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What is the #1 antidepressant? By looking at 117 studies of the 12 most popular antidepressants, researchers ranked the top 12 drugs in the journal The Lancet. Zoloft and Lexapro came in first for a combination of effectiveness and fewer side effects, followed by Prozac (fluoxetine), Paxil (paroxetine), Cymbalta, and Luvox among others.
Is fluoxetine a first line antidepressant? Fluoxetine is the first line SSRI (licensed ≥ 8 years), NICE reports fluoxetine as the 'only antidepressant for which trials show the benefit outweighs the risks'.


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