Which depression meds?

Patient: Greetings,I currently take 40mg Citalopram everyday for depression. I have been on it for 3 years. I am beginning to notice it isn’t as affective. What medication comes next?

Symptoms: Lower mood, depressed

Doctor: HelloThanks for using “Ask The Doctor” for posting your query.You may consider other options like venlafaxine or d esvenlafaxine or mirtazapine or fluoxetine. These medicines don’t have any fixed order and the prescription depends on your symptom profile and the possibility of side -effects.Do meet your Doctor and discuss the above-mentioned options and get yourself prescribed the drug that suits you the best.Hope this helps.Wish you a good health.