PlainPill

SAM-E vs SSRI for mood

Short answer: For mood, more users report improvement with SAM-E — 92% of 114 reports, versus 50% of 34 for SSRI.

SAM-E has 3 meta-analyses and 1 randomized trials on PubMed; the other has not been graded.

Based on 284 reports about SAM-E and 85 about SSRI. Not medical advice.

SAM-E
Supplement
SSRI
Medication
Users say it helped63%helped131 reports · high confidence14%helped54 reports · medium confidence
Verdict
Mostly positive
Mostly negative
ResearchBResearch: ModerateNot graded
Meta-analyses / RCTs3 / 1—
Mainly used for
Mood
% reporting improvement
92% (114)50% (34)
Anxiety
% reporting improvement
67% (21)73% (11)
Energy
% reporting improvement
87% (23)25% (4)
Focus
% reporting improvement
100% (13)50% (2)
Libido
% reporting improvement
—0% (14)
Common side effectsinsomnia, jitteriness, stomach issues, anxietyanhedonia, brain fog, erectile dysfunction, emotional blunting
Typical dose reported200-400 mg / dailyNot listed
SAM-E
Latest review conclusion

Our results showed that robotic surgery contributed positively to some perioperative outcomes but longer operative times remained a shortcoming. Better quality evidence is needed to guide surgical decision making regarding the precise clinical targets of this innovation in the next generation of its use.

Surg Endosc, 2016 ↗
What a user said
“I also take SAM-e in the morning (200mg or 400mg per day depending on how I'm feeling) for my general depression/anxiety.”
Full SAM-E profile →
SSRI
What a user said
“then i came to SSRI , it helped a little bit then.”
Full SSRI profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate