline 25 mg tablet Generic One a day $29
  Sertraline 50 mg tablet Zoloft One a day $146
Sertraline 50 mg tablet Generic One a day $28
  Sertraline 100 mg tablet Zoloft One a day $146
Sertraline 100 mg tablet Generic One a day $28
  Venlafaxine 25 mg tablet Generic Two a day $96
  Venlafaxine 37.5 mg tablet Effexor Two a day $172
  Venlafaxine 37.5 mg tablet Generic Two a day $88
  Venlafaxine 50 mg tablet Generic Two a day $96
  Venlafaxine 75 mg tablet Effexor Two a day $192
  Venlafaxine 75 mg tablet Generic Two a day $89
  Venlafaxine 100 mg tablet Generic Two a day $99
  Venlafaxine 37.5 mg sustained release capsule Effexor XR One a day $168
  Venlafaxine 37.5 mg sustained release tablet Generic One a day $123
  Venlafaxine 75 mg sustained release capsule Effexor XR One a day $179
  Venlafaxine 75 mg sustained release tablet Generic One a day $115
  Venlafaxine 150 mg sustained release capsule Effexor XR One a day $193
  Venlafaxine 150 mg sustained release tablet Generic One a day $129
A. "Generic" indicates drug sold by generic name

B. As typically prescribed.

C. Prices reflect nationwide retail average for January 2011, rounded to the nearest dollar. Information derived by Consumer Reports Health Best Buy Drugs from data provided by Wolters Kluwer Pharma Solutions, which is not involved in our analysis or recommendations.

D. According to Pristiq's drug label, "in clinical studies doses of 50-400 mg/day were shown to be effective although no additional benefit was demonstrated at doses greater than 50 mg/day and adverse events and discontinuations were more frequent at higher doses."

E. The brand-name version of generic nefazodone (Serzone) is no longer manufactured. This drug has been associated with reports of severe liver damage and should be used with caution.