Drugs/Therapy

How Antidepressants Can Impact Temperature Regulation

By Corazon Victorino | Update Date: Jun 18, 2024 12:00 PM EDT
antidepressant drugs

antidepressant drugs | (Photo : Anna Shvets/Pexels)

Certain antidepressants can heighten sensitivity to heat, posing potential risks during hot weather conditions, according to recent research findings.

Research shows that antidepressants such as SSRIs (e.g., sertraline) and TCAs (e.g., amitriptyline) can increase heat sensitivity, potentially raising body temperatures above 106°F (41°C). Licensed psychologist David Tzall, Psy.D., has noted that SSRIs, known for their anticholinergic properties, may impair sweat gland function, hindering the body's natural cooling mechanism. Additionally, these medications can interfere with the hypothalamus, a brain structure critical for regulating body temperature.

"SSRIs have anticholinergic properties, which can prevent sweat glands from functioning properly," Tzall explained, according to Medical News Today. "Additionally, some types of antidepressants interfere with actions of the hypothalamus, a structure in the brain involved in heat regulation. When the hypothalamus cannot control body temperature, someone can overheat."

Other medication classes contributing to heat sensitivity include stimulants like amphetamines (e.g., methylphenidate), recreational drugs like cocaine, antipsychotics such as chlorpromazine, and diuretics like furosemide. These medications may suppress sweating, constrict blood vessels, and reduce fluid volume, further complicating heat regulation.

Symptoms of heat-related issues range from mild heat exhaustion, characterized by headache, dizziness, and heavy sweating, to severe heat stroke, marked by very high body temperature, confusion, and loss of consciousness. The Centers for Disease Control and Prevention (CDC) advises immediate action for anyone showing signs of heat exhaustion or heat stroke, including removing excess clothing, providing liquids, and applying cold compresses.

To manage heat effectively, the National Oceanic and Atmospheric Administration (NOAA) recommends staying informed about local heat advisories, preparing cooling mechanisms such as air conditioners or fans, and seeking cool indoor environments during peak temperatures. They also suggest staying hydrated, dressing in light-colored clothing, and avoiding prolonged sun exposure.

Individuals taking medications that may exacerbate heat sensitivity are urged to consult healthcare providers for personalized advice on managing heat exposure during hot weather conditions.

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