Antidepressants produces 40 documented subjective effects across 3 categories.
Full Antidepressants profileDisclaimer: The effects listed below cite the Subjective Effect Index (SEI), an open research literature based on anecdotal user reports and the personal analyses of PsychonautWiki contributors. As a result, they should be viewed with a healthy degree of skepticism.
It is also worth noting that these effects will not necessarily occur in a predictable or reliable manner, although higher doses are more liable to induce the full spectrum of effects. Likewise, adverse effects become increasingly likely with higher doses and may include addiction, severe injury, or death ☠.
Disorientation or confusion
Drowsiness, sometimes insomnia
Excessive sweating
Gastrointestinal upset (such as constipation, diarrhea, or nausea)
A headache
Increased or irregular heartbeat
Low blood pressure when going from a standing to a sitting position (called orthostatic hypotension). In most people, this can be managed by slowly increasing the dosage of the medication, giving split doses, and increasing fluid intake
Sexual dysfunction (such as reduced desire or erectile dysfunction)
Tremor
Urinary retention
Weight loss or weight gain Disclaimer: The effects listed below cite the Subjective Effect Index (SEI), an open research literature based on anecdotal user reports and the personal analyses of PsychonautWiki contributors. As a result, they should be viewed with a healthy degree of skepticism.
It is also worth noting that these effects will not necessarily occur in a predictable or reliable manner, although higher doses are more liable to induce the full spectrum of effects. Likewise, adverse effects become increasingly likely with higher doses and may include addiction, severe injury, or death ☠.
Visual effects
Suppressions
Cognitive effects
Enhancements
Analysis enhancement
Emotion enhancement
Creativity enhancement
Dream potentiation
Empathy, affection, and sociability enhancement
Immersion enhancement
Increased music appreciation
Increased sense of humor
Novelty enhancement
Personal meaning enhancement
Suppressions
Thought disorganization
Personal bias suppression
Addiction suppression
Alterations
Analysis enhancement
Introspection
Mindfulness
Physical effects
Enhancements
Suppression
Appetite suppression
Decreased libido
Sedation
Alterations
Excessive yawning
Pupil dilation
Pain relief
Watery eyes
Uncomfortable effects
Dehydration
Dizziness
Dry mouth
Auditory effects
Auditory distortion
Auditory enhancement
Auditory hallucinations
A distinct decrease in hunger and desire to eat, ranging from reduced interest in food to complete disinterest or even physical revulsion at the thought of eating. This effect can persist for many hours beyond the primary experience.
Bodily control enhancementBodily control enhancement is the subjective feeling of improved physical precision, coordination, and dexterity — a sense of heightened mastery over one's own body that can make movements feel fluid, deliberate, and effortless.
ConstipationA slowing or cessation of bowel movements resulting in difficulty passing stool, commonly caused by opioid receptor activation in the gastrointestinal tract and notoriously resistant to tolerance development.
Decreased libidoDecreased libido is a diminished interest in and desire for sexual activity, commonly caused by substances that suppress dopaminergic reward signaling, dampen emotional responsiveness, or induce sedation.
DehydrationA state of insufficient bodily hydration manifesting as persistent thirst, dry mouth, and physical discomfort, often caused by increased sweating, urination, or simply forgetting to drink water during substance use.
DiarrheaDiarrhea is the occurrence of frequent, loose, or watery bowel movements as a side effect of certain psychoactive substances, resulting from either direct GI irritation or pharmacological alterations to gut motility and fluid absorption.
DizzinessA sensation of spinning, swaying, or lightheadedness that impairs balance and spatial orientation, often accompanied by nausea and difficulty standing or walking steadily.
Dry mouthA persistent, uncomfortable reduction in saliva production causing the mouth and throat to feel parched, sticky, and difficult to swallow through, commonly known as cottonmouth.
Excessive sweatingProfuse perspiration exceeding normal thermoregulatory needs, common with stimulants and empathogens, contributing to dehydration risk.
Excessive yawningInvoluntary, repeated yawning that occurs far more frequently than normal and often without the usual association with tiredness or boredom. The yawns may be deep and extended, sometimes occurring in rapid succession, and can be accompanied by watery eyes and a brief sense of stretching release throughout the face and jaw.
HeadacheA painful sensation of pressure, throbbing, or aching in the head that can range from a dull background discomfort to a debilitating pounding that dominates awareness. Substance-induced headaches may occur during the acute effects, during the comedown, or as a rebound symptom hours to days after use.
InsomniaA persistent inability to fall asleep or maintain sleep despite physical tiredness, often characterized by a racing mind, heightened alertness, and a frustrating disconnect between bodily fatigue and mental wakefulness. This effect can persist for hours beyond the primary duration of a substance, significantly extending the total experience timeline.
NauseaAn uncomfortable sensation of queasiness and stomach discomfort that may or may not lead to vomiting, often occurring during the onset phase of many substances.
Pain reliefA suppression of negative physical sensations such as aches and pains, ranging from dulled awareness of discomfort to complete inability to perceive pain.
Pupil dilationA visible enlargement of the pupil diameter (mydriasis) that can range from subtle widening to dramatic saucer-like expansion where the dark pupil dominates the iris. This effect is one of the most recognizable signs of psychedelic and stimulant intoxication and directly contributes to light sensitivity, enhanced color perception, and the characteristic "wide-eyed" appearance.
Respiratory depressionA dangerous slowing and shallowing of breathing that can progress from barely noticeable reductions in respiratory rate to life-threatening cessation of breathing. This is the primary mechanism of death in opioid overdoses and represents one of the most critical safety concerns across all of psychopharmacology.
SedationA state of deep physical and mental calming that manifests as a progressive desire to remain still, lie down, and eventually drift toward sleep. Sedation ranges from a gentle drowsy relaxation to a heavy, irresistible pull into unconsciousness where maintaining wakefulness becomes a losing battle against the body's insistence on shutdown.
SeizureUncontrolled brain electrical activity causing convulsions and loss of consciousness -- a life-threatening medical emergency requiring immediate help.
Serotonin syndromeSerotonin syndrome is a potentially fatal medical emergency caused by excessive serotonergic activity in the central and peripheral nervous systems, typically resulting from combining multiple serotonin-elevating substances, and manifesting as a dangerous triad of neuromuscular hyperactivity, autonomic dysfunction, and altered mental status.
TremorsInvoluntary rhythmic shaking of the hands, limbs, or body, ranging from fine tremor to gross shaking, common with stimulants and during withdrawal states.
Watery eyesExcessive tear production causing overflow tearing and blurred vision, commonly occurring during opioid withdrawal and with dissociatives.
Addiction suppression is the experience of a marked decrease in or complete cessation of the cravings, compulsive urges, and automatic behavioral patterns that characterize addiction — an effect that can sometimes persist for weeks or months after a single administration of the triggering substance.
AmnesiaA complete or partial inability to form new memories or recall existing ones during and after substance use, ranging from minor gaps in recollection to total blackouts encompassing hours of experience.
Analysis enhancementA perceived improvement in one's ability to logically deconstruct concepts, recognize patterns, and reach novel conclusions, often accompanied by deep states of contemplation and an abundance of insightful ideas.
ConfusionAn impairment of abstract thinking marked by a persistent inability to grasp or comprehend concepts and situations that would normally be perfectly understandable during sobriety.
Creativity enhancementAn increase in the ability to imagine new ideas, overcome creative blocks, think about existing concepts in novel ways, and produce artistic or intellectual work with greater fluency and inspiration.
DepressionA persistent state of low mood, emotional numbness, hopelessness, and diminished interest or pleasure in activities, often occurring during comedowns, withdrawal, or as a prolonged after-effect of substance use.
Dream potentiationEnhanced dream vividness, complexity, and recall, often occurring as REM rebound after discontinuing REM-suppressing substances.
Immersion enhancementA heightened capacity to become fully absorbed and engrossed in external media such as music, films, video games, and art, with an amplified suspension of disbelief and a deepened emotional connection to the content being experienced.
Increased sense of humorA general amplification of one's sensitivity to finding things humorous and amusing, often causing previously unremarkable stimuli to become inexplicably hilarious, with laughter triggered by observations and connections that seem profound or absurd in the altered state.
IntrospectionAn enhanced state of self-reflective awareness in which one feels drawn to examine their own thoughts, emotions, behaviors, and life patterns with unusual depth, clarity, and emotional honesty, often yielding insights that feel therapeutically significant.
MindfulnessMindfulness in the substance context refers to a state of heightened present-moment awareness in which attention is fully directed toward immediate experience — thoughts, sensations, emotions — with an attitude of non-judgmental observation, while the usual stream of planning, worrying, and self-referential thinking quiets substantially.
Novelty enhancementA feeling of increased fascination, awe, and childlike wonder attributed to everyday concepts, objects, and experiences, as if perceiving the world for the first time.
Personal bias suppressionA decrease in the personal, cultural, and cognitive biases through which one normally filters their perception, enabling more objective self-examination and worldview analysis.
Personal meaning enhancementPersonal meaning enhancement is a state in which everyday events, coincidences, song lyrics, environmental details, and social interactions seem to carry profound and specific personal significance — as if the universe is communicating directly with the experiencer through symbolism and synchronicity.
Thought disorganizationThought disorganization is a cognitive impairment in which the normal capacity for structured, sequential, and logical thinking becomes significantly disrupted, causing thoughts to become scattered, tangential, and difficult to follow to completion.
Auditory distortion is the experience of sounds becoming warped, pitch-shifted, flanged, or otherwise altered in their perceived qualities without any change to the actual sound source. Familiar sounds may seem alien, stretched in time, or layered with unusual resonances, creating a surreal and sometimes unsettling soundscape that departs significantly from sober auditory perception.
Auditory enhancementAuditory enhancement is a heightened sensitivity and appreciation of sound in which music, voices, and ambient noise become richer, more detailed, and more emotionally resonant. Subtle sonic details that would normally go unnoticed — the texture of a guitar string, the breath between a singer's words, the layered harmonics of a chord — become vivid and captivating.
Auditory hallucinationAuditory hallucination is the perception of sounds that have no external source — hearing music, voices, environmental noises, or abstract sonic phenomena that exist entirely within the mind. These range from faint, ambiguous whispers at the edge of perception to fully formed, complex musical compositions or conversational speech that can feel completely real and externally sourced.
Auditory misinterpretationAuditory misinterpretation is the brief, spontaneous misidentification of real sounds as entirely different sounds — ambient noise interpreted as voices, mechanical hums perceived as music, or random environmental sounds heard as words or familiar patterns.
Antidepressants can produce 21 physical effects including respiratory depression, appetite suppression, excessive yawning, pupil dilation, and 17 more.
Antidepressants produces 15 cognitive effects including personal bias suppression, increased sense of humor, creativity enhancement, immersion enhancement, and 11 more.