Depression: Why Hormone and Weight Labels Mention It
[Glossary · How doses act in the body]

Depression

Also called depressed mood, major depression, mood changes · Reviewed

Definition: Depression is a mental health condition marked by ongoing sadness, loss of energy and trouble handling daily life. The NCI dictionary adds loss of pleasure in activities, feelings of worthlessness, changes in eating or sleep, and thoughts of death or suicide. It can affect anyone and can be treated. Anyone thinking about suicide can call or text 988 in the US.

Labels that list it

Depression and mood lines, as each label states them
LabelWhat it says
Lupron Depot 3.75 mgDepression or mood swings in 22% in the endometriosis trials vs 3% on placebo; many effects reflect low estrogen.
XyostedDepression that led to stopping in 2 of 283 men, and suicide attempts in 2 more (1.4% in all).
ContraveBoxed warning about suicidal thoughts and behaviors (it contains bupropion); depression 6.3% vs 5.9% on placebo.
Propecia and ProscarDepression and suicidal thoughts reported after approval; how often is not known.

A label listing depression does not mean the medicine causes it in most people. Placebo rates show how often it shows up anyway.

Why it matters for your log

Mood changes can be slow and hard to date. A short daily mood or energy rating next to dose dates helps show whether a change started after a new medicine or dose, which is what a prescriber needs to judge it. Sudden thoughts of self-harm are not something to log and wait on: NIMH points to the 988 Suicide and Crisis Lifeline, and 911 in an emergency.

Read more on Dose Track: Mood changes on TRT · Qsymia and mood changes · Contrave side effects · Propecia side effects

General education drawn from labels and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your product are the final word.

Frequently asked questions

Can testosterone or hormone medicines cause depression?+
Some labels report it. Lupron Depot lists depression or mood swings in 22% vs 3% on placebo, and Xyosted reports depression that led to stopping in a small number of men. A prescriber can judge whether a change is linked to the medicine.
Where can I get help right away in the US?+
Call or text 988, the Suicide and Crisis Lifeline, or chat at 988lifeline.org. In a life-threatening emergency, call 911.